Addressing Reproductive Health Challenges during Floods: A Study of Stakeholder Activities across Different Phases of Flooding in the Riverine Islands of Assam, India

Jayanti Saha, Jawaharlal Nehru University, New Delhi

Approximately 3 million people live in the geographically isolated, rural, and remote riverine islands of the Brahmaputra in Assam. These areas are characterized by recurrent floods, and the residents face severe poverty with very limited access to healthcare facilities. Floods pose serious challenges for women and adolescent girls to deal with their reproductive health. This study explores the activities of various stakeholders in addressing reproductive health issues during different phases of floods in the riverine islands of Lakhimpur and Morigaon Districts of Assam. Using a qualitative approach, key informant interviews were conducted with 29 participants. Thematic analysis revealed seven themes in the pre-disaster period, six during the floods and four in the post-flood period. These themes highlight the efforts and gaps of government organizations and NGOs in managing women's and adolescent girls’ reproductive health throughout these disaster phases. The study identifies critical measures for government interventions, such as constructing elevated platform houses, water, and separate toilet facilities, improving logistical support, ensuring supply of sanitary napkins and contraceptives. During floods, nutritional support for pregnant women should be prioritized. Post-flood recovery efforts should focus on empowering women, providing healthcare through mass camps, and educational initiatives. Mental health support should also be a key priority in the aftermath of floods.

Keywords: Inequality, Disadvantage and Discrimination, Sexual and Reproductive Health and Rights, Population, Environment, and Climate Change, Qualitative data/methods/approaches

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