Sexual And Reproductive Health Needs, Experiences, Access To Services, And Interventions Among The Rohingya And The Afghan Refugee Women Of Reproductive Age In Asia: A Mixed Methods Systematic Review Protocol

Main Article Content

Muhammad Anwar Hossain
Angela Dawson

Abstract

Background: A humanitarian crisis disrupts the existing health care system limiting access to sexual reproductive health (SRH) services. The Asia and the Pacific region is home to 9.2 million refugees as of September 2020, most originating from Afghanistan and Myanmar. Afghan and Rohingya refugees have long been deprived of formal SRH education and face decades of discrimination in SRH services that can affect health outcomes.


Purpose: This review examines the SRH status of Afghan and Rohingya refugee women of reproductive age in Asia and their needs and experiences in accessing these services and commodities.


Methods: This protocol will follow the PRISMA checklist and standards for quality assessment of systematic reviews. The search strategy will be sought out all relevant peer-reviewed literature from five online bibliographic databases—SCOPUS, EMBASE (Ovid), MEDLINE (Ovid), CINAHL, and PROQUEST— using search terms related to the research questions. The review will include qualitative, quantitative, and mixed-method studies to understand the status of SRH of Rohingya and Afghan refugees across Asia. Content analysis will undertake following the Minimum Initial Service Package (MISP) objectives. The review will use the mixed methods appraisal tool (MMAT) to assess the quality of individual studies. However, no studies will be excluded based on this assessment.


Result: The findings of this review will provide insight into the needs, status, and experiences of SRH of the Afghan and Rohingya refugee women of reproductive age in Asia and could contribute to health service planning to deliver evidence-based interventions and policies to improve SRH outcomes in humanitarian settings across Asia.


Systematic review registration: The review was registered in the PROSPERO database with ID CRD42021253975.

Article Details

How to Cite
Hossain, M. A., & Dawson, A. (2021). Sexual And Reproductive Health Needs, Experiences, Access To Services, And Interventions Among The Rohingya And The Afghan Refugee Women Of Reproductive Age In Asia: A Mixed Methods Systematic Review Protocol . Women, Midwives and Midwifery, 1(3), 1-12. https://doi.org/10.36749/wmm.1.3.1-12.2021
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References

Ahmed, Aktar, Farnaz, Ray, Awal, Hassan, Shafique, Hasan, Quayyum, Jafarovna, Kobeissi, Tahir, E., & Chawla. (2020). Challenges and strategies in conducting sexual and reproductive health research among Rohingya refugees in Cox’s Bazar, Bangladesh. Confl Health, 14(1), 83. https://doi.org/10.1186/s13031-020-00329-2

Alemi, James, Cruz, Zepeda, & Racadio. (2014). Psychological Distress in Afghan Refugees: A Mixed-Method Systematic Review. Journal of Immigrant and Minority Health, 16(1), 1247–1261. https://doi.org/10.1007/s10903-013-9861-1

Blanchet, Ramesh, Frison, Warren, Hossain, Smith, Knight, Post, Lewis, Woodward, Dahab, Ruby, Sistenich, Pantuliano, & Roberts. (2017). Evidence on public health interventions in humanitarian crises. The Lancet, 390(10109), 2287–2296. https://doi.org/10.1016/s0140-6736(16)30768-1

Britannica. (2021a). Asia - The regions of Asia | Britannica. Encyclopedia of Britannica.

Britannica. (2021b). South Asia | Geography, Countries, History, & Facts | Britannica. In Encyclopedia of Britannica, Inc. https://www.britannica.com/place/South-Asia

Britannica. (2021c). Southeast Asia | Map, Islands, Countries, Culture, & Facts | Britannica. In Encyclopedia of Britannica, Inc. https://www.britannica.com/place/Southeast-Asia

Broaddus-Shea, Kobeissi, Ummer, & Say. (2019). A systematic review of monitoring and evaluation indicators for sexual and reproductive health in humanitarian settings. Conflict and Health, 13(11–27). https://doi.org/10.1186/s13031-019-0221-1

Casey. (2015). Evaluations of reproductive health programs in humanitarian settings: a systematic review. Confl Health, 9(1), S1.

Chi, Urdal, Umeora, Sundby, Spiegel, & Devane. (2018). Improving maternal, newborn and women’s reproductive health in crisis settings. In Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD011829.pub2

Chynoweth. (2015). Advancing reproductive health on the humanitarian agenda: the 2012-2014 global review. Conflict and Health, 9(1), 11. https://doi.org/10.1186/1752-1505-9-s1-i1

Dawson, A. J., Nkowane, A. M., & Whelan, A. (2015). Approaches to improving the contribution of the nursing and midwifery workforce to increasing universal access to primary health care for vulnerable populations: A systematic review. Human Resources for Health, 13(1). https://doi.org/10.1186/s12960-015-0096-1

Desrosiers, Betancourt, Kergoat, Servilli, Say, & Kobeissi. (2020). A systematic review of sexual and reproductive health interventions for young people in humanitarian and lower-and-middle-income country settings. BMC Public Health, 20(1), 66. https://doi.org/10.1186/s12889-020-08818-y

Divkolaye, H., & Burkle. (2017). The Enduring Health Challenges of Afghan Immigrants and Refugees in Iran: A Systematic Review. PLoS Curr, 9(1). https://doi.org/10.1371/currents.dis.449b4c549951e359363a90a7f4cf8fc4

Erken. (2017). Maternal deaths and humanitarian crises. Lancet, 389(10078), 1514. https://doi.org/10.1016/S0140-6736(17)30949-2

Goodman, & Mahmood. (2019). The Rohingya Refugee Crisis of Bangladesh: Gender Based Violence and the Humanitarian Response. Open Journal of Political Science, 09(03), 490–501. https://doi.org/10.4236/ojps.2019.93027

Hasan-Ul-Bari, & Ahmed. (2018). Ensuring sexual and reproductive health and rights of Rohingya women and girls [Letter]. Lancet, 392(10163), 2439–2440. https://doi.org/10.1016/S0140-6736(18)32764-8

Higgins-Steele, Burke, Foshanji, Farewar, Naziri, Seddiqi, & Edmond. (2018). Barriers associated with care-seeking for institutional delivery among rural women in three provinces in Afghanistan. Bmc Pregnancy and Childbirth, 18(1). https://doi.org/10.1186/s12884-018-1890-2

Hong, Q., Pluye, P., Fàbregues, S., Bartlett, G., Boardman, F., Cargo, M., Dagenais, P., Gagnon, M.-P., Griffiths, F., Nicolau, B., Rousseau, M.-C., & Vedel, I. (2018). Mixed Methods Appraisal Tool (MMAT), Version 2018. User guide. McGill, 1–11.

Huang, & Schnabel. (2018). Making Sexual and Reproductive Health Services a Priority for Rohingya Refugees and Host Communities. In Center for Global Development.

IMO. (2018). International Organization for Migration Needs and Population Monitoring (NPM): Site Assessment: Round 9. In In IOM Bangladesh - International Organization for Migration. https://www.humanitarianresponse.info/sites/www.humanitarianresponse.info/files/assessments/npm-r9-sa-report-2018-march_0.pdf

Ivanova, O., Rai, M., & Kemigisha, E. (2018). A systematic review of sexual and reproductive health knowledge, experiences and access to services among refugee, migrant and displaced girls and young women in Africa. International Journal of Environmental Research and Public Health, 15(8), 1–12. https://doi.org/10.3390/ijerph15081583

Joarder, Sutradha, Hasan, & Bulbul. (2020). A Record Review on the Health Status of Rohingya Refugees in Bangladesh. Cureus, 12(8), e9753. https://doi.org/10.7759/cureus.9753

Leung, & Lin. (2019). Adolescent Sexual Risk Behavior in Hong Kong: Prevalence, Protective Factors, and Sex Education Programs. Journal of Adolescent Health, 64(6), 52–58.

Masjoudi, M., Aslani, A., Khazaeian, S., & Fathnezhad-Kazemi, A. (2020). Explaining the experience of prenatal care and investigating the association between psychological factors with self-care in pregnant women during COVID-19 pandemic: A mixed method study protocol. Reproductive Health, 17(1), 1–7. https://doi.org/10.1186/s12978-020-00949-0

Moher, Shamseer, Clarke, Ghersi, Liberati, Petticrew, Shekelle, & Stewart. (2015). Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev, 9(1). https://doi.org/10.1186/2046-4053-4-1

Munyuzangabo, Khalifa, Gaffey, Kamali, Siddiqui, Meteke, Shah, Jain, Radhakrishnan, & AtaullahjanBhutta. (2020). Delivery of sexual and reproductive health interventions in conflict settings: a systematic review. BMJ Glob Health, 5(1). https://doi.org/10.1136/bmjgh-2019-002206

NHS. (2013). Critical Appraisal Skills Programme (CASP). 10 questions to help you make sense of qualitative research. In CASP UK.

Persson, Larsson, Islam, Gemzell-Danielsson, & Klingberg-Allvin. (2021). A qualitative study on health care providers’ experiences of providing comprehensive abortion care in Cox’s Bazar, Bangladesh [Article]. Confl Health, 15(1), 6. https://doi.org/10.1186/s13031-021-00338-9

Rajaram, & Rashidi. (1999). Asian-Islamic women and breast cancer screening: a socio-cultural analysis. Women Health, 28(3), 45–58. https://doi.org/10.1300/J013v28n03_04

Riley, Varner, Ventevogel, Hasan, T., & Welton-Mitchell. (2017). Daily stressors, trauma exposure, and mental health among stateless Rohingya refugees in Bangladesh. Transcultural Psychiatry, 54(1), 304–331. https://doi.org/10.1177/1363461517705571

Roozbeh, Sanati, & Abdi. (2018). Afghan Refugees and Immigrants Health Status in Iran: A Systematic Review. Journal of Clinical and Diagnostic Research, 12(1), LE01–LE04. https://doi.org/10.7860/jcdr/2018/34869.12001

Ryabchikov, A. M. (2021). South Asia | Geography, Countries, History, & Facts | Britannica. Encyclopedia of Britannica.

Saifi. (2017). Pakistan’s stateless Rohingya. https://edition.cnn.com/2017/09/11/asia/pakistan-stateless-rohingya/index.html

Shirazi, Bloom, Shirazi, & Popal. (2013). Afghan immigrant women’s knowledge and behaviors around breast cancer screening. Psycho-Oncology, 22(1), 1705–1717. https://doi.org/10.1002/pon.3216

Singh. (2018). Impact of Working Mothers on their Children ’ s Development. -3.

Singh, Aryasinghe, Smith, Khosla, Say, & Blanchet. (2018). A long way to go: a systematic review to assess the utilisation of sexual and reproductive health services during humanitarian crises. BMJ Glob Health, 3(2), e000682. https://doi.org/10.1136/bmjgh-2017-000682

Tay, Riley, Islam, Welton-Mitchell, Duchesne, Waters, Varner, Moussa, & SiloveVentevogel. (2019). The culture, mental health and psychosocial wellbeing of Rohingya refugees: a systematic review. Epidemiol Psychiatr Sci, 28(5), 489–494. https://doi.org/10.1017/S2045796019000192

Tirado, Chu, Hanson, Ekstrom, & Kagesten. (2020). Barriers and facilitators for the sexual and reproductive health and rights of young people in refugee contexts globally: A scoping review. Plos One, 15(7), e0236316. https://doi.org/10.1371/journal.pone.0236316

UN. (2011). Report of the Independent International Fact-Finding Mission on Myanmar. In UN Independent nternational fact-finding mission on Myanmar. https://www.ohchr.org/Documents/HRBodies/HRCouncil/FFM-Myanmar/A_HRC_39_64.pdf

UNFPA. (2018a). Humanitarian Action 2018 Overview. In United Nation Population Fund. https://www.unfpa.org/sites/default/files/pub-pdf/

UNFPA. (2018b). Monthly Situation Report: The Rohingya Crisis.

UNFPA. (2020). Humanitarian action 2021 overview. In United Nations Population Fund. https://www.unfpa.org/sites/default/files/pub-pdf/PAGES-UNFPA_HAO2021_Report_Updated_6_Dec.pdf

UNHCR. (1951). Convention and Protocol Relating to the Status of Refugees. In United Nation. https://www.unhcr.org/3b66c2aa10.html

UNHCR. (2019). Figures at a Glance in Malaysia. In United Nations High Commissioner for Refugees. https://www.unhcr.org/en-au/figures-at-a-glance-in-malaysia.html

UNHCR. (2020a). 2019 Year-End report Operation: Pakistan. UNHCR: The UN Refugee Agency. https://reporting.unhcr.org/pakistan

UNHCR. (2020b). Figures at a Glance. United Nations High Commissioner for Refugees. https://www.unhcr.org/en-au/figures-at-a-glance.html

UNHCR. (2020c). UNHCR global appeal 2021 update. UNHCR: Asia and the Pacific. https://reporting.unhcr.org/sites/default/files/ga2021/pdf/Chapter_Asia.pdf#_ga=2.236485697.1197400916.1609157294-1595278219.1606528813

UNICEF. (2020). Rohingya Crisis. UNICEF Bangladesh. https://www.unicef.org/emergencies/rohingya-crisis

Wali, Chen, Rawal, Amanullah, & Renzaho. (2018). Integrating human rights approaches into public health practices and policies to address health needs amongst Rohingya refugees in Bangladesh: a systematic review and meta-ethnographic analysis. Arch Public Health, 76(1), 59. https://doi.org/10.1186/s13690-018-0305-1

Warren, Post, Hossain, Blanchet, & Roberts. (2015). Systematic review of the evidence on the effectiveness of sexual and reproductive health interventions in humanitarian crises. Bmj Open, 5(12), e008226. https://doi.org/10.1136/bmjopen-2015-008226

Who. (2019). Trends in maternal mortality 2000 to 2017. In WHO,UNICEF,UNFRA,World Bank Group and The United Nations Population Division.

Who. (2020). Timeline of WHO’s response to the pandemic from 31 December 2019. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/interactive-timeline

WHO. (1999). Reproductive Health in refugee situations: an Inter-agency Field Manual. https://www.ncbi.nlm.nih.gov/books/NBK305149/

WHO. (2010). Inter-agency Field Manual on Reproductive Health in Humanitarian Settings. In Inter-agency Working Group on Reproductive Health in Crises. https://www.who.int/hac/global_health_cluster/newsletter/2/fiels_manual_rh/en/

WHO. (2014). Ebola Response Roadmap Situation Report.

WHO. (2016). WHO | Health systems. http://www.who.int/topics/health_systems/en

WHO. (2017). Reaching the Every Newborn National 2020 Milestones Country Progress, Plans and Moving Forward. In Geneva: World Health Organization. http://apps.who.int/iris/bitstream/handle/10665/255719/9789241512619-eng.pdf;jsessionid=642351B08E72EB849D4B1602F53D2E1D?sequence=1

WHO. (2020a). Training course and other tools. https://www.who.int/childgrowth/training/en/

WHO. (2020b). WHO Director-General’s remaks at the media briefing on 2019-nCoV on 11 February 2020. https://www.who.int/director-general/speeches/detail/who-director-general-s-remarks-at-the-media-briefing-on-2019-ncov-on-11-february-2020

World Health Organization. (2015). Strategy to accelerate progress towards the attainment of international development goals and targets related to reproductive health. https://www.who.int/reproductivehealth/publications/general/RHR_04_8/en/

Zeid, Gilmore, Khosla, Papowitz, Engel, Dakkak, Rahab, Sharma, & Fair. (2015). Women’s, children’s, and adolescents’ health in humanitarian and other crises. In Bmj (p. 351). https://doi.org/10.1136/bmj.h4346