Family planning in displaced populations: An unmet need among Iraqis in Amman, Jordan


  • Rakhi Sinha, MPH
  • Neerav Goyal, MPH
  • Adam Sirois, MPH
  • Natalia Valeeva, MD
  • Shannon Doocy, PhD



Iraq, refugee, displaced populations, family planning, reproductive health


Context: Studies have been done to characterize primary “urgent” health needs in displaced populations; few studies have explored specifically family planning (FP) needs.
Objective: To investigates the hypothesis that there exists an unmet need for FP among Iraqi nationals in Amman, Jordan.
Design: Married Iraqi individuals attending seven nongovernmental organization clinics were asked a subset of survey questions to ascertain FP health needs and access.
Results: 16.1 percent (n = 76) of respondents reported need for FP services, of which 16 percent (n = 397) report having access to FP counseling, and 43 percent (n = 33) had access to contraceptives. After 30 years of age, need for FP decreased yearly 12 percent (OR = 0.88, CI = 0.84-0.92, p = 0.00). After one year of living in Amman, Jordan, the odds of needing FP services increases yearly 13 percent (OR = 1.13, CI = 1.05-1.22, p = 0.001). In addition, if the respondent has one or more children younger than 5 years in the same household, the odds of needing FP services increases by 85 percent (OR = 1.85, CI = 1.0-3.44, p = 0.05).
Conclusions: This study illustrates a clear unmet need in FP services among Iraqis in Amman, Jordan, especially among the long-term displaced.

Author Biographies

Rakhi Sinha, MPH

Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.

Neerav Goyal, MPH

Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.

Adam Sirois, MPH

International Medical Corps, Amman, Jordan.

Natalia Valeeva, MD

International Medical Corps, Amman, Jordan.

Shannon Doocy, PhD

Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.


UNHCR: UNHCR 2006 statistical yearbook. Available at Accessed May 10, 2008.

Spiegal P: Emergencies in developed countries: Are aid organisations ready to adapt? Lancet. 2001; 357: 714.

Women’s Commission for Refugee Women and Children: Minimum initial service package (MISP) for reproductive health in crisis situtations. Available at Accessed May 11, 2008.

USAID and CARE International: Meeting Needs for Reproductive Health Services in Post-Conflict Environments: CARE’s Family Planning Project in the Democratic Republic of the Congo. Atlanta, GA: Care International, May 2007.

The Sphere Project: SPHERE: Humanitarain Charter and Minimum Standards in Disaster Response. Geneva, Switzerland: Steering Committee for Humanitarian Response, 2004.

UNHCR: Inter-agency global evaluation of reproductive health services for refugees and internally displaced persons. Available at report-toc.pdf. Accessed May 11, 2008.

UNHCR: Statistics on displaced Iraqis around the world.Availble at SUBSITES&id=461f7cb92. Accessed May 11, 2008.

Doocy S, Sirois A: Health needs and perceptions of patients in Jordanian Red Crescent and Caritas Clinics. IMC Report of Findings. Available at detail/1694. Accessed May 20, 2008.

The Norwegian Research Institute Fafo: Iraqis in Jordan 2007: Their numbers and characteristics. Available at cgi-bin/texis/vtx/home/opendoc.pdf?tbl=SUBSITES&id=47626a232. Accessed May 20, 2008.

UNFPA. ICPD Program of Action. International Conference on Population and Development, Cairo, September 5-13, 1994. New York: UNFPA, 1994. Available at detail.cfm?ID=278. Accessed May 20, 2008.

: UNFPA: United Nations Population Fund. Reproductive Health in Refugee Situations: An Inter-Agency Field Manual. Available at Accessed May 14, 2008




How to Cite

Sinha, MPH, R., N. Goyal, MPH, A. Sirois, MPH, N. Valeeva, MD, and S. Doocy, PhD. “Family Planning in Displaced Populations: An Unmet Need Among Iraqis in Amman, Jordan”. American Journal of Disaster Medicine, vol. 3, no. 5, Sept. 2008, pp. 295-00, doi:10.5055/ajdm.2008.0036.