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This paper offers a novel methodological approach for better understanding how different capital assets can be organized, transformed, and used in different combinations to reduce livelihood sensitivity to climatic stresses – an area that requires greater research attention in the context of adaptation policy. Research was conducted in the northeastern floodplain communities of Bangladesh, regarded as one of the most climate sensitive, resource poor, and highly understudied areas of the country. This wetland-dominated ecosystem is home to diverse resources user groups (e.g., farmer and fisher) who are subjected to regular seasonal flooding, excessive rainfall, drought, and flash floods. Working in 12 adjacent villages of two significant wetlands (Hakaluki haor and Tanguar haor ), qualitative and quantitative data were collected through 15 focus groups ( n  = 15), 35 key informant interviews, and 356 household surveys to better understand how community members adapt in response to their livelihood sensitivity to the climatic stresses. Results indicate that community members organize and transform capital assets in diverse ways to escape climate-induced “poverty traps”. Findings also reveal that interventions from external agencies (e.g., government, non-governmental organizations and market institutions) are an important key to livelihood sustainability for many households. [ABSTRACT FROM AUTHOR]

New medical inventions for saving young lives are not enough if these do not reach the children and the mother. The present paper provides new evidence that institutional delivery can significantly lower child mortality risks, because it ensures effective and timely access to modern diagnostics and medical treatments to save lives. We exploit the exogenous variation in community's access to local health facilities (both traditional and modern) before and after the completion of the ‘Women's Health Project’ in 2005 (that enhanced emergency obstetric care in women friendly environment) to identify the causal effect of hospital delivery on various mortality rates among children. Our best estimates come from the parents fixed effects models that help limiting any parents-level omitted variable estimation bias. Using 2007 Bangladesh Demographic Health Survey data from about 6000 children born during 2002–2007, we show that, ceteris paribus, access to family welfare clinic particularly boosted hospital delivery likelihood, which in turn lowered neo-natal, early and infant mortality rates. The beneficial effect was particularly pronouncedamong adolescent mothers after the completion of Women's Health Project in 2005; infant mortality for this cohort was more than halved when delivery took place in a health facility. [ABSTRACT FROM AUTHOR]

Abstract: This paper reports on the moral work done in routine diabetes review consultations in primary care with nurses. Consultations with fluent English speakers are compared with consultations where an interpreter was present, largely involving patients of Bangladeshi origin. The study setting was Tower Hamlets in London, where type 2 diabetes is particularly common. Existing research has shown some dissatisfaction with diabetes care amongst Bangladeshi patients, and studies of care providers in other locations suggest that they at times experience the care of this group as particularly challenging. Through analysis of video-recorded consultations recorded in 2010–2011 we shed light on possible reasons for these difficulties. The 12 non-English speakers often experienced difficulties in raising issues that concerned them, particularly if their interpreter did not translate their utterance because it was deemed to be unrelated to diabetes. These difficulties were not shared by the 24 fluent English speakers, who also found it easier to convey a positive moral reputation and to excuse behaviour that deviated from recommended self-management practices. Interpreters at times also acted as moral mediators. For example, where a participant in the consultation made statements that appeared to convey a negative moral judgement of an other participant, these would often go untranslated. Probably, neither health care providers nor patients are fully aware of the nature of their communication difficulties. Given this, interpreters possess considerable power to influence matters. Understanding the moral work of consultations is important in explaining the findings of other studies showing difficulties in the provision of diabetes care to people with limited English language skills. [Copyright &y& Elsevier]