Perspectives of displaced Syrian women and service providers on fertility behaviour and available services in West Bekaa, Lebanon
Prior to the conflict, Syria had relatively high fertility rates. In 2010, it had the sixth highest total fertility rate in the Arab World, but it witnessed a fertility decline before the conflict in 2011. Displacement during conflict influences fertility behaviour, and meeting the contraceptive nee...
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| Veröffentlicht in: | Reproductive health matters 2017-10, Vol.25 (sup1), p.75-86 |
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| creator | Kabakian-Khasholian, Tamar Mourtada, Rima Bashour, Hyam Kak, Faysal El Zurayk, Huda |
| description | Prior to the conflict, Syria had relatively high fertility rates. In 2010, it had the sixth highest total fertility rate in the Arab World, but it witnessed a fertility decline before the conflict in 2011. Displacement during conflict influences fertility behaviour, and meeting the contraceptive needs of displaced populations is complex. This study explored the perspectives of women and service providers about fertility behaviour of and service provision to Syrian refugee women in Bekaa, Lebanon. We used qualitative methodology to conduct 12 focus group discussions with Syrian refugee women grouped in different age categories and 13 in-depth interviews with care providers from the same region. Our findings indicate that the displacement of Syrians to Lebanon had implications on the fertility behaviour of the participants. Women brought their beliefs about preferred family size and norms about decision-making into an environment where they were exposed to both aid and hardship. The unaffordability of contraceptives in the Lebanese privatised health system compared to their free provision in Syria limited access to family planning services. Efforts are needed to maintain health resources and monitor health needs of the refugee population in order to improve access and use of services. |
| doi_str_mv | 10.1080/09688080.2017.1378532 |
| format | Article |
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In 2010, it had the sixth highest total fertility rate in the Arab World, but it witnessed a fertility decline before the conflict in 2011. Displacement during conflict influences fertility behaviour, and meeting the contraceptive needs of displaced populations is complex. This study explored the perspectives of women and service providers about fertility behaviour of and service provision to Syrian refugee women in Bekaa, Lebanon. We used qualitative methodology to conduct 12 focus group discussions with Syrian refugee women grouped in different age categories and 13 in-depth interviews with care providers from the same region. Our findings indicate that the displacement of Syrians to Lebanon had implications on the fertility behaviour of the participants. Women brought their beliefs about preferred family size and norms about decision-making into an environment where they were exposed to both aid and hardship. The unaffordability of contraceptives in the Lebanese privatised health system compared to their free provision in Syria limited access to family planning services. 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In 2010, it had the sixth highest total fertility rate in the Arab World, but it witnessed a fertility decline before the conflict in 2011. Displacement during conflict influences fertility behaviour, and meeting the contraceptive needs of displaced populations is complex. This study explored the perspectives of women and service providers about fertility behaviour of and service provision to Syrian refugee women in Bekaa, Lebanon. We used qualitative methodology to conduct 12 focus group discussions with Syrian refugee women grouped in different age categories and 13 in-depth interviews with care providers from the same region. Our findings indicate that the displacement of Syrians to Lebanon had implications on the fertility behaviour of the participants. Women brought their beliefs about preferred family size and norms about decision-making into an environment where they were exposed to both aid and hardship. The unaffordability of contraceptives in the Lebanese privatised health system compared to their free provision in Syria limited access to family planning services. Efforts are needed to maintain health resources and monitor health needs of the refugee population in order to improve access and use of services.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Age groups</subject><subject>Attitude of Health Personnel - ethnology</subject><subject>Behavior</subject><subject>Birth control</subject><subject>Conflict</subject><subject>Contraception</subject><subject>Contraception Behavior - ethnology</subject><subject>Decision Making</subject><subject>Displaced persons</subject><subject>Family Characteristics - ethnology</subject><subject>Family planning</subject><subject>Family Planning Services - organization & administration</subject><subject>Family size</subject><subject>Female</subject><subject>Female fertility</subject><subject>Fertility</subject><subject>Fertility decline</subject><subject>Health care access</subject><subject>Health needs</subject><subject>Health services</subject><subject>Health Services Accessibility</subject><subject>Humans</subject><subject>Interviews as Topic</subject><subject>Lebanon</subject><subject>Lebanon - epidemiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Oral contraceptives</subject><subject>Parity</subject><subject>Patient Acceptance of Health Care - ethnology</subject><subject>Physicians</subject><subject>Qualitative research</subject><subject>refugee health</subject><subject>Refugees</subject><subject>Refugees - psychology</subject><subject>Reproductive health</subject><subject>RESEARCH ARTICLE</subject><subject>Syria</subject><subject>Syria - ethnology</subject><subject>Women</subject><subject>Womens health</subject><subject>Womens health services</subject><subject>Young Adult</subject><issn>0968-8080</issn><issn>1460-9576</issn><issn>2641-0397</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>0YH</sourceid><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>QXPDG</sourceid><recordid>eNp9kU2LFDEYhIMo7rj6E1YCXjzYY9JJpzs3dXFVGFBQ8Rjezgdm7E7GpKeXOfrPTe_MKHjwlMD7VFFFIXRFyZqSjrwkUnRd-axrQts1ZW3XsPoeWlEuSCWbVtxHq4WpFugCPcp5SwhpuGgeoota0prUslmhX59syjurJz_bjKPDxufdANoa_PmQPAR8G0cbMASDs02z1xbvUpy9KTocA3Y2TX7w0wH39jvMPu7THQwz-AH6wZ5lGfuAv9k84Tf2B8ALvLE9hBgeowcOhmyfnN5L9PXm7Zfr99Xm47sP1683leaCTRUlpZ8jRksjuBBcO8Ooc67rgPQESMcbxrQwgvalsah7wyR1ABIMldBpdomeH31L_J_7kkONPms7DBBs3GdFpag54zUnBX32D7ottUJJp1jxbjshiChUc6R0ijkn69Qu-RHSQVGilo3UeSO1bKROGxXd05P7vh-t-aM6j1KAqyOwzVNMf--Cy0a2i8Gr490HF9MItzENRk1wGGJyCYL2Jef_M_wGnzerPw</recordid><startdate>201710</startdate><enddate>201710</enddate><creator>Kabakian-Khasholian, Tamar</creator><creator>Mourtada, Rima</creator><creator>Bashour, Hyam</creator><creator>Kak, Faysal El</creator><creator>Zurayk, Huda</creator><general>Taylor & Francis</general><general>Informa UK Limited, trading as Taylor & Francis Group</general><general>Taylor & Francis Ltd</general><scope>0YH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7R6</scope><scope>7U4</scope><scope>7XB</scope><scope>888</scope><scope>8C1</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHHNA</scope><scope>CCPQU</scope><scope>DWI</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQGEN</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>QXPDG</scope><scope>WZK</scope><scope>7X8</scope></search><sort><creationdate>201710</creationdate><title>Perspectives of displaced Syrian women and service providers on fertility behaviour and available services in West Bekaa, Lebanon</title><author>Kabakian-Khasholian, Tamar ; 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In 2010, it had the sixth highest total fertility rate in the Arab World, but it witnessed a fertility decline before the conflict in 2011. Displacement during conflict influences fertility behaviour, and meeting the contraceptive needs of displaced populations is complex. This study explored the perspectives of women and service providers about fertility behaviour of and service provision to Syrian refugee women in Bekaa, Lebanon. We used qualitative methodology to conduct 12 focus group discussions with Syrian refugee women grouped in different age categories and 13 in-depth interviews with care providers from the same region. Our findings indicate that the displacement of Syrians to Lebanon had implications on the fertility behaviour of the participants. Women brought their beliefs about preferred family size and norms about decision-making into an environment where they were exposed to both aid and hardship. The unaffordability of contraceptives in the Lebanese privatised health system compared to their free provision in Syria limited access to family planning services. Efforts are needed to maintain health resources and monitor health needs of the refugee population in order to improve access and use of services.</abstract><cop>Netherlands</cop><pub>Taylor & Francis</pub><pmid>29120295</pmid><doi>10.1080/09688080.2017.1378532</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Age Factors Age groups Attitude of Health Personnel - ethnology Behavior Birth control Conflict Contraception Contraception Behavior - ethnology Decision Making Displaced persons Family Characteristics - ethnology Family planning Family Planning Services - organization & administration Family size Female Female fertility Fertility Fertility decline Health care access Health needs Health services Health Services Accessibility Humans Interviews as Topic Lebanon Lebanon - epidemiology Male Middle Aged Oral contraceptives Parity Patient Acceptance of Health Care - ethnology Physicians Qualitative research refugee health Refugees Refugees - psychology Reproductive health RESEARCH ARTICLE Syria Syria - ethnology Women Womens health Womens health services Young Adult |
| title | Perspectives of displaced Syrian women and service providers on fertility behaviour and available services in West Bekaa, Lebanon |
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