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Unmet contraceptive needs among refugees.

Marina Aptekman, Meb Rashid, Vanessa Wright

    Canadian Family Physician Medecin De Famille Canadien
    |February 3, 2015
    PubMed
    Summary

    Refugee women of reproductive age had significant unmet contraceptive needs. Screening all women upon arrival to Canadian healthcare is recommended to address this gap.

    Area of Science:

    • Reproductive Health
    • Global Health
    • Public Health

    Background:

    • Refugee populations often face unique healthcare challenges, including access to reproductive health services.
    • Understanding contraceptive use and unmet needs is crucial for improving maternal and child health outcomes in vulnerable populations.

    Purpose of the Study:

    • To determine the contraceptive methods used by reproductive-aged women upon initial presentation at a refugee health clinic.
    • To quantify the unmet contraceptive needs within this specific patient demographic.

    Main Methods:

    • A retrospective chart review was conducted at the Crossroads Clinic in Toronto, Ontario.
    • Included participants were women aged 15-49 presenting for primary care between December 2011 and December 2012, with at least two visits or an annual exam.

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  • Unmet contraceptive need was calculated using a modified World Health Organization definition, focusing on sexually active or unionized women.

    • Main Results:

    • Of 52 women analyzed for contraceptive prevalence, 30.8% (16 women) were not using any contraception.
    • A significant portion of women experienced unintended or mistimed pregnancies (12 women) or were not using contraception despite not desiring pregnancy within two years (14 women).
    • The overall unmet contraceptive need was calculated at 26.8% among 97 women who were married, in a union, or sexually active.

    Conclusions:

    • The study identified a high prevalence of unmet contraceptive need among refugee women.
    • Routine screening for contraceptive needs upon initial medical encounters in Canada is strongly recommended for all reproductive-aged women.