ArticleWomen's health (London, England)
Family planning awareness and contraceptive use among young Rohingya refugee women: A representative cross-sectional study in Cox's Bazaar, Bangladesh.
Article in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Abstract
backgroundYoung refugee women face elevated sexual and reproductive health risks, but their family planning (FP) needs remain understudied.
objectivesThis study aimed to assess FP awareness, contraceptive use and associated factors among young married Rohingya women aged 15-24 years in Cox's Bazar refugee camps and to compare knowledge and use among women who report no desire for additional children.
designA prospective cross-sectional survey was conducted between March and April 2023.
methodsA multistage random sample was used to select 541 married women across 8 refugee camps. Data were collected via interviewer-administered structured questionnaires. Descriptive statistics and multivariate logistic regression were used to identify sociodemographic, informational, and gender-power factors associated with current contraceptive use.
resultsAmong 541 participants, 84.7% reported general awareness of FP, but only 27.0% could name a contraceptive brand. Current contraceptive use was 44.9%, and 37.6% of women who wished to avoid pregnancy were not using any method. Factors positively associated with contraceptive use included older age, husband's education, exposure to FP information (adjusted odds ratio (AOR): 1.74; 95% confidence interval (95% CI): 1.06-2.87), fieldworker visits (AOR: 2.00; 95% CI: 1.31-3.04) and awareness of FP centres (AOR: 5.18; 95% CI: 2.30-11.67). Husband-controlled FP decisions were negatively associated with use (AOR: 0.46; 95% CI: 0.30-0.73).
conclusionInterventions are needed to enhance women's empowerment, increase contraception use among young women and support local and international organisations in Bangladesh working with refugees by providing more targeted fieldworker visits for education and the delivery of FP services.
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