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Access of Syrian refugee women to reproductive health services in Türkiye during the COVID-19 pandemic / Eray Öntaş;Bahar Güçiz Doğan;Şevkat Bahar Özvarış;Tezer Kutluk

Tác giả : Eray Öntaş;Bahar Güçiz Doğan;Şevkat Bahar Özvarış;Tezer Kutluk

Nhà xuất bản : World Health Organization. Regional Office for the Eastern Mediterranean

Năm xuất bản : 2024

Chủ đề : 1. Coronavirus Disease (COVID-19). 2. COVID-19 -- epidemiology. 3. Health Services Accessibility -- statistics and numerical data. 4. Pandemics -- ethnology. 5. Pregnancy. 6. Refugees. 7. Reproductive Health Services. 8. SARS-CoV-2. 9. Surveys and Questionnaires. 10. Syria. 11. Turkey. 12. Journal / periodical articles.

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Tóm tắt :

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.

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https://iris.who.int/handle/10665/379978