scholarly journals An Evidence-Based Public Health Approach to Climate Change Adaptation

2014 ◽  
Vol 122 (11) ◽  
pp. 1177-1186 ◽  
Author(s):  
Jeremy J. Hess ◽  
Millicent Eidson ◽  
Jennifer E. Tlumak ◽  
Kristin K. Raab ◽  
George Luber
Keyword(s):  
Public Health ◽  
Climate Change ◽  
Climate Change Adaptation ◽  
Public Health Approach ◽  
Evidence Based

scholarly journals Health system plan for implementation of Paris agreement on climate change (COP 21): a qualitative study in Iran

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Arefeh Mousavi ◽  
Ali Ardalan ◽  
Amirhossein Takian ◽  
Abbas Ostadtaghizadeh ◽  
Kazem Naddafi ◽  
...  
Keyword(s):  
Public Health ◽  
Climate Change ◽  
Qualitative Study ◽  
Health System ◽  
Health Effects ◽  
Policy Making ◽  
Early Warning Systems ◽  
Paris Agreement ◽  
Evidence Based ◽  
Mitigation And Adaptation

Abstract Background Ensuring public health is crucial in any policy debate on climate change. Paris Agreement on climate change is a global contract, through which countries have committed themselves to a public health treaty. The agreement has laid the foundation for mitigation and adaptation. This study was conducted to provide an evidence-based framework for policy-making in the health system of Iran in order to reduce the adverse effects of climate change on public health and to increase the adaptation of the health system as a result. Methods This is a qualitative study. We first used Delphi method to extract the components of Paris Agreement on climate change that were related to the functions and policymaking of health system in Iran. Twenty-three experts in health and climate change were identified purposefully and through snowball sampling as participants in Delphi. Data collection instrument was a structured questionnaire. We used SPSS software version 25 for data analysis based on the descriptive indices including the mean, the percentage of consensus above 75%, and the Kendall coordination coefficient. Results Seventy-nine components classified within nine categories were extracted. The most important examples of the implementation of Paris Agreement on climate change in the health system of Iran were: participation in the formulation of strategies for mitigation and adaptation, identifying vulnerable groups, assessing vulnerability, increasing the capacity of health services delivery during extreme events, using early warning systems, using new technologies to increase the adaptation, evaluation of interventions, financial support, increasing the number of researches, increasing the knowledge and skills of staff, and finally public awareness. Conclusions Evidence-based policy-making is pivotal to develop effective programs to control the health effects of climate change. This research provided policy translation and customization of micro and macro provisions of Paris Agreement on climate change, in line with the political context of health system in Iran. Our finding will pave the ground, we envisage, for further steps towards capacity building and enhancement of resiliency of the health system, adaptation interventions, and evaluation, identification of barriers and facilitators for adaptation and decreasing the adverse health effects caused by the climate change, in Iran and perhaps beyond.

Understanding national barriers to climate change adaptation for public health - a global survey

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
H Marcus ◽  
E Hanna
Keyword(s):  
Public Health ◽  
Climate Change ◽  
Global Health ◽  
Human Health ◽  
Climate Change Adaptation ◽  
Health Risks ◽  
Agenda Setting ◽  
Networked Governance ◽  
Health Progress ◽  
Organizational Collaboration

Abstract Background Climate change has introduced a series of unprecedented threats to human health, ranging from rising food and water insecurity to deteriorating air quality, novel disease outbreaks, and intensifying natural disasters. The Paris Agreement pushes countries to develop adaptation plans that will protect human health from the worst impacts of climate change -a process referred to as climate change adaptation (CCA). Yet despite international pressure and escalating health threats, vast shortcomings persist in national CCA for public health progress. Thus, we investigated the major governance constraints underlying these trends. Methods A mixed-methods online survey was distributed to representatives of national public health associations and societies of 82 member countries under the World Federation of Public Health Associations. Results 9 of the 11 respondent countries (82%) affirmed the existence of a national CCA plan that includes an explicit public health focus. All respondees listed governance challenges in developing and operationalising their national CCA agenda. The major identified barriers to CCA for public health progress were lack of inter-government policy coordination and insufficient political will to mobilize human and non-human resources in support of public health-oriented adaptation efforts. Conclusions Climate change-driven amplification of global health risks necessitates that all nations generate clear CCA plans to protect human health. Our findings assist by highlighting the need for new platforms for organizational collaboration/networked governance and enhanced forums for CCA agenda-setting and ambition-raising. Such forms of enriched knowledge may facilitate decision-making amongst key public health stakeholders and global institutions for how best to align climate advocacy and country-wide support initiatives with cross-cutting national needs and constraints. Key messages Climate change-driven amplification of global health risks necessitates that all nations generate clear climate change adaptation plans to protect human health. New platforms for organizational collaboration/networked governance and enhanced forums for adaptation agenda-setting and ambition-raising may significantly bolster public health adaptation progress.

scholarly journals Partners in Parenting: A Multi-Level Web-Based Approach to Support Parents in Prevention and Early Intervention for Adolescent Depression and Anxiety

2017 ◽  
Vol 4 (4) ◽  
pp. e59 ◽  
Author(s):  
Marie BH Yap ◽  
Katherine A Lawrence ◽  
Ronald M Rapee ◽  
Mairead C Cardamone-Breen ◽  
Jacqueline Green ◽  
...  
Keyword(s):  
Public Health ◽  
Adolescent Depression ◽  
Systems Design ◽  
Parental Engagement ◽  
Health Concern ◽  
Public Health Approach ◽  
Evidence Based ◽  
Depression And Anxiety ◽  
Web Based ◽  
Multi Level

Depression and anxiety disorders in young people are a global health concern. Various risk and protective factors for these disorders are potentially modifiable by parents, underscoring the important role parents play in reducing the risk and impact of these disorders in their adolescent children. However, cost-effective, evidence-based interventions for parents that can be widely disseminated are lacking. In this paper, we propose a multi-level public health approach involving a Web-based parenting intervention, Partners in Parenting (PIP). We describe the components of the Web-based intervention and how each component was developed. Development of the intervention was guided by principles of the persuasive systems design model to maximize parental engagement and adherence. A consumer-engagement approach was used, including consultation with parents and adolescents about the content and presentation of the intervention. The PIP intervention can be used at varying levels of intensity to tailor to the different needs of parents across the population. Challenges and opportunities for the use of the intervention are discussed. The PIP Web-based intervention was developed to address the dearth of evidence-based resources to support parents in their important role in their adolescents’ mental health. The proposed public health approach utilizes this intervention at varying levels of intensity based on parents’ needs. Evaluation of each separate level of the model is ongoing. Further evaluation of the whole approach is required to assess the utility of the intervention as a public health approach, as well as its broader effects on adolescent functioning and socioeconomic outcomes.

Understanding national barriers to climate change adaptation for public health: a mixed-methods survey of national public health representatives

2020 ◽  
Vol 25 (4) ◽  
pp. 287-306
Author(s):  
Hannah Marcus ◽  
Liz Hanna
Keyword(s):  
Public Health ◽  
Climate Change ◽  
Mixed Methods ◽  
Adaptive Capacity ◽  
Climate Change Adaptation ◽  
Online Survey ◽  
National Level ◽  
Content Type ◽  
Knowledge Resources ◽  
National Public Health

PurposeTo uncover the major government constraints to enactment and implementation of public health-targeted climate change adaptation (CCA) strategies in order to equip public health stakeholders and health advocates with the knowledge resources necessary to more effectively mobilize and support CCA for public health responses at the national level.Design/methodology/approachA mixed-methods online survey was distributed to the representatives of national public health associations and societies of 82 countries. The survey comprised 15 questions assessing national progress on CCA for public health and the effects of various institutional, economic/financial, technical and sociopolitical barriers on national adaptive capacity.FindingsSurvey responses from 11 countries indicated that national commitments to CCA for public health have increased markedly since prior assessments but significant shortcomings remain. The largest apparent barriers to progress in this domain were poor government coordination, lack of political will and inadequate adaptation finances.Originality/valueThis study is unique in relation to the prior literature on the topic in that it effectively captures an array of country-specific yet cross-cutting adaptation constraints across diverse national contexts. With a deepened understanding of the major determinants of national adaptive capacity, international actors can devise more effective, evidence-informed strategies to support national governments in responding to the health impacts of climate change.

scholarly journals Public health and climate change: How are local authorities preparing for the health impacts of our changing climate?

2019 ◽  
Author(s):  
Sarah C Woodhall ◽  
Owen Landeg ◽  
Sari Kovats
Keyword(s):  
Public Health ◽  
Climate Change ◽  
Climate Change Adaptation ◽  
Local Authority ◽  
Adaptation Strategies ◽  
Health Impacts ◽  
Local Authorities ◽  
South West ◽  
South West England ◽  
Impacts Of Climate Change

ABSTRACT Background Local authorities have a crucial role in preparing for the impacts of climate change. However, the extent to which health impacts are being prioritized and acted on is not well understood. Methods We investigated the role of public health in adapting to climate change through: (i) a content analysis of local authority climate change adaptation strategies in South West England and (ii) semi-structured telephone interviews with local authority public health consultants and sustainability officers and a regional Public Health England representative (n = 11). Results Adaptation strategies/plans varied in existence and scope. Public health consultants did not have an explicit remit for climate change adaptation, although related action often aligned with public health’s emergency planning functions. Key barriers to health-related adaptation were financial constraints, lack of leadership and limited public and professional awareness about health impacts. Conclusions Local authorities in South West England have differing approaches to tackling health impacts of climate change, and the prominence of public health arguments for adaptation varies. Improved public health intelligence, concise communications, targeted support, visible local and national leadership and clarity on economic costs and benefits of adaptation would be useful for local authorities in preparing for the health impacts of climate change.

scholarly journals Building Community Resilience to Disasters: A Review of Interventions to Improve and Measure Public Health Outcomes in the Northeastern United States

2021 ◽  
Vol 13 (21) ◽  
pp. 11699
Author(s):  
Abigail Abrash Walton ◽  
Janine Marr ◽  
Matthew J. Cahillane ◽  
Kathleen Bush
Keyword(s):  
Public Health ◽  
Climate Change ◽  
United States ◽  
Health Outcomes ◽  
Community Resilience ◽  
The United States ◽  
Health Impacts ◽  
Evidence Based ◽  
Northeastern United States ◽  
Building Community

Climate change-related natural disasters, including wildfires and extreme weather events, such as intense storms, floods, and heatwaves, are increasing in frequency and intensity. These events are already profoundly affecting human health in the United States and globally, challenging the ability of communities to prepare, respond, and recover. The purpose of this research was to examine the peer-reviewed literature on community resilience initiatives in one of the most densely populated and economically important regions, the Northeastern United States, and to identify evidence-based interventions and metrics that had been field-tested and evaluated. This paper addresses two critical gaps in the literature: (1) what strategies or interventions have been implemented to build or enhance community resilience against climate change-related natural disasters; and (2) what metrics were used to measure community resilience as an outcome of those strategies or interventions? This review provides a succinct list of effective interventions with specific health outcomes. Community or state-level health officials can use the results to prioritize public health interventions. This review used existing database search tools to discover 205 studies related to community resilience and health outcomes. Methods set criteria to assess if interventions were able to measure and change levels of community resilience to the health impacts associated with a changing climate. Criteria included: (a) alignment with the United States’ National Preparedness Goal for reducing risks to human health and for recovering quickly from disasters; (b) derived from publicly available data sources; (c) developed for use by communities at a local scale; and (d) accessible to modestly resourced municipalities and county health agencies. Five (5) peer-reviewed, evidence-based studies met all of the selection criteria. Three of these articles described intervention frameworks and two reported on the use of standardized tools. Health-related outcomes included mental health impacts (PTSD/depression), mental stress, emergency preparedness knowledge, social capital skills, and emergency planning skills. The paper recommends the COAST project, COPEWELL Rubric for self-assessment, and Ready CDC intervention as examples of strategies that could be adapted by any community engaged in building community resilience.

Parental programs for preventing behavioural and emotional problems in children

2010 ◽  
pp. 399-406 ◽  
Author(s):  
Matthew Sanders ◽  
James Kirby
Keyword(s):  
Public Health ◽  
Emotional Problems ◽  
Parenting Programs ◽  
Public Health Approach ◽  
Triple P ◽  
Evidence Based ◽  
Emotional Outcomes ◽  
Agents Of Change ◽  
Multi Level ◽  
Behavioural And Emotional Problems

Chapter 42 focuses on parents as agents of change. This chapter describes the role parenting programs can play in improving behavioural and emotional outcomes in children. Using the Triple P program as an example they emphasise the importance of an evidence-based integrated, multi-level public health approach to prevention that is tailored to the needs of a family.

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