Department of Communication and Journalism, University of Chittagong, Chattogram, 4331, Bangladesh.
Department of Communication, University of Louisiana, Lafayette, 70504, USA.
Reprod Health. 2022 May 2;19(1):105. doi: 10.1186/s12978-022-01410-0.
Considering the high risk of maternal morbidity and mortality, increased risks of unintended pregnancy, and the unmet need for contraceptives prevalent among the Rohingya refugees, this study aims to explore the knowledge, attitude, and practice (KAP) of family planning (FP) and associated factors among Rohingya women living in refugee camps in Bangladesh.
Four hundred Rohingya women were interviewed. Data were collected using a structured and pretested questionnaire, which included study participants' socio-demographic characteristics, access to FP services, knowledge, attitude, and practice of FP. Linear regression analysis was performed to identify the influencing factors of FP-KAP.
Of the 400 Rohingya refugee women, 60% were unaware that there was no physical harm brought by using a permanent method of birth control. Half of the women lack proper knowledge regarding whether a girl was eligible for marriage before the age of 18. More than two-thirds of the women thought family planning methods should not be used without the husband's permission. Moreover, 40% were ashamed and afraid to discuss family planning matters with their husbands. Of the study participants, 58% had the opinion that a couple should continue bearing children until a son is born. Linear regression analyses found that study participants' who have a profession, have less children, whose primary source of FP knowledge was through a physician/nurse, have had FP interventions in the camp, and talk with a health care provider on FP were found to have better FP-KAP.
The study showed that Rohingya refugee women are a marginalized population in terms of family planning and their comprehensive FP-KAP capability was low. Contraceptives among the Rohingyas were unpopular, mainly due to a lack of educational qualifications and family planning awareness. In addition, family planning initiatives among Rohingya refugees were limited by a conservative culture and religious beliefs. Therefore, strengthening FP interventions and increasing the accessibility to essential health services and education are indispensable to improving improve maternal health among Rohingya refugees.
鉴于罗兴亚难民产妇发病率和死亡率高、意外怀孕风险增加以及对避孕药具的需求未得到满足，本研究旨在探讨孟加拉国难民营中罗兴亚妇女的计划生育知识、态度和实践（KAP）及其相关因素。
对 400 名罗兴亚妇女进行了访谈。使用经过结构化和预测试的问卷收集数据，其中包括研究参与者的社会人口特征、计划生育服务的获取、计划生育知识、态度和实践。进行线性回归分析以确定计划生育 KAP 的影响因素。
在 400 名罗兴亚难民妇女中，60%的人不知道使用永久节育方法不会带来身体伤害。有一半的妇女缺乏关于女孩是否在 18 岁之前有资格结婚的正确知识。超过三分之二的妇女认为在没有丈夫允许的情况下不应使用计划生育方法。此外，40%的妇女羞于与丈夫讨论计划生育问题。在研究参与者中，有 58%的人认为一对夫妇应该继续生孩子，直到生一个儿子为止。线性回归分析发现，有职业的参与者、孩子较少的参与者、主要通过医生/护士获取计划生育知识的参与者、在营地接受过计划生育干预措施的参与者以及与医疗保健提供者讨论计划生育问题的参与者，他们的计划生育 KAP 更好。
研究表明，罗兴亚难民妇女在计划生育方面处于边缘地位，其综合计划生育 KAP 能力较低。罗兴亚人的避孕药具不受欢迎，主要是因为受教育程度低和缺乏计划生育意识。此外，罗兴亚难民中的计划生育举措受到保守文化和宗教信仰的限制。因此，加强计划生育干预措施并增加获得基本卫生服务和教育的机会，对于改善罗兴亚难民的产妇健康至关重要。
