评估健康传播干预措施对居住在科克斯巴扎尔难民营的罗兴亚妇女性健康和生殖健康的利用效果。

Evaluating the effectiveness of utilization of health communication interventions on sexual and reproductive health of the Rohingya women living in Cox's Bazar refugee camp.

作者信息

Zakaria Muhammad, Nachrin Tania, Azad Md Abul Kalam

机构信息

Department of Communication and Journalism, University of Chittagong, Chattogram, 4331, Bangladesh.

Department of Communication, Wayne State University, Michigan, 48201, USA.

出版信息

Heliyon. 2022 Dec 24;8(12):e12563. doi: 10.1016/j.heliyon.2022.e12563. eCollection 2022 Dec.

DOI:10.1016/j.heliyon.2022.e12563

PMID:36643313

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9834746/

Abstract

OBJECTIVES

This study aimed to examine the effectiveness of NGOs' health communication interventions (HCIs) regarding sexual and reproductive health (SRH) among the Rohingya women living in the refugee camps in Cox's Bazar, Bangladesh.

METHODS

A camp-based cross-sectional questionnaire survey was conducted from November 10, 2019, to January 10, 2020, among 415 Rohingya married women of reproductive age (above 18-49 years) living in the refugee camp in Cox's Bazar, Bangladesh. The study participants were selected using a convenient sampling. The independent-sample t-test and hierarchical regression analysis were performed using IBM SPSS version 24.0.

RESULTS

Different myths and perceptions of taboo are common among the Rohingya women regarding SRH which imposes some restrictions on them. Of the Rohingya women, 79.8 percent ever had a consultation with non-government organizations' (NGOs) appointed health care providers (doctors/nurses) regarding SRH issues, while only 68.4 percent of them had a door visit by the NGO workers in this regard. Moreover, 62.7 percent participated in NGO's SRH communication program, whereas three-fourths understood the SRH messages appropriately. However, the study findings reported significant differences ( ≤ .001) in the mean scores of all items related to participants' SRH status for the difference in the utilization level of health communication interventions. Regression analysis shows that the Rohingya women's utilization of NGOs' health communication interventions appeared as stronger predictors than socioeconomic variables for better SRH status. At the same time, β values indicate that the Rohingya women's interpersonal communication with a health care provider and understanding the messages of communication activities are reported as the strongest predictors of outcome variables.

CONCLUSION

Health communication interventions significantly influence positive changes in women's SRH. Accordingly, this study recommends strengthening communication interventions using behavioral change theories and strategic communication approaches as it is difficult to change their socioeconomic status in existing settings.

摘要

目的

本研究旨在考察非政府组织的健康传播干预措施（HCIs）对生活在孟加拉国科克斯巴扎尔难民营中的罗兴亚族妇女的性与生殖健康（SRH）的有效性。

方法

2019年11月10日至2020年1月10日，在孟加拉国科克斯巴扎尔难民营中对415名育龄（18 - 49岁以上）已婚罗兴亚族妇女进行了基于营地的横断面问卷调查。研究参与者采用方便抽样的方法选取。使用IBM SPSS 24.0版本进行独立样本t检验和分层回归分析。

结果

罗兴亚族妇女在性与生殖健康方面存在不同的误解和禁忌观念，这对她们造成了一些限制。在罗兴亚族妇女中，79.8%的人曾就性与生殖健康问题咨询过非政府组织指定的医疗服务提供者（医生/护士），而在这方面只有68.4%的人接受过非政府组织工作人员的上门探访。此外，62.7%的人参加了非政府组织的性与生殖健康传播项目，而四分之三的人能正确理解性与生殖健康信息。然而，研究结果显示，在与参与者性与生殖健康状况相关的所有项目的平均得分上，健康传播干预措施利用水平的差异存在显著差异（≤.001）。回归分析表明，对于更好的性与生殖健康状况，罗兴亚族妇女对非政府组织健康传播干预措施的利用似乎比社会经济变量更能成为有力的预测指标。同时，β值表明，罗兴亚族妇女与医疗服务提供者的人际沟通以及对传播活动信息的理解被报告为结果变量的最强预测指标。