Volume 46
Pages 175 - 185

Climate-Related Displacement and Antenatal Care Service Utilization in Rural Bangladesh

CONTEXT

Extreme weather events cause large-scale population displacement in Bangladesh. It is important to know how household displacement due to such events might affect women's antenatal care (ANC) service utilization.

METHODS

In 2017, a cross-sectional household survey was conducted in 25 rural villages in either displacement prone or non–displacement prone areas of Bangladesh. Data were collected from 611 respondents (a woman or her husband) who reported having had a live birth in the past three years; of those, 289 had experienced household displacement due to an extreme weather event. Logistic regression analyses were conducted to examine the relationship between experience of household displacement and women's ANC service utilization during their last pregnancy resulting in a live birth.

RESULTS

Eighty-three percent of women had received at least one ANC visit during their last pregnancy resulting in a live birth; of those, 31% received at least four visits with a trained provider. Women from households that had been displaced three or more times were less likely than those from nondisplaced households to have received an ANC visit and at least four visits with a trained provider (odds ratios, 0.3 and 0.4, respectively). Receiving at least four visits with a trained provider was also associated with having previous children (0.3–0.4), age at pregnancy (2.5–3.9), husband's occupation (2.2 for “other”) and joint parental decision-making about ANC visits (1.8).

CONCLUSIONS

Strengthening family planning services and extending eligibility for Bangladesh's Maternity Allowance benefits in the areas prone to floods and riverbank erosion are recommended to improve ANC service utilization.

Authors' Affiliations

Md. Rabiul Haque is professor, Department of Population Sciences, University of Dhaka, Bangladesh. Nick Parr is professor, and Salut Muhidin is senior lecturer—both in the Department of Management, Macquarie Business School, Macquarie University, North Ryde, Australia.

Disclaimer
The views expressed in this publication do not necessarily reflect those of the Guttmacher Institute.

International Perspectives on Sexual and Reproductive Health