Understanding implementers’ perspectives on the barriers and facilitators of wash interventions under the JAMUNA project in climate-vulnerable char areas of Bogura, Bangladesh: A qualitative implementation research study
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BRAC University
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Abstract
Background: Bangladesh's riverine char communities are among its most climate-vulnerable
populations, where recurrent flooding and erosion repeatedly destroy water and sanitation
infrastructure and raise the burden of diarrhoeal disease. The JAMUNA project, a joint venture by
BDRCS and Swiss Red Cross, delivers WASH interventions here, yet implementers' experiences
of delivery remain largely undocumented.
Objectives: To identify the barriers and facilitators experienced by implementers of WASH
interventions under the JAMUNA project, and the adaptive strategies they used to overcome
challenges in the char areas of Bogura.
Methods: A qualitative exploratory study was conducted in Chaluabaria and Kazla unions,
Sariakandi Upazila, Bogura. Between March and April 2026, 17 key informant interviews were
conducted with implementers from multiple project tiers. Participants were selected purposively
until data saturation was reached, using six semi-structured guides based on the CFIR domains.
Interviews were held in Bangla, transcribed verbatim, and analysed using the Framework Method
in Dedoose, producing 657 coded excerpts.
Results: Facilitators included dismantlable, displacement-friendly latrines and raised DRR
tubewells suited to flooding; community co-financing that strengthened ownership; organisational
coverage of field-staff travel costs; school-based hygiene sessions; and revitalization of the Ward
Disaster Management Committee, anchoring delivery in local governance. Barriers included
geographic isolation, recurrent displacement, poverty, political and kinship influence over
beneficiary selection, and workforce shortages from reliance on unpaid volunteers. Adaptive
strategies included multi-step beneficiary verification, engaging religious leaders, instalmentbased
bKash payments, and locally tailored session delivery.
Conclusions: This study demonstrates that WASH delivery in the char areas is not a discrete
technical task but a continuous process of adaptation to displacement, poverty, and local power
dynamics. Although portable, raised infrastructure was essential, its effectiveness depended on
community co-financing, digital payment mechanisms, the engagement of trusted local leaders,
and an adequately supported frontline workforce. Together, these social and organisational factors
were as central to implementation as the infrastructure itself.
LC Subject Headings
Drinking water--Health aspects--Bangladesh., Water-supply, Rural--Bangladesh., Climatic changes--Health aspects--Bangladesh., Sanitation, Rural--Bangladesh., Rural poor--Health and hygiene--Bangladesh., Rural health--Bangladesh., Health services accessibility, Rural--Bangladesh., Chars--Bogra District (Bangladesh).
Description
This thesis is submitted in partial fulfillment of the requirements for the degree of Master of Public Health, 2026.
Cataloged from PDF version of thesis.
Includes bibliographical references (pages 80-90).
Cataloged from PDF version of thesis.
Includes bibliographical references (pages 80-90).
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Thesis
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