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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.

This research used both quantitative and qualitative methods to develop, implement and assess the RHCC in three flood-prone PHC facilities in Belkuchi.

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.

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.

The small-scale artisanal fishers in coastal Bangladesh are comparatively more vulnerable to climate risks than any other communities in Bangladesh. Based on practicality, this paper aims to explain the local level climate change perception, its impact and adaptation strategies of the fisher in southeast coastal villages in Bangladesh.

To achieve the above objective, this study used structural, semi-structured interviews and focus group discussion in two coastal communities, namely, at Salimpur in the Sitakund coast and Sarikait Sandwip Island, Bangladesh. It reviews and applies secondary data sources to compare and contrast the findings presented in this study.

Results show that the fishers perceived an increase in temperature, frequency of tropical cyclones and an increase in sea level. They also perceived a decrease in monsoon rainfall. Such changes impact the decreasing amount of fish in the Bay of Bengal and the fishers’ livelihood options. Analysing seasonal calendar of fishing, findings suggest that fishers’ well-being is highly associated with the amount of fish yield, rather than climatic stress, certain non-climatic factors (such as the governmental rules, less profit, bank erosion and commercial fishing) also affected their livelihood. The major adaptation strategies undertaken include, but are not limited to, installation of tube well or rainwater harvesting plant for safe drinking water, raising plinth of the house to cope with inundation and use of solar panel/biogas for electricity.

Despite experiencing social stress and extreme climatic events and disasters, the majority of the fishing community expressed that they would not change their profession in future. The research suggests implementing risk reduction strategies in the coastal region of Bangladesh that supports the small-scale fishers to sustain their livelihood despite climate change consequences.