Ongoing Projects

July 2022 to Ongoing – Sexual and Reproductive Health Services in Remote and Hard to Reach (H2R) Areas of Bangladesh

Bangladesh is exposed to natural hazards and climate risk due to its geographic location and human-induced global warming. The World Bank report on Natural Disaster Hotspots (Dilley et al., 2005) highlighted that Bangladesh is in the top 60 countries of the world that are highly prone to two or more (aka multiple) hazards (flood, cyclone, storm and drought). Despite severe physical and environmental challenges, Bangladesh is one of the few low-income countries to have met its target for Millennium Development Goal 5 by reducing the maternal mortality ratio from 322 deaths per 100, 000 live births in 1998–2001 to 176 deaths per 100,000 live births in 2013 (El Arifeen et al., 2014; Gideon et al., 2015; WHO, 2015b).  Although this is a remarkable achievement, reducing maternal mortality is still a challenge, as is improving maternal health from unsafe abortions and post-abortion complications in general, and especially so during disasters in hard-to-reach (H2R) areas (Ahmed et al., 2011; Huda et al., 2013; Ray-Bennett et al., 2021, 2019).

H2R areas are defined in terms of both their remote geographical location, as well as the population residing out of the range of development activities. Bangladesh has several H2R areas including char or newly emerged land-strip on the bank of rivers, haor, coastal areas, hill tracts, tea gardens – amongst others. These areas are highly prone to disasters and are populated by minority groups, in terms of religion, ethnicity (Mannanet al., 2019), as well as socio-economically vulnerable groups such as climate-induced refugees or internally displaced population – amongst others.

The overall Objective of this research project is to increase access to sexual and reproductive health (SRH) services in remote and H2R areas of Bangladesh.

Specific objectives:

  1. To conduct a situational analysis in hard-to-reach and disaster-prone areas (e.g., flood, cyclone, landslide)
  2. To review the existing drug and dietary supply (DDS) Kit, Facility Reproductive Health Kit, and Crisis Reproductive Health Kit and assess the feasibility of positioning one of these Kits in hard-to-reach and disaster-prone primary health care facilities to improve the quality and availability of SRH services including MR and PAC.
  3. To identify a conceptual model to provide SRH including MR and PAC services in hard-to-reach and disaster-prone areas (e.g., flood, cyclone, landslide).
  4. To identify the feasibility and acceptability of the proposed model(s) to ensure accessibility of SRH including MR and PAC services in PHC facilities in hard-to-reach locations from different disasters (e.g., flood, cyclone, landslide) with wider stakeholder participation

This is an operational research based on experimental-control design and will utilise mixed methodology. The research will be conducted in two H2R districts of two divisions: Barguna district of Barisal division, and Sunamganj district of Sylhet division.

This project builds on the previous research projects titled Exploring the Challenges and Opportunities Around Reproductive Health in Disasters in Belkuchi, Bangladesh, funded by IPPF’s Innovation Fund and IPPF’s Designated Regional Fund; and Upscaling RHCC by Developing a Protocol for Low-Budget Reproductive Health Kit, funded by IPPF’s Designated Regional Fund.

For more information and updates on this project, please click here.

Dr. Nibedita Ray-Bennett has withdrawn from the project due to funding challenges. However, ADN Future Leaders are continuing with the systematic review. 


March 2022 to Ongoing – Exploring the Feasibility and Value of a Regional Network for First Responders (RN4FR) to Reduce Avoidable Disaster Deaths in the Caribbean Region

A particularly pressing area of opportunity for reducing avoidable deaths is to improve the effectiveness of first responders (aka category 1 responders) – emergency services, national and partner country defence agencies, humanitarian non-governmental organisations, private sector organisations and local community leaders and volunteers. Whenever a disaster strikes, first responders are the key actors providing critical assistance to the impacted populations. However, these actors often work within their own domains, neither coordinating or cooperating with their relief work, nor communicating or sharing what they learn from their experiences.

To explore this issue for first responders in the Caribbean region, ADN convened on 10 December 2021 a one-day virtual Symposium on ‘Integrating Disaster Risk Management with Emergency Services and Defence to Reduce Avoidable Disaster Deaths.’ The Symposium’s participants agreed on the need to increase collaboration, coordination and communication (3Cs) in national disaster response planning and mitigation efforts among all first responders in the Caribbean region to reduce avoidable disaster deaths and limit the impact on affected populations. This feasibility study posits that by supporting creation of a Regional Network for First Responders (RN4FR) as a forum for interaction that promotes the 3Cs can lead to a unified team-based approach to disaster response across the Caribbean that shortens response times and ensures a well-coordinated relief effort.

With this goal in mind, the proposed project aims to achieve the following objectives:
1) To identify capacity gaps and coordination opportunities for organisations providing first responders in the Caribbean region, through a virtual stakeholder consultation and online questionnaire for exchange of knowledge, experiences and insights.
2) To develop a roadmap for the steps needed to address the conclusions of the consultation and online questionnaire, including the creation of the RN4FR, through a stakeholder workshop.

For more information and updates on this project, please click here.


December 2020 to Ongoing – School Pupils in Osaka are Champions for Avoidable Deaths from Tsunamis

In 2011, the triple disaster in Japan (tsunami, Tohoku earthquake and the meltdown of the Fukushima nuclear plant) killed more than 19,747 people. In the aftermath of the triple disaster the central and local governments have revisited the tsunami predictions. The prediction indicates that in a worst case scenario more than 2000 deaths could take place. The predictions also indicate that if early preparedness can lead to zero deaths. Timely and quick evacuation can avoid deaths.

To prepare the “at risk” community as well as to disseminate this valuable information, this evidence-based and action-oriented research project led by Dr. Hideyuki Shiroshita from Kansai University addresses the following objectives:

  1. To engage with school pupils and “at risk” community in order to raise awareness on tsunami prediction.
  2. To produce Information, Education and Communication (IEC) materials for tsunami warnings in collaboration with school pupils and the “at risk” community.
  3. To produce and conduct simulation exercises and drills with school pupils and “at risk” community in order to create a culture of preparedness for tsunamis.

The case study site for this evidence-based and action-oriented research project is Izumiotsu, a coastline port city in the central part of the Osaka Prefecture.

For more information and updates on this project, please click here.


November 2020 to Ongoing – Avoidable Deaths from Snakebites during Disasters in Odisha, India

India accounts for approximately half of all global snakebite deaths reported through traditional surveillance systems and is responsible for 2.97 million DALYs. Around 70% of deaths occur in eight states with over half of the total Indian population: Bihar, Jharkhand, Madhya Pradesh, Odisha, Uttar Pradesh, Andhra Pradesh (including Telangana), Rajasthan and Gujarat. ADN’s India Hub is located in Odisha. In 2020, after flood related deaths, snakebites were the major cause of deaths.

To understand the cause and circumstances that lead to snakebite deaths during disasters, this research project was initiated to:

  1. Investigate the complex micro-interactions between various systems at work including gender and the cause of high-risk areas to understand the true burden of snakebite deaths in Odisha.
  2. Explore the cause and circumstances leading to avoidable snakebite deaths during disasters in Odisha.
  3. Identify localised risk governance that can potentially lead to reducing snakebite deaths in Odisha.

For more information and updates on this project, please click here.


April 2020 to Ongoing – Eastern Belt Network-India

The aims of this project are:

  1. To identify and map the number of colleges and universities that offer programmes related to risk, crisis, disaster management, development, and avoidable deaths in the 10 eastern states of India (West Bengal, Assam, Meghalaya, Odisha, Arunachal Pradesh, Manipur, Mizoram, Nagaland, Sikkim and Tripura); and
  2. To explore the feasibility of developing a network of these colleges and universities for avoidable deaths, disaster risk reduction and sustainable development.

This is a collaborative project led by Dr Nibedita Ray-Bennett (University of Leicester) and Dr Hideyuki Shiroshita (Kansai University) in collaboration with Srashta Chowdhury (University of North Bengal), Rwittambhara Kashyap (Tata Institute of Social Sciences), Satyajit Barik (NIIS Institution of Information Science & Management, Odisha), Biswajit Paul (University of North Bengal) and Meharaj Bano (Vellore Institute of Technology).

For more information and updates on this project, please click here.


April 2020 to Ongoing – Social Distancing: Cross-Cultural Perspectives from Bangladesh, India, Japan and the UK

The aim of this research project is to explore how social distancing is being defined, perceived and practiced by national governments and household during the COVID-19 pandemic in Bangladesh, India, Japan and the UK. This is a collaborative research project led by Dr Nibedita Ray-Bennett (University of Leicester) in collaboration with Dr Fariha Haseen (Bangabandhu Sheikh Mujib Medical University) in Bangladesh, Dr Upasona Ghosh and Dr Srinivas Nalala (Indian Institute of Public Health-Odisha) in India, and Dr Hideyuki Shiroshita (Kansai University) in Japan. The Co-Investigators include: Dr Iqbal Kabir (Directorate General of Health Services, Government of Bangladesh); Mr Dillip Pattnaik (Orissa State Volunteers and Social Workers Association); Sumaiya Tasneem Khan (Bangabandhu Sheikh Mujib Medical University); Mr Maqbul Bhuiyan (Data Management Aid); and Mrs Denise Corsel (University of Leicester).

For updates on this project, please click here.


April 2020 to Ongoing –  Avoidable Deaths from the Effect of the COVID-19 Pandemic and Lockdown in India

The aim of this research project is to study the current number of avoidable deaths from COVID-19, and the current number of unavoidable deaths from COVID-19 in India and Odisha. The number of deaths from COVID-19 is understood through the lens of the Avoidable Deaths Framework (ADF), one that understands disaster deaths are both avoidable and unavoidable. This is a collaborative research project led by Dr Nibedita Ray-Bennett (University of Leicester) in collaboration with Dr Hideyuki Shiroshita (Kansai University); Ms Kumiko Fukuromoto (Kansai University); Dr Vincent Pieterse (Vincent Pieterse); Dr Lopamudra Patnaik Saxena (Coventry University); Mr Daniel Mendez (ADN-RC, Belize); Mr Krishna Clarke (Caribbean Development Bank); Dr Azukaego Nnaji (Divine Aid International); Mr Lakshman Srikanth (ADN-Intern); Mr Bhola Saha (CRRP India; Royal Global University, Assam); Mr Dillip Pattanaik (OSVSWA); Dr Madhulika Sahoo (Vellore Institute of Technology); Ms Shaiza Khawaja (ADN-Intern); Anuradha Bhardwaj (Doers) and Antara Ragini (ADN-India, National Research Coordinator).

For updates on this project, please click here.