Active Climate, Earth & Environment Pregnancy, Children & Inherited Conditions

Birthing at Burning Places: An ethnographic exploration of intersections among climate-linked risks, maternal nutritional health, and cultural practices in Sindh Pakistan

In plain English

AI plain-English summary

Pregnant women in Pakistan’s Sindh province are navigating both extreme weather and deep-rooted cultural norms that limit their access to food and healthcare. This ethnographic study will embed researchers in communities to observe how climate-linked disasters—such as floods and heatwaves—intersect with local practices around pregnancy, childbirth, and nutrition. The problem is urgent: Pakistan is falling short of global maternal health targets, and existing interventions often overlook how gender dynamics, class, and cultural beliefs shape women’s ability to eat well and seek care during disasters. The research is not designing a new medical test or vaccine. Instead, it will co-produce community-based solutions—such as culturally acceptable food aid or altered prenatal care schedules—that could be adopted by local health services and aid organisations. If successful, the findings could reshape how humanitarian programmes and public health systems in climate-vulnerable regions account for the social realities of pregnant women, rather than treating nutrition as a purely technical issue.

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Extreme weather and natural disasters contribute to a wide range of health, food, and nutritional risks, particularly in low—and middle-income countries such as Pakistan. Women are the largest and most vulnerable unduly groups of victims who suffer the most from such disasters. Pregnancy and childbirth exacerbate these vulnerabilities further. The health of mothers is not just a healthcare issue. It is deeply connected to power imbalances, cultural norms, and practices. Similarly, the environmental changes we are witnessing raise important questions about the relationship between nature and culture. Gender dynamics, social class, and cultural norms significantly affect pregnant women and mothers' ability to access, use, and manage food and nutrition. These dynamics also contribute to the disproportionate impact of climate change events on women’s health. Given that maternal health-related targets in Pakistan are falling short of the Sustainable Development Goals, research providing an in-depth understanding of intersectional influences on maternal health, nutrition and climate change is urgently needed to inform the development of interventions to enhance women’s and families’ health and wellbeing. This project aims to co-produce community-based solutions to improve maternal nutritional health by exploring the intersections between maternal nutritional health, cultural practices, and climate-related risks through ethnographic research.

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Researchers

Sadiq Bhanbhro (EPMC Awardee)

Related Research

Grants with similar aims, by meaning.

Salinity and Reproductive Health: Exploring the impacts on reproductive health and psychosocial health of women and adolescent girls in coastal Bangladesh
Assessment of biological vulnerability and effects of extreme heat on maternal, fetal and newborn health: implications for policy and action
Developing a collaborative research network to identify research priorities in maternal and infant nutritional health risks linked to climate change: A scoping exercise in Pakistan
Supportive and Dignified Maternity Care (SDMC) - development and feasibility assessment of an intervention package for public health systems
Assessing the effectiveness of Heat Adaptation & Heat Reduction Interventions for vulnerable population in urban and rural settings of a low- and middle- income country

Original classification

Wellcome Accelerator Awards

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