A Qualitative Analysis on the Reproductive Health Needs of Afghan Refugees in South Texas
Abstract
Objective. To assess the reproductive health perspectives and needs of Afghan refugee men and women living in South Texas to inform the development of community-driven, culturally-sensitive, evidence-based local interventions.
Methods. Two gender-specific focus groups of married, reproductive-aged Afghan refugees (7 female and 5 male participants) in Texas were conducted in 2018. The study team performed a phenomenological qualitative analysis on de-identified transcripts of the discussions to identify themes and patterns as related to family planning and reproductive health in this population.
Results. Four themes were discovered including challenges of resettlement in the United States, gender preferences, navigation of family planning decisions, and barriers to reproductive healthcare.
Conclusions. Participants agreed on the importance of addressing reproductive health needs in their community. They also expressed interest in reproductive health education and improved access to contraception at local community clinics. A comprehensive initiative addressing reproductive healthcare should be specifically designed and allow flexibility as values evolve over time in response to circumstances such as resettlement.
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