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Title . Knowledge, Attitudes and Behaviours of Rohingya Refugees and Status of Family Planning Services in UNHCR’s Operation in Cox’s Bazar , Bangladesh. Dr. Zinia Sultana Reproductive Health Consultant, UNHCR . General information.

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  1. Title Knowledge, Attitudes and Behaviours of Rohingya Refugees and Status of Family Planning Services in UNHCR’s Operation in Cox’s Bazar, Bangladesh • Dr. Zinia Sultana • Reproductive Health Consultant, UNHCR

  2. General information • The official two refugee camps are situated in Cox’s Bazar district of Bangladesh. • Total 30,369 Rohingya refugees are residing in KTP and NYP camp. • They are receiving basic services from UNHCR and its partners. • A local NGO (RTMI) provides RH services to the refugees with the support from UNHCR and UNFPA. They receive FP commodities from Government FP department for refugees. .

  3. Challenges encountered in provision of FP services in the camps We learnt: • Community is resistant towards contraceptive uptake. • General feeling of hopeless situation. But we identified: • Inadequate support from Government. • Lack of staff to provide the service. • Frequent rupture of stock for FP commodities. • Lack of awareness and information on FP among refugees.

  4. Interventions to overcome the situation • Advocacy with Government for integration of the programme with national FP services. • Engage more staff and community volunteers for the programme in camps. • Various FP promotion activities in the community.

  5. FP Promotion Activities

  6. How effective were the interventions???

  7. Key Findings from Baseline Study Quantitative method: Photo: HH survey at NYP camp • CPR for any method is 37.7% and 36.9% for modern method among WRA. (19% in 2009 according to HIS report) • CPR for any method among ever married women is 44%. • Most preferred methods are injectable (57.6%) and OCP (32.9%) among women who are currently using any FP method .

  8. Key Findings from Baseline Study Quantitative method: *Percentages may add up to greater than 100% as respondent may give more than 1 response. • Ever used FP method is 61.7% among WRA. • Knowledge of ECP and traditional FP methods is very limited. • 2.4% of women have an unmet need for FP services. • Future intend to use FP methods in next 12 months is 6%.

  9. Key Findings from Baseline Study Qualitative method: Photo: FGD with adolescent boys, KTP camp • The decision about using FP is generally made by the couple. • Refugees are satisfied with current FP services. • Commodities are free and easily accessible for married couples. • Unmarried adolescents are excluded from the service. Photo: FGD with adolescent boys, KTP camp

  10. Key Findings from Baseline Study Qualitative findings • Refugees are aware about advantages of using FP methods. • There is a well functioning referral system to the government FP clinics for long term and permanent methods. • Resistance from the community has been reduced in recent years. • Elderly people still have some misconception and myths related to FP. Photo: FGD with adult women, KTP camp

  11. Some thoughts on study findings • Unrealistic unmet need? To get the real unmet need, we may include the women who reported • about the their plan for next pregnancy as ‘When Allah wants’ • undecided about next pregnancy • as currently pregnant or in postpartum and this current pregnancy or last pregnancy was unwanted. • Male sterilization under reported? • Information on sexual activity under reported?

  12. Acknowledgement • Nadine Cornier, UNHCR Geneva • HerveIsambert, UNHCR Bangkok • Mihoko Tanabe, WRC • Stacy De Jesus,CDC • UNHCR, Cox’s Bazar • UNHCR, implementing partners in Cox’s Bazar • Research team and data entry staff • Community Volunteers • Refugee religious and community leaders • Women, men, adolescent boys and girls participated in the study

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