Hygiene Challenges for Individuals with Disabilities in Bangladesh
Climate change disrupts hygiene for disabled individuals, risking their health and dignity.
Shahpara Nawaz, Tasnia Alam Upoma, Arka Goshami, Bithy Podder, Jarin Akter, Mehedi Hasan, Dewan Muhammad Shoaib, Lauren D’Mello-Guyett, Sari Kovats, Mahbub-Ul Alam, Jane Wilbur
― 6 min read
Table of Contents
- Why Does Hygiene Matter?
- The Challenge of Climate Change
- Everyday Hygiene Practices
- Real-Life Struggles
- Handwashing
- Bathing
- Managing Incontinence
- Menstrual Health
- The Role of Caregivers
- Health Risks of Poor Hygiene
- Unique Experiences of People with Disabilities
- Barriers to Accessing Water
- Navigating Disrupted Areas
- Coping Strategies
- Using Alternative Water Sources
- Relying on Caregivers
- Making Do with Contaminated Water
- The Need for Support
- Access to Hygiene Supplies
- Improved Infrastructure
- Training and Resources for Caregivers
- Conclusion
- Original Source
Hygiene is important for everyone's Health, dignity, and overall quality of life. Unfortunately, in many parts of the world, poor hygiene is a significant issue that contributes to diseases such as diarrhea and skin infections. This problem is especially noticeable for people with Disabilities, who may already face obstacles to maintaining good hygiene. In Bangladesh, Climate change and extreme weather events like cyclones and floods make it even harder for these individuals to take care of themselves.
Why Does Hygiene Matter?
Good hygiene practices help keep people healthy. This includes regular handwashing, bathing, and maintaining menstrual health. However, when circumstances like climate hazards come into play, people can struggle to keep up with these essential tasks.
Imagine being unable to wash your hands because the floodwaters are too high, or you can’t access clean water. This situation can lead to more severe health problems, especially for individuals with disabilities who may have difficulty taking care of themselves.
The Challenge of Climate Change
Climate change affects access to clean water and safe sanitation. Bangladesh is particularly vulnerable to climate hazards, experiencing cyclones and flooding that disrupt everyday life. When these extreme weather events occur, the normal ways people maintain hygiene can become impossible. Bathing, washing clothes, and even going to the bathroom can turn into major challenges.
Everyday Hygiene Practices
In Bangladesh, personal hygiene includes washing hands, bathing, cleaning the body, and managing menstrual health. These activities are fundamental to maintaining health and dignity.
Imagine someone trying to keep clean but facing barriers such as muddy paths to water sources or flooded homes. For many people living with disabilities, these barriers can be overwhelming.
Real-Life Struggles
Handwashing
For many, handwashing is a simple task. But for people with disabilities, it can require assistance. Often, Caregivers step in to help with this. During climate events, access to clean water might be further reduced. A caregiver might have to bring water to the individual so they can wash their hands in a bowl, rather than at a sink.
Bathing
Bathing is essential for personal hygiene, but natural disasters complicate this. Generally, individuals with disabilities rely on tube wells for bathing. However, during cyclones and floods, these wells can become submerged or inaccessible. Many reported waiting days to bathe due to flooding, which can make them feel uncomfortable and unclean.
Managing Incontinence
Incontinence can add another layer of complexity to hygiene practices. Those who experience incontinence often require more frequent changes of clothes and cleaning. Unfortunately, during climate events, individuals may struggle to find a clean space to wash up or access to clean water.
Menstrual Health
Menstrual health is another crucial aspect of personal hygiene. Women typically need access to clean water and safe spaces to manage menstruation. During climate disasters, these essential services can be interrupted. Many women have to resort to using makeshift solutions, like washing menstrual materials in floodwater, which poses health risks.
The Role of Caregivers
Caregivers play a vital role in helping individuals with disabilities maintain hygiene. However, they face their own challenges during climate hazards. When disasters occur, caregivers may feel overwhelmed, trying to manage their own needs along with the needs of those they care for. This can lead to stress and frustration, affecting their ability to provide proper care.
Health Risks of Poor Hygiene
Lack of proper hygiene can lead to various health issues. When people are unable to wash their hands or bathe regularly, their risk of infections and other health problems increases. This is particularly concerning in flood situations where water may be contaminated.
Skin problems, respiratory infections, and gastrointestinal illnesses can arise from poor hygiene practices during climate crises, especially for those already in vulnerable situations like people living with disabilities.
Unique Experiences of People with Disabilities
People with disabilities face distinct challenges in maintaining hygiene during climate hazards. Their daily lives can be affected by limited access to facilities and support. For instance, someone who relies on a caregiver may find it difficult when that caregiver is preoccupied with survival and safety during a cyclone.
Barriers to Accessing Water
Water is essential for maintaining good hygiene. Unfortunately, during climate events in Bangladesh, accessing clean water can become a Herculean task. Whether the water source is submerged or blocked by debris, many individuals with disabilities find themselves struggling to find clean water when they need it most.
Navigating Disrupted Areas
The pathways leading to water sources can become muddy, slippery, and treacherous following a storm. This situation not only makes it difficult for people with disabilities to reach the necessary facilities but can also pose a risk to their safety.
Coping Strategies
Given the obstacles faced, individuals with disabilities and their caregivers have adopted various strategies to cope with hygiene concerns during climate events. These methods may not be ideal but are often the only viable options available under difficult circumstances.
Using Alternative Water Sources
In some cases, people may collect rainwater or rely on any remaining clean water available in their homes. This may limit their ability to clean themselves adequately, but it sometimes provides a short-term solution.
Relying on Caregivers
As previously mentioned, many individuals with disabilities must depend on their caregivers. During adverse weather conditions, caregivers may have to prioritize urgent needs, which can inadvertently lead to hygiene practices being overlooked.
Making Do with Contaminated Water
When there is no other option, some individuals are forced to bathe in contaminated water. This can lead to various health issues, including skin infections and gastrointestinal diseases, further complicating an already challenging situation.
The Need for Support
In light of these challenges, support systems are critical. Individuals with disabilities and their caregivers often report that they need more resources to help manage hygiene during climate hazards. This support could include:
Access to Hygiene Supplies
Agencies and organizations can help by providing hygiene kits that include soap, menstrual products, and other necessary items. This aid can significantly impact the well-being of individuals during a disaster.
Improved Infrastructure
Better access to clean water and hygiene facilities would make a world of difference. Infrastructure improvements, such as raised water points and accessible bathrooms, would allow individuals with disabilities to maintain hygiene more effectively, regardless of the weather conditions.
Training and Resources for Caregivers
Caregivers often bear the brunt of the responsibility for hygiene tasks. Providing them with training and resources can help them manage their duties more effectively, ensuring better health for the individuals they support.
Conclusion
In summary, hygiene is vital for everyone, but it is especially critical for those facing additional challenges, such as disabilities. The difficulties posed by climate change and extreme weather events can disrupt hygiene practices, leading to potential health risks and emotional distress.
By understanding the impact of these hazards, and by providing targeted support, we can help ensure that people with disabilities are not left behind in the fight for basic hygiene rights.
So, let’s roll up our sleeves, grab some soap (and maybe a rubber duck for good measure), and work together to create a cleaner, healthier world for all—especially during those rain-and-wind-fueled days when Mother Nature throws us a curveball!
Original Source
Title: The Effects of Climate Hazards on Personal Hygiene Practices among People with Disabilities in Bangladesh: A Qualitative Study
Abstract: People with disabilities experience unique challenges in practising good hygiene, and climate hazards exacerbate those challenges. This study investigates the effects of climate hazards on personal hygiene practices (handwashing, bathing, laundry, and menstrual health) among people with disabilities and their caregivers in cyclone-affected Satkhira and flood-affected Gaibandha of Bangladesh. A phenomenological qualitative study was conducted in rural Satkhira and Gaibandha. We applied purposive sampling to select 39 people with disabilities and 16 caregivers who experienced cyclones or floods between 2018 and 2023. Data were collected through in-depth interviews, photovoice and ranking, and observations. We thematically analysed findings using Nvivo 14. During Cyclone Amphan in Satkhira and recurrent floods in Gaibandha, handwashing practices remained unchanged. However, water-logged muddy paths led participants to refrain from bathing for days in Satkhira, causing dissatisfaction about cleanliness. Flooded water points and surroundings in Gaibandha forced participants to bathe and do laundry in contaminated floodwaters, resulting in people reporting increased rashes, skin infections, and fevers. In both districts, the need for bathing and laundering soiled clothes and bedding among people with disabilities experiencing incontinence remained unmet. Additionally, caregivers struggled to provide dignified hygiene support. Women with disabilities could not wash menstrual materials during cyclone in Satkhira. In Gaibandha, contaminated floodwater was used to wash menstrual materials, and individuals living in temporary shelters expressed privacy concerns. Disposal practices were disrupted, with used materials stored indoors or thrown into floodwaters. These challenges adversely affected the health and well-being of people with disabilities and the emotional well-being of the caregivers. People with disabilities face more complex challenges in maintaining personal hygiene during floods and cyclones due to impairments, gender-specific biological needs, additional health requirements, and dependency on caregivers. To prevent worsening inequalities in a changing climate, it is crucial to systematically include people with disabilities in climate-resilient hygiene initiatives.
Authors: Shahpara Nawaz, Tasnia Alam Upoma, Arka Goshami, Bithy Podder, Jarin Akter, Mehedi Hasan, Dewan Muhammad Shoaib, Lauren D’Mello-Guyett, Sari Kovats, Mahbub-Ul Alam, Jane Wilbur
Last Update: 2024-12-23 00:00:00
Language: English
Source URL: https://www.medrxiv.org/content/10.1101/2024.12.19.24319192
Source PDF: https://www.medrxiv.org/content/10.1101/2024.12.19.24319192.full.pdf
Licence: https://creativecommons.org/licenses/by/4.0/
Changes: This summary was created with assistance from AI and may have inaccuracies. For accurate information, please refer to the original source documents linked here.
Thank you to medrxiv for use of its open access interoperability.