Barriers and drivers to COVID-19 protective behaviours of forcibly displaced myanmar nationals (FDMN)/ rohingya refugees in Cox's bazar, Bangladesh: A scoping review

About 900.000 Forcibly Displaced Myanmar Nationals (FDMN)/ Rohingya refugees live in makeshift camps in Cox's Bazar, Bangladesh. During the COVID-19 pandemic, protective behaviors were particularly important in this setting of previous severe infectious disease outbreaks. To identify barriers,...

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Main Authors: Sarah Reda, Zarah Yusuf, Basel Karo, Balwinder Singh Chawla, Andreas Jansen, Saskia Lange, Jorge Martinez, Emily Dorothee Meyer, Julia Neufeind, Aarti Shrikrishana Singh, Elisa Wulkotte, Cath Jackson
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Journal of Migration and Health
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Online Access:http://www.sciencedirect.com/science/article/pii/S2666623524000849
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author Sarah Reda
Zarah Yusuf
Basel Karo
Balwinder Singh Chawla
Andreas Jansen
Saskia Lange
Jorge Martinez
Emily Dorothee Meyer
Julia Neufeind
Aarti Shrikrishana Singh
Elisa Wulkotte
Cath Jackson
author_facet Sarah Reda
Zarah Yusuf
Basel Karo
Balwinder Singh Chawla
Andreas Jansen
Saskia Lange
Jorge Martinez
Emily Dorothee Meyer
Julia Neufeind
Aarti Shrikrishana Singh
Elisa Wulkotte
Cath Jackson
author_sort Sarah Reda
collection DOAJ
description About 900.000 Forcibly Displaced Myanmar Nationals (FDMN)/ Rohingya refugees live in makeshift camps in Cox's Bazar, Bangladesh. During the COVID-19 pandemic, protective behaviors were particularly important in this setting of previous severe infectious disease outbreaks. To identify barriers, drivers and interventions for those behaviors, a scoping review of MEDLINE, Embase, Web of Science, Global Health and grey literature was conducted in October 2021 and updated in June 2024. The modified Capability-Opportunity-Motivation-Behavior (COM-B) framework and Behavior Change Wheel were used to organize available evidence. A total of 4014 (3654 in 2021, 360 in 2024) records were reviewed and 51 (38 in 2021, 13 in 2024) articles included. Articles reported on protective behaviors (as a general concept), handwashing, social distancing, isolation/quarantine, mask wearing, testing, treatment and vaccination. Barriers and drivers to these behaviors spanned all four COM factors reflecting both individual and environmental influences. Most frequently cited barriers and drivers were found in the motivation (e.g. belief, fear, trust) and physical opportunity (e.g. information, the physical camp environment) factors. Gaps in the evidence were views of health service providers, and differences between camps and population groups. Most interventions focused on information, education or training (e.g. campaigns, community engagement) and environmental restructuring (e.g. increased provision of WASH facilities, COVID-19 isolation and treatment centres). Most articles reported recommendations for interventions. There was some evidence of implementation but little evaluation. This review identified complex and inter-related barriers and drivers to COVID-19 protective behaviors in Cox's Bazar, and many interventions to address these. Addressing the above-mentioned evidence gaps would assist future development of effective targeted interventions, tailored to the needs of specific population groups.
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spelling doaj-art-0b3f6696ee884ebbbaf2bc4a1bbc5f6a2025-01-31T05:12:31ZengElsevierJournal of Migration and Health2666-62352025-01-0111100295Barriers and drivers to COVID-19 protective behaviours of forcibly displaced myanmar nationals (FDMN)/ rohingya refugees in Cox's bazar, Bangladesh: A scoping reviewSarah Reda0Zarah Yusuf1Basel Karo2Balwinder Singh Chawla3Andreas Jansen4Saskia Lange5Jorge Martinez6Emily Dorothee Meyer7Julia Neufeind8Aarti Shrikrishana Singh9Elisa Wulkotte10Cath Jackson11Centre for International Health Protection; Information Centre for International Health Protection (INIG), Robert Koch Institute, Nordufer 20, 13353, Berlin, Germany; Correspondence author at Nordufer 20, 13353, BerlinLondon School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, United KingdomCentre for International Health Protection; Information Centre for International Health Protection (INIG), Robert Koch Institute, Nordufer 20, 13353, Berlin, GermanyWorld Health Organization Country Office, House No. SW(I) 1/A, Road # 8, Gulshan-1, Dhaka, 1212, BangladeshCentre for International Health Protection; Information Centre for International Health Protection (INIG), Robert Koch Institute, Nordufer 20, 13353, Berlin, GermanyCentre for International Health Protection; Information Centre for International Health Protection (INIG), Robert Koch Institute, Nordufer 20, 13353, Berlin, GermanyWorld Health Organization Emergency Sub-Office in Cox's Bazar, BangladeshDepartment of Infectious Disease Epidemiology; Postgraduate Training for Applied Epidemiology (PAE), Robert Koch Institute, Nordufer 20, 13353, Berlin, Germany; ECDC Fellowship Programme, Field Epidemiology Path (EPIET), European Centre for Disease Prevention and Control (ECDC), Gustav III:s Boulevard 40, 169 73, Solna, SwedenDepartment of Infectious Disease Epidemiology; Immunization Unit, Robert Koch Institute, Nordufer 20, 13353, Berlin, GermanyWorld Health Organization Emergency Sub-Office in Cox's Bazar, BangladeshDepartment of Infectious Disease Epidemiology; Immunization Unit, Robert Koch Institute, Nordufer 20, 13353, Berlin, GermanyValid Research Ltd, Suite 19 Sandown House, Sandbeck Way, Wetherby, West Yorkshire, England, LS22 7DN, United KingdomAbout 900.000 Forcibly Displaced Myanmar Nationals (FDMN)/ Rohingya refugees live in makeshift camps in Cox's Bazar, Bangladesh. During the COVID-19 pandemic, protective behaviors were particularly important in this setting of previous severe infectious disease outbreaks. To identify barriers, drivers and interventions for those behaviors, a scoping review of MEDLINE, Embase, Web of Science, Global Health and grey literature was conducted in October 2021 and updated in June 2024. The modified Capability-Opportunity-Motivation-Behavior (COM-B) framework and Behavior Change Wheel were used to organize available evidence. A total of 4014 (3654 in 2021, 360 in 2024) records were reviewed and 51 (38 in 2021, 13 in 2024) articles included. Articles reported on protective behaviors (as a general concept), handwashing, social distancing, isolation/quarantine, mask wearing, testing, treatment and vaccination. Barriers and drivers to these behaviors spanned all four COM factors reflecting both individual and environmental influences. Most frequently cited barriers and drivers were found in the motivation (e.g. belief, fear, trust) and physical opportunity (e.g. information, the physical camp environment) factors. Gaps in the evidence were views of health service providers, and differences between camps and population groups. Most interventions focused on information, education or training (e.g. campaigns, community engagement) and environmental restructuring (e.g. increased provision of WASH facilities, COVID-19 isolation and treatment centres). Most articles reported recommendations for interventions. There was some evidence of implementation but little evaluation. This review identified complex and inter-related barriers and drivers to COVID-19 protective behaviors in Cox's Bazar, and many interventions to address these. Addressing the above-mentioned evidence gaps would assist future development of effective targeted interventions, tailored to the needs of specific population groups.http://www.sciencedirect.com/science/article/pii/S2666623524000849FDMN (Forcibly displaced myanmar nationals)RohingyaCox's BazarCOVID-19behaviorReview
spellingShingle Sarah Reda
Zarah Yusuf
Basel Karo
Balwinder Singh Chawla
Andreas Jansen
Saskia Lange
Jorge Martinez
Emily Dorothee Meyer
Julia Neufeind
Aarti Shrikrishana Singh
Elisa Wulkotte
Cath Jackson
Barriers and drivers to COVID-19 protective behaviours of forcibly displaced myanmar nationals (FDMN)/ rohingya refugees in Cox's bazar, Bangladesh: A scoping review
Journal of Migration and Health
FDMN (Forcibly displaced myanmar nationals)
Rohingya
Cox's Bazar
COVID-19
behavior
Review
title Barriers and drivers to COVID-19 protective behaviours of forcibly displaced myanmar nationals (FDMN)/ rohingya refugees in Cox's bazar, Bangladesh: A scoping review
title_full Barriers and drivers to COVID-19 protective behaviours of forcibly displaced myanmar nationals (FDMN)/ rohingya refugees in Cox's bazar, Bangladesh: A scoping review
title_fullStr Barriers and drivers to COVID-19 protective behaviours of forcibly displaced myanmar nationals (FDMN)/ rohingya refugees in Cox's bazar, Bangladesh: A scoping review
title_full_unstemmed Barriers and drivers to COVID-19 protective behaviours of forcibly displaced myanmar nationals (FDMN)/ rohingya refugees in Cox's bazar, Bangladesh: A scoping review
title_short Barriers and drivers to COVID-19 protective behaviours of forcibly displaced myanmar nationals (FDMN)/ rohingya refugees in Cox's bazar, Bangladesh: A scoping review
title_sort barriers and drivers to covid 19 protective behaviours of forcibly displaced myanmar nationals fdmn rohingya refugees in cox s bazar bangladesh a scoping review
topic FDMN (Forcibly displaced myanmar nationals)
Rohingya
Cox's Bazar
COVID-19
behavior
Review
url http://www.sciencedirect.com/science/article/pii/S2666623524000849
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