The Utilisation of Modern Contraceptives in Refugee Camps

BACKGROUND: Sexual and reproductive health services are fundamental rights. However, healthcare providers poorly address reproductive health issues in most humanitarian crises due to other health competing priorities, resulting in unwanted pregnancies and short interpregnancy intervals. This study aimed to evaluate the demand, supply, and utilization of family planning commodities in the Nyabiheke and Gihembe refugee camps in Rwanda.
METHODS: Data was extracted from family planning registers, electronic Logistics Management Information System, and the Rwanda Health Management Information System. We used descriptive statistics to analysze key outcomes such as the number of refugees who attended Information Education and Communication sessions, family planning commodities supplied throughout the year 2017, and women who adhered to various contraceptives methods.
RESULTS: The majority of refugees who attended reproductive sessions were women (74,4%). Various family planning commodities were supplied in the camps with high portions of condoms and injectables. The prevalence of family planning uptake was 40% and 32% in Nyabiheke and Gihembe camps. The most adhered method was injectable with more than 70%, and the least was Intra Uterine devices with a proportion of 0.2%.
CONCLUSION: Having optimal family planning commodities available was a significant determinant of contraceptive uptake. However, much effort is needed to increase family planning uptake among refugees.