Disproportionate impact on women
Direct impact
Due to the social, political and cultural context of many places throughout the world, women are often disproportionately affected by disaster. In settings where women and children are likely to remain at home, natural disasters, such as earthquakes, can result in greater morbidity and mortality among women. For example, during the 1993 earthquake in Maharastra, India, more women died than men as they were more likely to be in the home, due to their role as caregivers. In the 2004 Indian Ocean tsunami, more women died than men, partly due to the fact that fewer women knew how to swim.
Gender-based and sexual violence
During and after a natural disaster, women are at increased risk of being affected by gender based violence and are increasingly vulnerable to sexual violence. Disrupted police enforcement, lax regulations, and displacement all contribute to increased risk of gender based violence and sexual assault. As food, water, and shelter becomes scarce, women may be forced into sexual relations as a bargain for providing essential resources. Furthermore, health care during times of disaster often focuses on life saving & critical care. However, as a result, many health care workers are not adequately trained to respond to sexual violence, screen for appropriate complications and treating non-life/limb threatening emergencies. As a result, women who have been affected by sexual violence are at a significantly increased risk of sexually transmitted infections, unique physical injuries and long term psychological consequences. All of these long-term health outcomes can prevent successful reintegration into society after the disaster recovery period.
Religious scapegoating
In addition to LGBT people and immigrants, women are also disproportionately victimised by religion-based scapegoating for natural disasters: fanatical religious leaders or adherents may claim that a god or gods are angry with women's independent, freethinking behaviour, such as dressing 'immodestly', having sex or abortions if they so choose. For example, Hindutva party Hindu Makkal Katchi and others blamed women's struggle for the right to enter the Sabarimala temple for the August 2018 Kerala floods, purportedly inflicted by the angry god Ayyappan. After an earthquake struck on 26 September 2019 near Istanbul, Turkey, Islamists blamed the disaster on women, and harassed random women in the streets; a similar Islamist backlash against women occurred after the 1999 İzmit earthquake. In response to Iranian Islamic cleric Kazem Seddiqi's accusation of women dressing immodestly and spreading promiscuity being the cause of earthquakes, American student Jennifer McCreight organised the Boobquake event on 26 April 2010: she encouraged women around the world to participate in dressing immodestly all at the same time while performing regular seismographic checks to prove that such behaviour in women causes no significant increase in earthquake activity.
Reproductive and sexual health
During and after natural disasters, routine health behaviors become interrupted. Women who were taking contraceptives may forget or may no longer have access to these medications. In addition, health care systems may have broken down as a result of the disaster, further reducing access to contraceptives. Unprotected intercourse during this time can lead to increased rates of childbirth, unintended pregnancies and sexually transmitted infections (STIs). Methods used to prevent STIs (such as condom use) are often forgotten or not accessible during times surrounding a disaster. Lack of health care infrastructure and medical shortages hinder the ability to treat individuals once they acquire an STI. In addition, health efforts to prevent, monitor or treat HIV/AIDS are often disrupted, leading to increased rates of HIV complications and increased transmission of the virus through the population.
Maternal health
Pregnant women are one of the groups disproportionately affected by natural disasters. Inadequate nutrition, little access to clean water, lack of health-care services and psychological stress in the aftermath of the disaster can lead to a significant increase in maternal morbidity and mortality. Furthermore, shortage of healthcare resources during this time can convert even routine obstetric complications into emergencies.
During and after a disaster, women's prenatal, peri-natal and postpartum care can become disrupted. After disasters, there is often a significant increase in the number of women who receive late or no prenatal care. Among women affected by natural disaster, there are significantly higher rates of low birth weight infants, preterm infants and infants with low head circumference. Separation of mothers and babies as a result of poor infrastructure and displacement practices can interfere with breastfeeding and cause significant emotional stress for mom and baby. It can also lead to negative long-term health outcome mother and especially babies. In addition, it can be particularly difficult to find clean water for sterilizing bottles for breast milk or pre-made formula. These factors can further hinder breastfeeding practices and adequate infant nutrition, resulting in long-term health consequences for the baby.
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