Family planning knowledge and practices in displacement: exploring barriers among Somali refugee women in Ali Addeh camp

Abstract

Background: The use of modern contraceptives is a key strategy for improving maternal health and enabling informed reproductive choices. This study aimed to assess modern contraceptive use, knowledge, and attitudes among Somali refugee women in Ali Addeh camp, and to explore the factors influencing uptake. Methods: A cross-sectional study was conducted at Ali Addeh camp including 360 Somali refugee women aged 18-49. Data were collected through structured questionnaires and statistical analysis were performed to examine key patterns and influencing factors. Results: Although 83.06% of women had heard of at least one modern method, 89.44% were classified as having low knowledge. Poor contraceptive attitudes were scored by 80.83% of respondents, with 56.39% believing contraceptive use is inherently wrong, and 85.83% viewing it as solely the woman’s responsibility. While 96.67% expressed a desire for five or more children, 85% also preferred birth spacing of 2-3 years. Only 31.11% had discussed contraception with their husbands, and just 8.06% scored high spousal engagement. Regression analysis revealed that partner support, education level and income level was significantly associated with favorable contraceptive attitudes (p<0.01). Structural barriers were prevalent, with 94.44% scoring poorly on access. Conclusion: Contraceptive use in Ali Addeh camp is limited by knowledge gaps, social norms, and access issues, highlighting the need for culturally tailored strategies that involve men.