Prevalence and Determinants of Modern Contraceptive Use among Rohingya Women of Reproductive Age Residing in Refugee Camps in Bangladesh: A Cross-Sectional Survey

Background: Comprehensive studies on the determinants of modern contraceptive use in humanitarian settings are relatively uncommon in Bangladesh. The aim of this study was to examine the prevalence and determinants of modern contraceptive use among Rohingya women living in the refugee camp of Cox�...

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Main Authors: Mansura Islam, Shah Ehsan Habib, Raminul Islam Rifat
Format: Article
Language:English
Published: Shahid Sadoughi University of Medical Sciences 2024-11-01
Series:Journal of Social Behavior and Community Health
Subjects:
Online Access:http://sbrh.ssu.ac.ir/article-1-262-en.pdf
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author Mansura Islam
Shah Ehsan Habib
Raminul Islam Rifat
author_facet Mansura Islam
Shah Ehsan Habib
Raminul Islam Rifat
author_sort Mansura Islam
collection DOAJ
description Background: Comprehensive studies on the determinants of modern contraceptive use in humanitarian settings are relatively uncommon in Bangladesh. The aim of this study was to examine the prevalence and determinants of modern contraceptive use among Rohingya women living in the refugee camp of Cox's Bazar, Bangladesh. Methods: A cross-sectional survey was conducted among 160 Rohingya refugee women aged 15-49 living in   unregistered camps (Camps 7 and 14) in Ukhiya Upazila, Cox's Bazar. In the study, participants were selected using a convenience sampling method, and the sample size was calculated using the single population proportion formula. However, only 160 participants were recruited due to travel restrictions and safety measures implemented throughout Bangladesh during the COVID-19 pandemic. The data were gathered via a structured questionnaire. Results were summarized using both descriptive and inferential statistics and SPSS v.23 software was used for data analysis at 5% level of significance. Results: The prevalence of contraceptive use was found to be 41.9%. The most commonly used contraceptives were Injection Depot-Provera  (65.7%) and Oral Contraceptive Pill (OCP) (28.4%) followed by implant (4.5%) and intrauterine device (IUD) (1.5%). Multivariate logistic regression revealed lower odds of modern contraceptive use among women who had more than a 1.5 year interval between the last two pregnancies (OR = 0.19; 95% CI = 0.07– 0.51) and higher odds were found who expressed a lack of desire for future pregnancies (OR = 13.69; 95% CI = 3.43–54.68). Community Health Workers (CHWs) (80.4%) were the main sources of information on modern contraceptives, whereas hospitals (83.6%) were the most accessible places to obtain contraceptives. Conclusion: Community health workers play a vital role in disseminating information, emphasizing the need for their training and involvement in relevant programs. These findings are crucial for shaping future research, policies, and reproductive health services in humanitarian settings.
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spelling doaj-art-485c9b3526d74ba98278fff942bfcd8f2025-08-20T02:48:38ZengShahid Sadoughi University of Medical SciencesJournal of Social Behavior and Community Health2783-21042024-11-018213471360Prevalence and Determinants of Modern Contraceptive Use among Rohingya Women of Reproductive Age Residing in Refugee Camps in Bangladesh: A Cross-Sectional SurveyMansura Islam0Shah Ehsan Habib1Raminul Islam Rifat2 Department of Sociology, Mississippi State University, Starkville, MS- 39759, USA Department of Sociology, University of Dhaka, Dhaka 1000, Bangladesh Department of Sociology, University of Dhaka, Dhaka 1000, Bangladesh Background: Comprehensive studies on the determinants of modern contraceptive use in humanitarian settings are relatively uncommon in Bangladesh. The aim of this study was to examine the prevalence and determinants of modern contraceptive use among Rohingya women living in the refugee camp of Cox's Bazar, Bangladesh. Methods: A cross-sectional survey was conducted among 160 Rohingya refugee women aged 15-49 living in   unregistered camps (Camps 7 and 14) in Ukhiya Upazila, Cox's Bazar. In the study, participants were selected using a convenience sampling method, and the sample size was calculated using the single population proportion formula. However, only 160 participants were recruited due to travel restrictions and safety measures implemented throughout Bangladesh during the COVID-19 pandemic. The data were gathered via a structured questionnaire. Results were summarized using both descriptive and inferential statistics and SPSS v.23 software was used for data analysis at 5% level of significance. Results: The prevalence of contraceptive use was found to be 41.9%. The most commonly used contraceptives were Injection Depot-Provera  (65.7%) and Oral Contraceptive Pill (OCP) (28.4%) followed by implant (4.5%) and intrauterine device (IUD) (1.5%). Multivariate logistic regression revealed lower odds of modern contraceptive use among women who had more than a 1.5 year interval between the last two pregnancies (OR = 0.19; 95% CI = 0.07– 0.51) and higher odds were found who expressed a lack of desire for future pregnancies (OR = 13.69; 95% CI = 3.43–54.68). Community Health Workers (CHWs) (80.4%) were the main sources of information on modern contraceptives, whereas hospitals (83.6%) were the most accessible places to obtain contraceptives. Conclusion: Community health workers play a vital role in disseminating information, emphasizing the need for their training and involvement in relevant programs. These findings are crucial for shaping future research, policies, and reproductive health services in humanitarian settings.http://sbrh.ssu.ac.ir/article-1-262-en.pdfrefugee campreproductive healthcontraceptive devicesfemale
spellingShingle Mansura Islam
Shah Ehsan Habib
Raminul Islam Rifat
Prevalence and Determinants of Modern Contraceptive Use among Rohingya Women of Reproductive Age Residing in Refugee Camps in Bangladesh: A Cross-Sectional Survey
Journal of Social Behavior and Community Health
refugee camp
reproductive health
contraceptive devices
female
title Prevalence and Determinants of Modern Contraceptive Use among Rohingya Women of Reproductive Age Residing in Refugee Camps in Bangladesh: A Cross-Sectional Survey
title_full Prevalence and Determinants of Modern Contraceptive Use among Rohingya Women of Reproductive Age Residing in Refugee Camps in Bangladesh: A Cross-Sectional Survey
title_fullStr Prevalence and Determinants of Modern Contraceptive Use among Rohingya Women of Reproductive Age Residing in Refugee Camps in Bangladesh: A Cross-Sectional Survey
title_full_unstemmed Prevalence and Determinants of Modern Contraceptive Use among Rohingya Women of Reproductive Age Residing in Refugee Camps in Bangladesh: A Cross-Sectional Survey
title_short Prevalence and Determinants of Modern Contraceptive Use among Rohingya Women of Reproductive Age Residing in Refugee Camps in Bangladesh: A Cross-Sectional Survey
title_sort prevalence and determinants of modern contraceptive use among rohingya women of reproductive age residing in refugee camps in bangladesh a cross sectional survey
topic refugee camp
reproductive health
contraceptive devices
female
url http://sbrh.ssu.ac.ir/article-1-262-en.pdf
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AT shahehsanhabib prevalenceanddeterminantsofmoderncontraceptiveuseamongrohingyawomenofreproductiveageresidinginrefugeecampsinbangladeshacrosssectionalsurvey
AT raminulislamrifat prevalenceanddeterminantsofmoderncontraceptiveuseamongrohingyawomenofreproductiveageresidinginrefugeecampsinbangladeshacrosssectionalsurvey