Islam M Mofizul, Rahman Md Mashiur, Khan Md Nuruzzaman
Department of Public Health, La Trobe University, Melbourne, Australia.
Independent Researcher, Cox's Bazar, Bangladesh.
Lancet Reg Health Southeast Asia. 2022 May 20;2:100008. doi: 10.1016/j.lansea.2022.04.004. eCollection 2022 Jul.
Rohingya people are often called the most persecuted minority in the world. Currently, almost 800,000 Rohingya refugees live in temporary shelters in Cox's Bazar, Bangladesh. More than one-quarter of them are women and girls of reproductive age who are at increased risk of unplanned pregnancies, unsafe abortions and related complications. However, the use of contraception remains inadequate, and particularly use of condoms and male participation is scarce. This study examines the barriers to condom use as a contraceptive method among married Rohingya couples.
We conducted in-depth qualitative interviews of married Rohingya men and women and thematically analysed the data.
Depo Provera injections and pills are the dominant forms of contraception. Men's participation in family planning and contraceptive use is rare, and so is the use of condoms. Participants identified several barriers to condom use, including contraception being the responsibility of the women, socio-cultural issues, the stigma attached to condoms, unfamiliarity with condoms, the limitations of condoms, and issues of security in conjugal life. Health workers do not promote condoms in the same way as other contraceptive methods.
Condom use and men's participation in contraception use are rare in Rohingya camps. The involvement of family planning workers who are males may help to promote the use of condoms and increase the method-mix options of contraceptives.
La Trobe University, Melbourne, Australia.
罗兴亚人常被称为世界上受迫害最严重的少数群体。目前，近80万罗兴亚难民生活在孟加拉国科克斯巴扎尔的临时避难所。其中超过四分之一是育龄妇女和女孩，她们意外怀孕、不安全堕胎及相关并发症的风险增加。然而，避孕措施的使用仍然不足，尤其是避孕套的使用以及男性的参与度很低。本研究调查了已婚罗兴亚夫妇使用避孕套作为避孕方法的障碍。
我们对已婚罗兴亚男性和女性进行了深入的定性访谈，并对数据进行了主题分析。
醋酸甲羟孕酮注射剂和避孕药是主要的避孕方式。男性参与计划生育和避孕措施使用的情况很少见，避孕套的使用也是如此。参与者指出了使用避孕套的几个障碍，包括避孕是女性的责任、社会文化问题、避孕套带来的污名、对避孕套不熟悉、避孕套的局限性以及夫妻生活中的安全问题。卫生工作者对避孕套的推广方式与其他避孕方法不同。
在罗兴亚难民营中，避孕套的使用和男性参与避孕措施的使用很少见。男性计划生育工作者的参与可能有助于推广避孕套的使用，并增加避孕方法的选择。
澳大利亚墨尔本拉筹伯大学。
