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Palongkhali (Cox's Bazaar): Bangladesh is planning to introduce voluntary sterilisation in its overcrowded Rohingya camps, where nearly a million refugees are fighting for space, after efforts to encourage birth control failed.
More than 600,000 Rohingya have arrived in Bangladesh since a military crackdown in neighbouring Myanmar in August triggered an exodus, straining resources in the impoverished country.
The latest arrivals have joined hundreds of thousands of Rohingya refugees who fled in earlier waves from Myanmar's Rakhine state, where the stateless Muslim minority has endured decades of persecution.
Most live in desperate conditions with limited access to food, sanitation or health facilities and local officials fear a lack of family planning could stretch resources even further.
Pintu Kanti Bhattacharjee, who heads the family planning service in the district of Cox's Bazar where the camps are based, said there was little awareness of birth control among the Rohingya.
"The whole



community has been deliberately left behind," he said, citing a lack of education in Myanmar, where the Rohingya are viewed as illegal immigrants and denied access to many services.
Bhattacharjee said large families were the norm in the camps, where some parents had up to 19 children and many Rohingya men have more than one wife.
District family planning authorities have launched a drive to provide contraception, but say they have so far managed to distribute just 549 packets of condoms among the refugees, who are reluctant to use them.
They have asked the government to approve a plan to launch vasectomies for Rohingya men and tubectomies for women, Bhattacharjee said.
But they are likely to face an uphill struggle.
Many of the refugees said they believed a large family would help them survive in the camps, where access to food and water remains a daily battle and children are often sent out to fetch and carry supplies.
Others had been told contraception was against the tenets of Islam.
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