ArticleThe Lancet regional health. Southeast Asia2023
Women's participation in childbearing decision-making and its effects on short-interval births in Rohingya refugee camps of Bangladesh.
Article in The Lancet regional health. Southeast Asia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.
- Reproductive Coercion and Abuse Among Forcibly Displaced Populations Worldwide: Evidence from a Systematic Review.Trauma, violence & abuse · 2026Pooled it
- Review
- Unmet need for health care services among Rohingya Refugees living in Cox's Bazar and Bhasan Char in Bangladesh.PLOS global public health · 2026Article
- Family formation among adolescent Rohingya refugees; trajectories into adolescent marriage and childbearing in Cox's Bazar Bangladesh.Conflict and health · 2025Article
- Exploring the impact of preconception care and unintended pregnancy on access to antenatal healthcare services among Rohingya women: Insights from a cross-sectional survey.Journal of migration and health · 2024Article
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
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Abstract
Background: Women's involvement in family planning decision-making is significantly low among refugee women, potentially leading to an increased unintended and short interval pregnancies. This study aims to investigate the relationship between women's decision-making in childbearing and short-interval births among Rohingya refugee women in Bangladesh. Methods: Data from 719 women residing in three Rohingya refugee camps in Ukhiya, Cox's Bazar, Bangladesh, were analyzed. The outcome variable was birth spacing, categorized as short (<33 months between the two most recent births) or normal (≥33 months between the two most recent births). The primary explanatory variable was women's involvement in fertility decision-making with their partner, classified as never, sometimes, and always. Multivariate logistic regression analysis was conducted to assess the association between the outcome and explanatory variable while adjusting for potential covariates. Findings: 58% of births occurred within a short interval, while almost 48% of women reported no participation in fertility decision-making with their partner. Short interval birth was found to be increasing with decreasing women's participation in fertility decision-making with their partner. Women who sometimes or never made fertility decisions with their partner had 1.20 times (95% CI, 1.01-1.88) and 1.69 times (95% CI, 1.06-2.29) higher likelihood of short interval births, respectively, compared to women who always decided with their partner. Interpretation: Low women's participation in fertility decision-making with their partner among Rohingya refugees increases short interval births and adverse maternal and child health outcomes, including mortality. This highlights the need for counselling programs to educate and empower women, promoting joint fertility decision-making by couples. Funding: This research did not receive any specific funds.
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