Geçici Koruma Altındaki Suriyeli Mülteci Kadınların Üreme Sağlığı Hizmetlerine Erişimleri ve Aile Planlamasına Yönelik Tutumlarının İncelenmesi: İstanbul Örneği

Abstract

Amaç: Bu çalışma, geçici koruma altındaki Suriyeli mülteci kadınların aile planlamasına yönelik tutumlarını ve üreme sağlığı hizmetlerine erişim durumlarını belirlemek ve bu doğrultuda verilecek sağlık hizmetlerine temel oluşturmak amacıyla yapılmıştır.

Yöntem: Tanımlayıcı desende yürütülen araştırmanın örneklemini 15-49 yaş arasında geçici koruma altındaki 123 Suriyeli mülteci kadın oluşturmuştur. Veriler; “Tanıtıcı Bilgi Formu” ve “Aile Planlaması Tutum Ölçeği (APTÖ)” ile toplanmıştır. Verilerin değerlendirilmesinde tanımlayıcı istatistikler, Mann Whitney U ve Kruskal Wallis Testi kullanılmıştır.

Bulgular: Çalışmaya katılan kadınların yaş ortalaması 28,54±7,16 olarak belirlendi. Kadınların, %72,4’ünün aile planlaması yöntemi kullandığı ve %82,9’unun yöntem tercihi konusunda eşine danıştığı belirlendi. Kadınların, %68,3’ünün aile planlaması hakkında aile/yakın çevresinden bilgi aldığı saptandı. Katılımcıların APTÖ puan ortalaması 110,92+22,06 belirlendi. Kadınların kullandığı AP yöntemleri değerlendirildiğinde; yaygın olarak %20,3’ü geri çekme, %14,6’sı kondom, %12,2’si Rahim İçi Araç (RİA), %11,4’ü oral kontraseptif, %8,1’i takvim, %5,7’si laktasyonel amenore yöntemi, %4,1’i vajinal duş ve %3,3’ü ise enjektabl kullandığı belirlendi.

Sonuç: Çalışma bulguları doğrultusunda, Suriyeli Mülteci kadınların aile planlamasına yönelik olumlu tutumlarının orta düzeyin üzerinde olduğu belirlendi. Ancak, katılımcıların en yaygın olarak geleneksel yöntem olan geri çekme yöntemini kullandıkları tespit edilmiştir. Bu doğrultuda tercüman desteği sağlanarak mülteci kadınlara ve eşlerine yönelik kültürel yapılarına uygun üreme sağlığı ve aile planlaması konusunda eğitimlerin sağlanması büyük önem taşımaktadır.

Keywords

• Aile planlaması
• Suriyeli mülteci
• Tutum
• Üreme sağlığı hizmetleri

An Examination of Access to Reproductive Health Services and Attitudes Towards Family Planning Among Syrian Refugee Women Under Temporary Protection: The Case of Istanbul

Abstract

Objective: This study was conducted to determine the attitudes of Syrian refugee women under temporary protection towards Family Planning (FP) and their access to reproductive health services, and to form a basis for the provision of health services in this direction.,

Method: The sample of this descriptive study consisted of 123 Syrian refugee women under temporary protection, aged between 15 and 49. Data were collected using the “Introductory Information Form” and the “Family Planning Attitude Scale (FPAS).” Descriptive statistics, Mann-Whitney U, and Kruskal-Wallis tests were used for data analysis.

Results: The mean age of the women participating in the study was determined as 28.54±7.16. It was determined that 72.4% of the women used a family planning method. It was determined that 82.9% of the women consulted their husbands about the method choice. It was determined that 68.3% of the women received information about family planning from their family/close circle. FPAS score average of the women participating in the study was found to be 110.92±22.06. When the AP methods used by the women were evaluated; it was determined that 20.3% commonly used withdrawal, 14.6% condom, 12.2% Intrauterine Device (IUD), 11.4% oral contraceptive, 8.1% calendar, 5.7% lactational amenorrhea method, 4.1% vaginal douche and 3.3% injectable contraceptives.

Conclusion: According to the study findings, Syrian refugee women had a more-than-moderately positive attitude towards family planning. However, the most commonly used method among participants was the traditional withdrawal method. In this context, it is of great importance to provide culturally appropriate reproductive health and family planning education for refugee women and their husbands, supported by interpreter services. 

Keywords

• Family planning
• Syrian refugees
• Attitude
• Reproductive health services

References

1. 1. Vesco, P., Baliki, G., Brück, T., Döring, S., Eriksson, A., Fjelde, H., ... & Hegre, H. (2025). The impacts of armed conflict on human development: A review of the literature. World Development, 187, 106806.
2. 2. Directorate General of Migration Management, Republic of Türkiye. (2017). Türkiye migration report 2016 (Report No. 40). Directorate General of Migration Management Publications.
3. 3. International Organization for Migration. (2020). World migration report 2020. Available from: https://www.iom.int/wmr
4. 4. Directorate General of Migration Management, Republic of Türkiye. (2024). Residence permits. Available from: https://www.goc.gov.tr/ikamet-izinler
5. 5. Chen, Y. B. (2022). International migrants' right to sexual and reproductive health care. International Journal of Gynecology & Obstetrics, 157(1), 210–215. https://doi.org/10.1002/ijgo.14149
6. 6. Davidson, N., Hammarberg, K., Romero, L., & Fisher, J. (2022). Access to preventive sexual and reproductive health care for women from refugee-like backgrounds: A systematic review. BMC Public Health, 22(1), 403. https://doi.org/10.1186/s12889-022-12576-4
7. 7. Darebo, T. D., Spigt, M., Teklewold, B., Badacho, A. S., Mayer, N., & Teklewold, M. (2024). The sexual and reproductive healthcare challenges when dealing with female migrants and refugees in low and middle-income countries: A qualitative evidence synthesis. BMC Public Health, 24(1), 520. https://doi.org/10.1186/s12889-024- 17916-0
8. 8. Tazinya, R. M. A., El-Mowafi, I. M., Hajjar, J. M., & Yaya, S. (2023). Sexual and reproductive health and rights in humanitarian settings: a matter of life and death. Reproductive Health, 20(1), 42.

9. 9. Soeiro, R. E., de Siqueira Guida, J. P., da-Costa-Santos, J., & Costa, M. L. (2023). Sexual and reproductive health (SRH) needs for forcibly displaced adolescent girls and young women (10–24 years old) in humanitarian settings: a mixed-methods systematic review. Reproductive Health, 20(1), 174.
10. 10. Okeke, S. R., Okeke-Obayemi, D. O., Njoroge, M. R., & Yaya, S. (2024). Collateral damage: the overlooked reproductive health crisis in conflict zones. Reproductive health, 21(1), 198. https://doi.org/10.1186/s12978-024- 01941-8
11. 11. Ivanova, O., Rai, M., & Kemigisha, E. (2018). A systematic review of sexual and reproductive health knowledge, experiences and access to services among refugee, migrant and displaced girls and young women in Africa. International Journal of Environmental Research and Public Health, 15(8), 1583.
12. 12. Eslier, M., Deneux-Tharaux, C., Sauvegrain, P., Schmitz, T., Luton, D., Mandelbrot, L., et al. (2020). Association between migrant women’s legal status and prenatal care utilization in the PreCARE cohort. International Journal of Environmental Research and Public Health, 17(19), 7174.
13. 13. Oscarsson, M. G., & Stevenson-Ågren, J. (2020). Midwives' experiences of caring for immigrant women at antenatal care. Sexual & Reproductive Healthcare, 24, 100505.
14. 14. Pelaez, S., Hendricks, K. N., Merry, L. A., & Gagnon, A. J. (2017). Challenges newly-arrived migrant women in Montreal face when needing maternity care: Health care professionals’ perspectives. Global Health, 13, 1–9.
15. 15. Metusela, C., Ussher, J., Perz, J., Hawkey, A., Morrow, M., Narchal, R., et al. (2017). “In my culture, we don’t know anything about that”: Sexual and reproductive health of migrant and refugee women. International Journal of Behavioral Medicine, 24, 836–845.
16. 16. ica Flores, R., Trajera, S. M., & Ching, G. S. (2025). Attitudes and barriers to family planning methods among reproductive-age women in Southern Philippines.
17. 17. Navarro-Prado, S., Sánchez-Ojeda, M. A., Fernández-Aparicio, Á., Vázquez-Sánchez, M. Á., Plaza Del Pino, F. J., & Alemany-Arrebola, I. (2023). Sexuality and Religious Ethics: Analysis in a Multicultural University Context. Healthcare (Basel, Switzerland), 11(2), 250. https://doi.org/10.3390/healthcare11020250
18. 18. Ouahid, H., Sebbani, M., Cherkaoui, M., Amine, M., & Adarmouch, L. (2025). The influence of gender norms on women's sexual and reproductive health outcomes: a systematic review. BMC women's health, 25(1), 224. https://doi.org/10.1186/s12905-025-03768-2
19. 19. Hacettepe University Institute of Population Studies. (2019). 2018 Turkey demographic and health survey: Main report. Available from: http://www.hips.hacettepe.edu.tr/tnsa2018/rapor/TNSA2018_ana_Rapor.pd
20. 20. World Health Organization. (2022). Universal health coverage for sexual and reproductive health in Morocco: Evidence brief. WHO.
21. 21. United Nations. (2020). Sustainable Development Goals. United Nations.
22. 22. Orsal, O., & Kubilay, G. (2007). Development of the family planning attitude scale. Florence Nightingale Journal of Nursing, 15(60), 155–164.
23. 23. Dikmen, H. A., Cankaya, S., & Dereli Yilmaz, S. (2019). The attitudes of refugee women in Turkey towards family planning. Public Health Nursing, 36(1), 45–52.
24. 24. Ulker, E. (2021). Examination of the attitudes of Syrian migrant women aged 18–49 towards family planning (Master's thesis). Üsküdar University, Institute of Health Sciences.
25. 25. Gozzi, P., Persson, M., Nielsen, A., Kilander, H., Kågesten, A. E., Iwarsson, K. E., ... & Larsson, E. C. (2024). Contraceptive access and use among women with migratory experience living in high-income countries: a scoping review. BMC public health, 24(1), 2569.
26. 26. Hach, M. (2012). Common threads: The sexual and reproductive health experiences of immigrant and refugee women in Australia. Multicultural Centre for Women's Health.
27. 27. Guruge, S., & Khanlou, N. (2004). Intersectionalities of influence: Researching the health of immigrant and refugee women. Canadian Journal of Nursing Research Archive, 32–47.
28. 28. Newbold, K. B., & Willinsky, J. (2009). Providing family planning and reproductive healthcare to Canadian immigrants: Perceptions of healthcare providers. Culture, Health & Sexuality, 11(4), 369–382.
29. 29. O'Mahony, J. M., & Donnelly, T. T. (2007). Health care providers' perspective of the gender influences on immigrant women's mental health care experiences. Issues in Mental Health Nursing, 28(10), 1171–1188.
30. 30. UN Women. (2013). Gender-based violence and child protection among Syrian refugees in Jordan, with a focus on early marriage. UN Women.
31. 31. Kabakian-Khasholian, T., Mourtada, R., Bashour, H., Kak, F. E., & Zurayk, H. (2017). Perspectives of displaced Syrian women and service providers on fertility behaviour and available services in West Bekaa, Lebanon. Reproductive Health Matters, 25(sup1), 75–86.
32. 32. West, L., Isotta-Day, H., Ba-Break, M., & Morgan, R. (2017). Factors in use of family planning services by Syrian women in a refugee camp in Jordan. Journal of Family Planning and Reproductive Health Care, 43(2), 96–102.
33. 33. Tanabe, M., Myers, A., Bhandari, P., Cornier, N., Doraiswamy, S., & Krause, S. (2017). Family planning in refugee settings: Findings and actions from a multi-country study. Conflict and Health, 11, 1–12. https://doi.org/10.1186/s13031-017-0103-9
34. 34. Howard, N., Kollie, S., Souare, Y., Von Roenne, A., Blankhart, D., Newey, C., et al. (2008). Reproductive health services for refugees by refugees in Guinea I: Family planning. Conflict and Health, 2, 1–10. https://doi.org/10.1186/1752-1505-2-5
35. 35. Gumus Sekerci, Y., & Aydin Yildirim, T. (2020). The knowledge, attitudes and behaviours of Syrian refugee women towards family planning: Sample of Hatay. International Journal of Nursing Practice, 26(4), e12844. https://doi.org/10.1111/ijn.12844
36. 36. Hacettepe University Institute of Population Studies. (2018). Turkey demographic and health survey: Syrian migrant sample 2018. (cited 2024 Jul 23). Available from: https://fs.hacettepe.edu.tr/hips/dosyalar/Araştırmalar%20- %20raporlar/2018%20TNSA/2018_TNSA_SR_compressed.pdf
37. 37. Hacettepe University Institute of Population Studies. (2013). Turkey demographic and health survey 2013. Available from: http://www.hips.hacettepe.edu.tr/tnsa2013/rapor/TNSA_2013_ana_rapor.pdf
38. 38. Cetisli, N. E., Kahveci, M., Isik, S., & Hacilar, A. (2020). Postpartum contraceptive choice and attitudes of women. Journal of Academic Research in Nursing, 6, 67–72. https://doi.org/10.5222/jaren.2020.36176
39. 39. Tezel, A., Gonenc, I., Akgun, S., Karatas, D. O., & Yildiz, T. A. (2015). Attitudes towards family planning of women and affecting factors. Anadolu Nursing and Health Sciences Journal, 18(3), 153–160.