The rapid expansion of slums with increasing population density are the main barriers to scaling-up sustainable Water, Sanitation, and Hygiene (WASH) facilities in the megalopolis of Dhaka, Bangladesh. The improper arrangement of ‘Cheap WASH’ (i.e., water access, sanitation access, and hygiene practices) and unmanaged disposal of non-biodegradable menstrual hygiene wastes, single-use medical, and plastic usage at slums are making the environment of city surroundings unfavourable and vulnerable posing a great threat to public health. Among the slum-dwellers, particularly, females with a disability are mostly the worst affected and vulnerable due to unfavourable conditions and lack of necessary support. Following the backdrops, this study purposively selected two Dhaka slums, with and without disabled-friendly facilities, to investigate female perspectives on different aspects related to WASH and menstrual hygiene management (MHM) for females with a disability. In total, 30 in-depth interviews, 12 focus group discussions, and 22 key informant interviews were conducted at Korail and Kalyanpur slums. Case studies from the megalopolis of Dhaka, Bangladesh, capture the economic burden added to the budgetary deficits of the family with female-disabled. Discrimination in extra care needed for toilet facilities, MHM education, and transport and overlooking the caretaker's requirement or loss in income are found as additional burdens.

Rampant slum growths add more barriers to scaling up sustainable WASH facilities coupled with safe MHM amenities for megacities. On top of inequalities in accessing to WASH provision, MHM sensitivity to the needs of disabled girls or women is commonly denied. Low-income community case studies from the megalopolis of Dhaka, Bangladesh, capture multi-faceted links between disabled-female's agony and hygiene issues. Layers of discrimination are faced starting from no education after puberty to becoming a family burden. An overall assessment was further extended to identify SWOT for water and sanitation access to hygiene and MHM practices from the gender perspectives applying several mixed-method participatory approaches. Insufficient government support amount, inadequate pipeline water supplies, inconvenient infrastructures, and pricey hygiene products are considered as key weaknesses. Immediate demands include policies for empowerment via training, education coupled with caring services, and adequate, affordable, and disabled inclusive MHM amenities at public places. Finally, the analyses suggest community choices classifying recommendations into three broad categories, namely policy, intervention, and research to serve policymakers and gender experts in identifying potential measures to achieve the global targets of SDGs 3, 5, 6, and 10. Among many solutions, income opportunity via non-governmental loans for caretakers was proposed by most.

The National Adaptation Plan of Bangladesh identifies eleven climate-stressed zones, placing nearly 100 million people at high risk of climate-related hazards. Vulnerable groups such as the poor, floating populations, daily laborers, and slum dwellers are particularly affected. However, there is a lack of data on climate-sensitive diseases and related hospital visits in these areas. This study explored the prevalence of such diseases using the Delphi method through focus group discussions with 493 healthcare professionals from 153 hospitals in 156 upazilas across 21 districts and ten zones. Participants were selected by district Civil Surgeons. Key climate-sensitive diseases identified included malnutrition, diarrhea, pneumonia, respiratory infections, typhoid, skin diseases, hypertension, cholera, mental health disorders, hepatitis, heat stroke, and dengue. Seasonal surges in hospital visits were noted, influenced by factors like extreme heat, air pollution, floods, water contamination, poor sanitation, salinity, and disease vectors. Some diseases were zone-specific, while others were widespread. Regions with fewer hospital visits often had higher disease burdens, indicating under-reporting or lack of access. The findings highlight the need for area-specific adaptation strategies and updates to the Health National Adaptation Plan. Strengthening resilience through targeted investment and preventive measures is crucial to reducing health risks from climate change.