Perceived risk of child mortality and fertility choices in climate-vulnerable regions of Bangladesh

Abstract

This research examined the influence of perceived child mortality risk on the fertility choices of married women in Bangladesh. Employing a cross-sectional survey conducted in four rural areas, categorized as either vulnerable or not vulnerable to extreme climate events, a total of 759 married women were surveyed through simple random sampling, while 25 women were selected for in-depth interviews through judgment sampling. The findings indicate that women in climate-vulnerable regions express a greater desire for additional children compared to those in non-vulnerable areas. Furthermore, women who perceive increased child mortality risk and have experienced past child loss show a stronger tendency towards wanting more offspring. The qualitative insights from the interviews shed light on the underlying motivations driving these preferences, emphasizing the significance of child replacement and seeking security against potential child loss. These empirical findings provide valuable insights into the complex dynamics between perceptions of child mortality and reproductive decision-making among women in Bangladesh. The implications of this study are crucial for policymakers and practitioners, as they can guide the development of targeted interventions and policies to address reproductive health challenges in climate-vulnerable areas. By acknowledging women’s perspectives and considering contextual factors, these strategies can effectively address the reproductive implications of climate vulnerability, empowering women to make informed decisions about their fertility and promoting improved reproductive outcomes and overall well-being in vulnerable communities.