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Health Coping Strategies Of The People Vulnerable To Climate Change In A Resource-poor Rural Setting In Bangladesh | 9530
ISSN: 2155-9910
Journal of Marine Science: Research & Development
Open Access
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Among the many challenges faced by the people of Bangladesh, the effects of climate change are discernibly threatening,
impacting on human settlement, agricultural production, economic development, and human health. Bangladesh is a low-
income country with limited resources; its vulnerability to climate change has influenced individuals to seek out health coping
strategies. The objectives of the study were to explore the different strategies/measures people employ to cope with climate
sensitive diseases and sickness. A cross-sectional study was conducted among 450 households from Rajshahi and Khulna districts
of Bangladesh selected through multi-stage sampling techniques, using a semi-structured questionnaire supplemented by 12
focus group discussions and 15 key informant interviews. Respondents applied 22 types of primary health coping strategies to
prevent climate related diseases and sickness. To cope with health problems, 80.8% used personal treatment experiences and
99.3% sought any treatments available at village level. The percentage of respondents that visited unqualified health providers
to cope with climate induced health problems was quite high, namely 92.7% visited village doctors, 75.9% drug stores, and
67.3% self-medicated. Ninety per cent of the respondents took treatment from unqualified providers as their first choice. Public
health facilities were the first choice of treatment for only 11.0% of respondents. On average, every household spent Bangladesh
Currency Taka 9,323 per year for the treatment of climate sensitive diseases and sickness. Only 46% of health expenditure was
managed from their savings. The rest, 54% expenditure, was supported by using 24 different sources, such as social capital and the
selling of family assets. The rate of out-of-pocket payment was almost 100%. People are concerned about climate induced diseases
and sickness and sought preventive as well as curative measures to cope with health problems. The most common and widely used
climate health coping strategies among the respondents included self-medicating and seeking the health service of unqualified
private health care providers. Per family spending to cope with such health problems is expensive and completely based on out of
pocket payment. There is no fund pooling, community funding or health insurance program in rural areas to support the health
coping of the people. Policies are needed to reduce out-of-pocket payment, to improve the quality of the unqualified providers
and to extend public health services at rural areas and support climate related health coping. Collection of such knowledge on
climate related health coping strategies can allow researchers to study any specific issue on health coping, and policy makers to
initiate effective climate related health coping strategies for climate vulnerable people.
Biography
Aminul Haque is a Ph.D. fellow at the Institute of Public Health, University of Heidelberg, Germany and a full time faculty at the Department of
Population Sciences, University of Dhaka, Bangladesh. He has published more than 25 papers in reputed journals and serving as an editorial board
member of repute.
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