Perspectives of displaced Syrian women and service providers on fertility behaviour and available services in West Bekaa, Lebanon. (27th October 2017)

• Record Type: Journal Article
• Authors: Kabakian-Khasholian, Tamar; Mourtada, Rima; Bashour, Hyam; Kak, Faysal El; Zurayk, Huda
• Is Part Of: Reproductive health matters. Volume 25:Supplement 1(2017)
• Page Start: 75
• Page End: 86
• Publication Date: 2017-10-27
• Subjects: refugee health -- family planning -- contraception -- fertility -- Syria -- Lebanon; Gynecology -- Social aspects -- Periodicals; Obstetrics -- Social aspects -- Periodicals; Women's health services -- Periodicals; Women -- Health and hygiene -- Periodicals; Human reproduction -- Social aspects -- Periodicals; Reproduction -- Periodicals; Reproductive Medicine -- Periodicals; Women's Health -- Periodicals; Women's Rights -- Periodicals; Reproduction humaine; Gynécologie; Obstétrique; Santé de la femme; Périodique électronique (Descripteur de forme); Ressource Internet (Descripteur de forme); Electronic journals; 613.9
• DOI: 10.1080/09688080.2017.1378532
• Languages: English
• ISSNs: 0968-8080

Abstract

Abstract: 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.