{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T21:44:52Z","timestamp":1782683092555,"version":"3.54.5"},"reference-count":86,"publisher":"BMJ","issue":"6","license":[{"start":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T00:00:00Z","timestamp":1782604800000},"content-version":"unspecified","delay-in-days":27,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003246","name":"Nederlandse Organisatie voor Wetenschappelijk Onderzoek","doi-asserted-by":"publisher","award":["1154.21.196"],"award-info":[{"award-number":["1154.21.196"]}],"id":[{"id":"10.13039\/501100003246","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Glob Health"],"accepted":{"date-parts":[[2026,4,23]]},"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To describe the prevalence of common sexual and reproductive health (SRH) indicators and healthcare access among women of reproductive age residing in Closed Controlled Access Centre (CCAC) Mavrovouni on Lesbos, Greece.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A household survey comprising 119 questions across eight SRH domains was completed by 247 refugee women of reproductive age residing in CCAC Mavrovouni. Nine refugee coresearchers were engaged in a participatory action research process, contributing to question development, recruitment, data collection and analysis in June and July 2023.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Most women reported adequate antenatal care (25\/28, 89%) and healthcare-assisted births (14\/14, 100%), but postpartum care was suboptimal with 47% (7\/15) not accessing any services despite 63% (10\/16) reporting complications. About half (56\/120, 47%) of women with children were single mothers. Two women had a child die at sea. Family planning showed considerable unmet need, with only 24% (42\/178) of women using modern contraception and over 25% (17\/66) desiring fertility treatment but none accessing it. Despite 84% (173\/207) reporting adequate access to menstrual materials, only 14% (29\/207) were able to consistently alleviate pain. Of 247\u2009women, 151 (61%) experienced gynaecological symptoms yet 68 (45%) did not access healthcare. Low screening for sexually transmitted infections (43\/240, 18%) and cervical cancer (1\/246, 0.4%) was reported. Of 244\u2009women, 74% (180\/244) experienced verbal, 52% (127\/244) physical and 36% (87\/244) sexual abuse in their lifetime. Gender-based violence was most reported in home countries, during travel and during pushbacks. 54% (133\/247) of women experienced at least one pushback and 23% (57\/247) reported denial of medical care. Across all domains except breastfeeding, most women (67%\u201391%) had not received healthcare information.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In refugee camp Mavrovouni, there is an urgent need for comprehensive SRH services that address diverse unmet health and information needs. Strengthening responses require cocreated, tailored interventions that are both data-driven and community-informed. Simultaneously, action must be taken to eliminate pushbacks and ensure equitable healthcare access irrespective of legal status.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjgh-2025-019240","type":"journal-article","created":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T21:20:13Z","timestamp":1782681613000},"page":"e019240","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Sexual and reproductive health needs of refugee women on Lesbos, Greece: a participatory cross-sectional study"],"prefix":"10.1136","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0106-8678","authenticated-orcid":false,"given":"J","family":"Sherally","sequence":"first","affiliation":[{"name":"Athena Institute, VU Amsterdam, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9188-0497","authenticated-orcid":false,"given":"A","family":"Benson","sequence":"additional","affiliation":[{"name":"ISGlobal, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Chen","sequence":"additional","affiliation":[{"name":"McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Z","family":"Alshamari","sequence":"additional","affiliation":[{"name":"Athena Institute, VU Amsterdam, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"Bar Bari","sequence":"additional","affiliation":[{"name":"Athena Institute, VU Amsterdam, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E","family":"Beshir","sequence":"additional","affiliation":[{"name":"Athena Institute, VU Amsterdam, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Z","family":"Hosseini","sequence":"additional","affiliation":[{"name":"Athena Institute, VU Amsterdam, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H","family":"Jafari","sequence":"additional","affiliation":[{"name":"Athena Institute, VU Amsterdam, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Jafari","sequence":"additional","affiliation":[{"name":"Athena Institute, VU Amsterdam, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K","family":"Mohamed","sequence":"additional","affiliation":[{"name":"Athena Institute, VU Amsterdam, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Mohammadyasin","sequence":"additional","affiliation":[{"name":"Athena Institute, VU Amsterdam, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F","family":"Mutemba","sequence":"additional","affiliation":[{"name":"Athena Institute, VU Amsterdam, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Sapounas","sequence":"additional","affiliation":[{"name":"National Hellenic Public Health Organization, Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E","family":"Karamagioli","sequence":"additional","affiliation":[{"name":"Global Health and Disaster Medicine, National and Kapodistrian University of Athens, School of Health Sciences, Athens, Attica, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Terzidis","sequence":"additional","affiliation":[{"name":"Global Health and Disaster Medicine, National and Kapodistrian University of Athens, School of Health Sciences, Athens, Attica, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N","family":"Yaghmaei","sequence":"additional","affiliation":[{"name":"KIT Royal Tropical Institute, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M L J","family":"Le Mat","sequence":"additional","affiliation":[{"name":"KIT Royal Tropical Institute, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"van den Muijsenbergh","sequence":"additional","affiliation":[{"name":"Department of Primary and Community Care, Radboud University Medical Center, Nijmegen, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T","family":"van den Akker","sequence":"additional","affiliation":[{"name":"Athena Institute, VU Amsterdam, Amsterdam, The Netherlands"},{"name":"Leiden University Medical Center, Leiden, ZH, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,6,28]]},"reference":[{"key":"2026062814200612000_11.6.e019240.1","unstructured":"United Nations High Commissioner for Refugees . 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