Exploring STI/HIV Knowledge and Effect of Communication Activities Among Rohingya Refugee Women: A Camp-based Cross-sectional Study in Bangladesh

Background: HIV is often perceived by many Rohingya individuals as a common ailment, similar to a cough or fever. Given the biological vulnerability of Rohingya women, increasing awareness programs within this population becomes crucial. Therefore, it is important to assess the current knowledge status of STIs/HIV among Rohingya individuals. Objectives: This study aimed to evaluate the knowledge of STIs/HIV and explore the impact of media usage and communication activities among Rohingya refugee women residing in Cox’s Bazar, Bangladesh camps. Methods: A quantitative research approach was employed, utilizing a camp-based cross-sectional sample survey with a structured and facilitator-administered questionnaire. The study involved 415 refugee women as respondents. Hierarchical regression analysis was conducted to identify factors influencing STI/HIV knowledge. Results: The findings revealed that approximately two-thirds of Rohingya refugee women lacked accurate knowledge regarding STI/HIV-related myths and misconceptions. Regression analyses indicated that being a professional ( β = 0.14; p = .003), engaging in discussions about STI/HIV with healthcare workers ( β = 0.25, p < .001), visiting clinics or health facilities ( β = 0.18, p < .001), and observing banners/posters on STI/HIV ( β = 0.20, p < .001) were associated with better STI/HIV knowledge among refugee women. The utilization of communication activities by Rohingya women emerged as a stronger predictor of STI/HIV knowledge compared to socio-demographic factors and media usage-related variables. Conclusions: The study findings can inform the development of appropriate communication programs, campaigns, and effective communication materials aimed at preventing STIs within this vulnerable community.