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Sexual and reproductive health knowledge, attitudes, and behaviors

A survey of 12–17 year old Sudanese refugees in Chad

Bibliographic Data

ID19593744
AuthorsTheodora Varelis (Columbia University), Vincent de Paul Allambademel (University of N'Djamena), Alexis Ngarmbatedjimal (0009-0005-1343-3141, University of N'Djamena), Alladoum Ndingayande (International Rescue Committee), Aminata Diarra (Columbia University), Katchebe Vourbane (International Rescue Committee), Robert Madjigoto (University of N'Djamena), Samy Luketa (International Rescue Committee), Sara E Casey (0000-0002-8476-0327, Columbia University, corresponding author)
EditorsAteeb Ahmad Parray (0000-0002-1653-1856)
Year2024
Volume4
Issue1
Pagese0002597
Publication date2024-01-25
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePLOS Global Public Health (JOURNAL)
Journal identifiersISSN: 2767-3375 • E-ISSN: 2767-3375
PublisherPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0002597
PMID38271359
OpenAlexW4391216842
LanguageEN
Citations received4
References cited24

Adolescents living in humanitarian settings are often at a higher risk of negative sexual and reproductive health outcomes, and yet, limited information is available on adolescents’ experiences and needs in these settings while available services do not always correspond to their needs. This study explored knowledge, attitudes, and behaviors relating to sexual and reproductive health among 12–17 year old refugees from Darfur currently living in two refugee camps in eastern Chad. The research team conducted a cross-sectional survey of 689 adolescent girls and boys, informed by participatory research activities, to explore key sexual and reproductive health topics. This study found that sexual and reproductive health knowledge among adolescents is low, with only 69.1% able to identify at least one modern contraceptive method. Early marriage was uncommon (5% of girls, 0.8% of boys), but 17.6% of adolescents had already had a romantic relationship. Few adolescents (11.4%) had ever had sex, but among these adolescents,18.4% reported using a condom the last time they had sex. No boys reported current modern contraceptive use, but 28.3% of girls, both married and unmarried, reported current use. These findings demonstrate the importance of making sexual and reproductive health services in humanitarian settings more adolescent-responsive and minimizing barriers to access, including addressing community stigma surrounding adolescents’ use of sexual and reproductive health services and increasing trust in the confidentiality of sexual and reproductive health services in the camps

Condom · Environmental health · Family medicine · Political science · Population · Refugee · Reproductive health · Adolescent Sexual and Reproductive Health · Global Maternal and Child Health · Medicine · Poverty, Education, and Child Welfare · Psychology

  • Sexual and reproductive health of Sudanese refugee girls in Chad

    Open Access•Sara E Casey, Alexis Ngarmbatedjimal et al.•BMC Public Health•2024

  • Social media engagement and risky sexual behaviours among out-of-school adolescents in Ile-Ife, South-west, Nigeria

    Olusola Fajobi, Olapeju A Esimai et al.•Vulnerable Children and Youth…•2025

  • Pathways to care among women hospitalized with severe abortion complications in Bangui, Central African Republic, a conflict-affected urban setting

    Open Access•Tamara Fetters, Pascale Lissouba et al.•Conflict and Health•2026

  • Adolescents and young adults dating and HIV perceptions

    Open Access•Esias Bedingar, Ngarossorang Bedingar et al.•Global Public Health•2025

  • Our future

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    Open Access•Hanna Chidwick, Andrea Baumann et al.•PLOS Global Public Health•2022

  • Refugee and Internally Displaced Women's Abortion Knowledge, Attitudes and Practices

    Blake Erhardt‐Ohren, Erhardt-Ohren Erhardt-Ohren et al.•International Perspectives on…•2020

  • Patterns and trends of contraceptive use among sexually active adolescents in Burkina Faso, Ethiopia, and Nigeria

    Open Access•Sennen Hounton, Aluísio J D Barros et al.•Global Health Action•2015

  • Family planning in refugee settings

    Open Access•Mihoko Tanabe, Anna Myers et al.•Conflict and Health•2017

  • Exploring the influence of family level and socio-demographic factors on women’s decision-making ability over access to reproductive health care services in Balkh province, Afghanistan

    Farid Ahmad Safi, Philippe Doneys•Health Care For Women International•2019

  • Barriers to modern contraceptive use in rural areas in DRC

    Open Access•Mbadu Muanda, Mbadu Fidèle Muanda et al.•Culture Health & Sexuality•2017

  • If She’s Pregnant, then that Means that Her Dreams Fade Away’

    Open Access•Ernestina Coast, Marie Merci Mwali et al.•European Journal of Development…•2021

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    Chata Malé, Quentin Wodon•Forum for Social Economics•2018

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    Open Access•Ernestina Coast, Nicola Jones et al.•SAGE Open•2019

Unique citing works4
Citations per year2
Citation span2024 - 2026 (3)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 4

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