RHCC intervention

Purpose The quality and availability of sexual and reproductive health care are key determinants to reducing maternal mortalities and morbidities in disaster settings; yet, these services are often lacking in developing countries. Reducing maternal mortality and morbidity is currently the main targets of the UN’s Sustainable Development Goal (SDG) 3. The purpose of this study was to develop an intervention package called RHCC (Reproductive Health Kit 8; Capacity building; Community awareness), and to implement and evaluate it in three primary health-care (PHC) facilities in Belkuchi, Bangladesh, in order to improve the quality and availability of post-abortion care (PAC) during the 2017 floods. Design/methodology/approach This research used both quantitative and qualitative methods to develop, implement and assess the RHCC in three flood-prone PHC facilities in Belkuchi. Findings The RHCC was implemented during the floods of 2017. The findings pre- and post-intervention suggest it led to an increase in skilled management among health workers, an increase in the quality of care for clients and the availability of PAC at three PHC facilities during floods. Originality/value Due to its geographic location, Bangladesh is exposed to recurrent floods and cyclones. Evidence-based integrated intervention packages, such as the RHCC, can improve the quality and availability of reproductive health care during disasters at PHC level and, in doing so, can promote the UN’s agenda on “disaster resilient health system” to achieve the SDG 3, and the WHO’s campaign on universal health coverage

Business · Economic growth · Environmental health · Flood myth · Geography · Health care · Intervention (counseling · Population · Reproductive health · Disaster Response and Management · Food Security and Health in Diverse Populations · Global Maternal and Child Health · Medicine · Nursing

• Accelerate progress—sexual and reproductive health and rights for all

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• Quality maternity care for every woman, everywhere

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• Natural Disaster Hotspots

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• Condemning violence without rejecting sexism? Exploring how young men understand intimate partner violence in Ecuador

  Open Access•I Goicolea, Anders Öhman et al.•Global Health Action•2012

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• Associations between mass media exposure and birth preparedness among women in southwestern Uganda

  Open Access•Gustav Asp, Karen Odberg Pettersson et al.•Global Health Action•2014

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• Prepared to react? Assessing the functional capacity of the primary health care system in rural Orissa, India to respond to the devastating flood of September 2008

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• Primary healthcare system capacities for responding to storm and flood-related health problems

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• Using automated voice messages linked to telephone counselling to increase post-menstrual regulation contraceptive uptake and continuation in Bangladesh

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• Exploring the meaning of health security for disaster resilience through people's perspectives in Bangladesh

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• What is hindering progress? The marginalization of women's sexual and reproductive health and rights in Brazil and Chile

  Open Access•Jasmine Gideon, Marianna Leite et al.•Journal of International and…•2015

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• A study of costs and behavioral outcomes of menstrual regulation services in Bangladesh

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• Increasing access to safe menstrual regulation services in Bangladesh by offering medical menstrual regulation

  Reena Yasmin, Ubaidur Rob et al.•Reproductive Health Matters•2014

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