Year: 2026
Type: article
Abstract: This study examines the health status of Rohingya refugee women in Cox's Bazar, Bangladesh, through the lens of the Social Determinants of Health (SDH).Following the 2017 mass exodus of over 600,000 Rohingya from Rakhine State, more than 1.15 million refugees̶predominantly women and children̶remain in overcrowded camps marked by poverty, insecurity, and prolonged displacement.Drawing on fieldwork from December 2019 to January 2020, supplemented by government, UN, and NGO reports, we analyze how structural and intermediary determinants shape women's physical and mental health.Key findings indicate improvements in antenatal care and increased use of modern contraception; however, facility-based births remain low.Gendered vulnerabilities persist, including early marriage, unintended pregnancy, unsafe abortion, gender-based violence, transactional sex with elevated HIV risk, and high burdens of PTSD and depression.Prolonged confinement and funding shortfalls, along with social and environmental stressors, further exacerbate these risks.SDH analysis illustrates how reproductive experiences intersect with camp conditions, patriarchal norms, 『津田塾大学紀要』第 58 号(2026 年)1-20 頁 gender roles, and structural violence, thereby reproducing health inequities.Addressing these vulnerabilities requires multi-layered interventions that move beyond medical services to confront structural violence, expand access to education and livelihood opportunities, and reduce health disparities across refugee and host communities.
Language: Japanese
Field: Social Sciences
Domain: Social Sciences
Open Access status: green
OpenAlex ID: W7149880294