Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit · 2024
Access of Syrian refugee women to reproductive health services in Türkiye during the COVID-19 pandemic.
СтатьяНазвание и аннотация: Перевод в очереди
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Öntaş Eray, Doğan Bahar Güçiz, Özvarış Şevkat Bahar, Kutluk Tezer
Аннотация
BACKGROUND: Türkiye hosted more than 3.5 million Syrian refugees, including women who needed reproductive health services during the COVID-19 pandemic.
AIM: To assess how the COVID-19 pandemic affected access to and use of essential reproductive health services by Syrian refugee women in Ankara, Türkiye.
METHODS: From April to December 2021, this descriptive epidemiological study collected data from 637 ever-married Syrian refugee women aged 15-49 years in 2 districts of Ankara, Türkiye. The data were collected using a structured multiple-choice questionnaire and analysed using SPSS version 23.
RESULTS: The mean age of the women was 29.6 (SD±8.4) years, with a median first-marriage age of 17 (range 12-45) years. Among them, 8.6% were illiterates and 96.7% had ever been pregnant. Since the beginning of the pandemic, 35.6% of them had been pregnant, with 78.2% livebirths and 21.8% miscarriages. Alarmingly, 12.8% gave birth at home without specialist support. Absence of antenatal care increased from 7.0% before to 41.1% after the pandemic, and missed postpartum assessment increased from 10.6% to 45.1%. Due to the fear of side effects or spousal disapproval, 26.4% never used any contraceptive. Hospitals and migrant health centres were the primary reproductive health information sources.
CONCLUSION: The COVID-19 pandemic severely affected access to reproductive health services for Syrian refugee women in Ankara, Türkiye. The increased rate of missed antenatal and postpartum care and number of home-based pregnancy terminations are causes for serious concern. Urgent policy adjustments and targeted interventions are needed to address these concerns.
AIM: To assess how the COVID-19 pandemic affected access to and use of essential reproductive health services by Syrian refugee women in Ankara, Türkiye.
METHODS: From April to December 2021, this descriptive epidemiological study collected data from 637 ever-married Syrian refugee women aged 15-49 years in 2 districts of Ankara, Türkiye. The data were collected using a structured multiple-choice questionnaire and analysed using SPSS version 23.
RESULTS: The mean age of the women was 29.6 (SD±8.4) years, with a median first-marriage age of 17 (range 12-45) years. Among them, 8.6% were illiterates and 96.7% had ever been pregnant. Since the beginning of the pandemic, 35.6% of them had been pregnant, with 78.2% livebirths and 21.8% miscarriages. Alarmingly, 12.8% gave birth at home without specialist support. Absence of antenatal care increased from 7.0% before to 41.1% after the pandemic, and missed postpartum assessment increased from 10.6% to 45.1%. Due to the fear of side effects or spousal disapproval, 26.4% never used any contraceptive. Hospitals and migrant health centres were the primary reproductive health information sources.
CONCLUSION: The COVID-19 pandemic severely affected access to reproductive health services for Syrian refugee women in Ankara, Türkiye. The increased rate of missed antenatal and postpartum care and number of home-based pregnancy terminations are causes for serious concern. Urgent policy adjustments and targeted interventions are needed to address these concerns.