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Emergency contraception among refugees and the displaced
1Joseph L. Mailman School of Public Health at Columbia University.
Summary
Emergency contraception (EC) is crucial for refugees. The International Rescue Committee (IRC) found EC availability in only 4 of 14 reproductive health programs, highlighting the need for increased access and support.
Area of Science:
- Global Health
- Reproductive Health
- Humanitarian Aid
Background:
- International relief efforts recognized refugee reproductive health needs in 1994.
- A minimum initial service package, including emergency contraception (EC), was recommended for displaced populations.
Purpose of the Study:
- To describe the International Rescue Committee's (IRC) experience introducing EC into its global reproductive health programs.
- To assess the current availability and accessibility of EC in refugee settings.
Main Methods:
- Review of IRC's reproductive health program implementation.
- Analysis of a survey on EC availability across 14 IRC service settings.
- Case study from Tanzania examining EC delivery, demand, and community response.
Main Results:
- EC was available in 4 out of 14 IRC reproductive health service settings.
- Tanzania case study illustrated demand for EC, particularly among survivors of sexual violence.
- Community responses to EC varied, indicating a need for tailored approaches.
Conclusions:
- Expanding refugee access to EC requires increased community information and education.
- Enhanced donor support for EC supplies is essential.
- Institutional commitment to staff training is crucial for successful EC program implementation.