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Maternal and Child Survival in Haor Region in Bangladesh. An Analysis of Fathers’ Capabilities to Save the Future

1
BRAC James P Grant School of Public Health, BRAC University, 68 Shahid Tajuddin Ahmed Sharani, Mohakhali, Dhaka 1212, Bangladesh
2
Population Research Centre, Faculty of Spatial Sciences, University of Groningen, Landleven 1, 9747AD Groningen, The Netherlands
3
Prayas Health Group, Pune, Maharashtra 411 004, India
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(16), 5781; https://doi.org/10.3390/ijerph17165781
Received: 17 June 2020 / Revised: 18 July 2020 / Accepted: 21 July 2020 / Published: 10 August 2020
(This article belongs to the Section Women's Health)
Maternal and child survival is a major public health problem in haor areas in Bangladesh. Fathers feel responsible as expressed by their capability “to save the future”. Using the Capability Framework for Child Growth, we aimed to identify what contextual factors underlie a father’s real opportunities to secure a safe delivery, including social norms and beliefs. Parents from households having children less than two years old were asked to participate in two rounds of qualitative research. In total, 25 focus group discussions and eight in-depth interviews were conducted. Late admission to health facilities emerged as the overarching disabling factor for fathers’ capability to save the lives of mothers and children. Poor communication about the mother’s health condition between spouses and fear for caesarean birth were underlying this late admission. In addition, inadequate advice by local doctors, underdeveloped infrastructure, and seasonal extremities contributed to late admission to health care facilities. The participants indicated that mother’s autonomy in haor to seek health care is a constraint. This capability analysis points towards relevant interventions. In addition to the need for an improved health infrastructure, programs to improve maternal and child survival in haor could focus on the gendered household responsibilities and poor communication between spouses. View Full-Text
Keywords: capability approach; women’s health; child growth; gender; health communication; health care seeking capability approach; women’s health; child growth; gender; health communication; health care seeking
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    Doi: The interview guides used during the first round of data collection are available at: https://doi.org/10.1186/s12889-020-8196-9, provided with the other paper by Chakraborty et al 2020
    Description: Interview Guides
MDPI and ACS Style

Chakraborty, B.; Darak, S.; Haisma, H. Maternal and Child Survival in Haor Region in Bangladesh. An Analysis of Fathers’ Capabilities to Save the Future. Int. J. Environ. Res. Public Health 2020, 17, 5781. https://doi.org/10.3390/ijerph17165781

AMA Style

Chakraborty B, Darak S, Haisma H. Maternal and Child Survival in Haor Region in Bangladesh. An Analysis of Fathers’ Capabilities to Save the Future. International Journal of Environmental Research and Public Health. 2020; 17(16):5781. https://doi.org/10.3390/ijerph17165781

Chicago/Turabian Style

Chakraborty, Barnali, Shrinivas Darak, and Hinke Haisma. 2020. "Maternal and Child Survival in Haor Region in Bangladesh. An Analysis of Fathers’ Capabilities to Save the Future" International Journal of Environmental Research and Public Health 17, no. 16: 5781. https://doi.org/10.3390/ijerph17165781

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