Global responses to the COVID-19 pandemic have collided with long-standing sexual and reproductive health inequities. While COVID-19 has had a significant, and in some cases devastating, impact on health systems around the world, studies show that people whose human rights are least protected—such as refugees, displaced peoples, and conflict-affected populations—are the ones who suffer the most.

The IRC’s work in Cox’s Bazar, Bangladesh—home to the world’s largest refugee settlement—inevitably became more challenging during COVID-19. This assessment explores the intersecting impacts of the pandemic on the demand, access, and delivery of SRH services and protective measures. It incorporates the perspectives of women, girls, and boys from Rohingya and host communities, as well as service providers (e.g., frontline health workers, doctors, midwives, etc.) and other key informants (e.g., local officials, NGO staff, etc.). It was also intended as a learning exercise, so that SRH services can be more accessible and prioritized during future public health emergencies.