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Floods are a common natural hazard in Bangladesh, and climate change is expected to further increase flooding frequency, magnitude and extent. Pregnant women in flood contexts could face challenges in utilisation of maternal healthcare. The aim of this paper is to analyse associations between flood exposure and the use of maternal healthcare (antenatal care visits, birth assisted by skilled birth attendants, and giving birth in a health facility) in Bangladesh for pregnancies/births between 2004 and 2018. Bangladesh Demographic and Health Survey data from four surveys in the time period 2007–2018 and data on floods from the Emergency Events Database and the Geocoded Disasters Dataset are analysed using multilevel linear probability models. In line with previous results, we find clear bivariate associations between exposure to flooding and maternal healthcare use. These associations are largely confounded by socioeconomic and demographic variables. In general, exposure to flooding — whether measured as exposure to any floods or severe floods — does not affect maternal healthcare use, and we suggest that the lower usage of maternal healthcare in areas exposed to flooding rather relates to the characteristics of the flood-prone areas and their populations, which also relate to lower maternal healthcare use. However, we find negative associations in some supplementary analyses, which suggest that even if there is no effect of floods on average, specific floods may have negative effects on maternal healthcare use. [ABSTRACT FROM AUTHOR]

Of growing research and policy interest are the experiences of people living under conditions of climate change–induced environmental stress, which either are unable to migrate (sometimes described as a 'trapped population') or are seemingly unwilling to do so (sometimes described as the 'voluntarily immobile'). This paper problematises and expands upon these binary categories: examining the complex dimensionality of non-migration as a form of place relations, explored through qualitative study of rural and coastal Bangladeshi communities. Through 60 semi-structured interviews of individuals from four communities in the Kalapara region, the analysis proffers four qualitatively derived and inter-related dimensions of voluntary and involuntary non-migration framed as a form of place relations. These four dimensions concern the following: (1) livelihood opportunities, (2) place obduracy, (3) risk perceptions, and (4) social-structural constraints, with the interplay between these elements explaining diverse non-migratory experiences. In our analysis, 'place obduracy' is introduced as a concept to describe the differential speed of environmental change and socio-cultural adaptation responses to explain non-migratory experiences. Our discussion provides insight into how to best support non-migrant people's adaptive capacity in the face of growing climate emergency. [ABSTRACT FROM AUTHOR]