@article{fdi:010094956,
  title = {{W}aterlogging, health and healthcare access in southwest {B}angladesh},
  author = {{C}lech, {L}. and {F}ranceschin, {L}. and {I}slam, {M}. {N}. and {K}abir, {M}. {M}. {S}. and {K}obir, {D}. {R}. and {S}arker, {M}. and {D}e {A}llegri, {M}. and {R}idde, {V}al{\'e}ry},
  editor = {},
  language = {{ENG}},
  abstract = {{W}aterlogging, a type of stagnant flooding, is becoming more prevalent in southwest {B}angladesh. {I}t is expected to worsen due to the expansion of shrimp farming and climate change, which will contribute to environmental degradation. {H}owever, the impact of waterlogging on health, health service utilisation and household health expenditure remains poorly understood. {W}e conducted a quantitative study between {A}ugust and {S}eptember 2022 in {T}ala, a disaster-prone sub-district in southwest {S}atkhira. {D}ata were collected from 596 randomly selected households. {A} total of 1266 adults were surveyed, of whom 768 reported a recent illness. {O}f these adults, 213 reported seeking formal healthcare for their initial visit. {I}nformation about households' exposure to waterlogging in the past 12 months was also collected. {B}ivariate analyses were used to test the association between the outcome variables (reporting illness, utilisation of formal healthcare, and out-of-pocket expenditure) and the following other variables: age, gender, education, whether the respondent was the head of the household, type of illness, household wealth index, household size, and experience of waterlogging in the past 12 months. {T}wo probit models were fitted for illness reporting and formal healthcare utilisation. {W}aterlogging experience was significantly associated with illness reporting [{C}oef: 0.47; {CI} 0.14,0.80], p = 0.006). {H}owever, it was not significantly associated with healthcare utilisation among the 768 adults who reported any illness [{C}oef: -0.11; {CI} -0.51,0.029], p = 0.600). {B}ivariate analyses of the association between healthcare expenditure and waterlogging revealed no significant association (p = 0.635). {S}ignificant associations were found between illness reporting and household wealth (wealthiest/poorest) and age (older/younger). {I}n contrast, gender (male/female) and household size (larger/smaller) were negatively associated with illness reporting. {O}f the 768 adults who reported illness, a negative association was observed for education (compared to higher education) and a positive association was observed for wealth (average wealthy and poorest) and chronic illness (compared to acute illness). {T}hese findings highlight the need to consider the detrimental health impacts of waterlogging when improving {B}angladesh's healthcare system.},
  keywords = {{BANGLADESH}},
  booktitle = {},
  journal = {{PL}o{S} {C}limate},
  volume = {4},
  numero = {9},
  pages = {e0000605 [17 ]},
  year = {2025},
  DOI = {10.1371/journal.pclm.0000605},
  URL = {https://www.documentation.ird.fr/hor/fdi:010094956},
}