Abstract

BackgroundChild marriage is a human rights violation disproportionately impacting girls in low- and middle-income countries. In the Middle East region, conflict and displacement have prompted concerns that families are increasingly resorting to child marriage to cope with economic insecurity and fears from sexual violence. This study set out to examine child marriage among Syrian refugees residing in Egypt with the aim of understanding drivers of child marriage in this context of displacement as well as how child marriage affects refugee girls’ wellbeing.MethodsThis analysis draws from 15 focus group discussions (FGD) conducted with married and unmarried girls, as well as parents of adolescent girls in three governorates in Egypt. FGDs included a participatory ranking exercise and photo-elicitation. Additionally, we conducted 29 in-depth interviews with girls and mothers, as well as 28 key informant interviews with health providers, community leaders, and humanitarian actors. The data was thematically analyzed using a combination of inductive and deductive coding.ResultsA prevalent phenomenon in pre-war Syria, child marriage has been sustained after the influx of Syrian refugees into Egypt by pre-existing cultural traditions and gender norms that prioritize the role of girls as wives and mothers. However, displacement into Egypt engendered different responses. For some families, displacement-specific challenges such as disruptions to girls’ education, protection concerns, and livelihood insecurity were found to exacerbate girls’ vulnerability to child marriage. For others, however, displacement into urban areas in Egypt may have contributed to the erosion of social norms that favored child marriage, leading to marriage postponement. Among girls who were married early, we identified a range of negative health and social consequences, including lack of family planning use, disruption to schooling and curtailment of girls’ mobility as well as challenges with marriage and birth registration which accentuated their vulnerability.ConclusionEfforts to address child marriage among Syrian refugees must acknowledge the different ways in which displacement can influence child marriage attitudes and practices and should capitalize on positive changes that have the potential to catalyze social norm change. Moreover, targeted, focused and contextualized interventions should not only focus on preventing child marriage but also on mitigating its impacts.

Highlights

  • Child marriage is a human rights violation disproportionately impacting girls in low- and middleincome countries

  • The analysis presented in this paper draws from (1) 15 focus group discussions (FGDs) – with participative ranking methodology and photo-elicitation, (2) 29 indepth interviews (IDIs) with married and unmarried girls as well as mothers of adolescent girls, and (3) 28 semistructured key informant interviews (KIIs) with humanitarian actors, health providers, legal experts and community leaders (Table 1)

  • We describe sociocultural and economic factors which sustain the practice of child marriage

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Summary

Introduction

Child marriage is a human rights violation disproportionately impacting girls in low- and middleincome countries. There is a large body of literature linking child marriage to a wide range of adverse consequences for young married women and their children. Much of this literature focuses on girls’ increased risk of negative sexual and reproductive health outcomes, such as early and unintended childbearing [2, 3], low contraceptive use, and high fertility [2, 4, 5]. Several studies have linked child marriage with negative neonatal and child health outcomes, including an increased risk of mortality for children born to young mothers [7, 11, 17,18,19]

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