Tackling adverse health effects of climate change and migration through intersectoral capacity building in Sub-Saharan Africa (original) (raw)

Strengthening Health Research for Climate Change in Africa

International Journal of Research -GRANTHAALAYAH, 2018

Despite the complexity of climate change and health research, studies conducted are still remaining non-interdisciplinary and non -multidisciplinary. A number of literatures has demonstrated the complexity for carrying research on climate change from social sciences, climate sciences to public health sciences. Social scientists look at the climate change as a social constructedness when climate scientists look at the climate change in term of terrestrial, oceanographic, and atmospheric change due to carbon dioxide emission, greenhouse emission, and ozone depletion. Health research studies have demonstrated the impact of climate change on health In Africa, Middle Income Countries as well as in Advanced Industrialized countries. Drawn on ethno-monographic studies, desk-based studies, secondary data and review of literatures relative to climate change and health, this paper examines the impact of climate change in Africa. The findings reveal three impacts of climate change: direct effe...

Reflections on Climate Change and Public Health in Africa in an Era of Global Pandemic

2021

The study examined the impact of climate change on public health provisioning in Sub-Saharan Africa. In addition to recognising the multifarious influence of climate change on health, it argues that the quest for global health security can only be achieved against the backdrop of concerted mainstreaming of climate change response into public heath provisioning, especially in the developing world. Adapting to climate change and mitigating its impact would logically require integrating it into public health planning, programming and interventions. Therefore, if health security entails provisioning and catering to the full range of health needs of people, climate change given its undoubted implications for health should be in the forefront of health security globally. Despite the global discourse of climate change and health security, tangible actions and programmes at different levels are needed to achieve the goals of good health and effective health security. This is no less the cas...

A Transdisciplinary Approach to Address Climate Change Adaptation for Human Health and Well-Being in Africa

2021

The health sector response to dealing with the impacts of climate change on human health, whether mitigative or adaptive, is influenced by multiple factors and necessitates creative approaches drawing on resources across multiple sectors. This short communication presents the context in which adaptation to protect human health has been addressed to date and argues for a holistic, transdisciplinary, multisectoral and systems approach going forward. Such a novel health-climate approach requires broad thinking regarding geographies, ecologies and socio-economic policies, and demands that one prioritises services for vulnerable populations at higher risk. Actions to engage more sectors and systems in comprehensive health-climate governance are identified. Much like the World Health Organization’s ‘Health in All Policies’ approach, one should think health governance and climate change together in a transnational framework as a matter not only of health promotion and disease prevention, b...

Family Physician Perceptions of Climate Change, Migration, Health, and Healthcare in Sub-Saharan Africa: An Exploratory Study

Family Physician Perceptions of Climate Change, Migration, Health, and Healthcare in Sub-Saharan Africa: An Exploratory Study, 2021

Although family physicians (FPs) are community-oriented primary care generalists and should be the entry point for the population’s interaction with the health system, they are underrepresented in research on the climate change, migration, and health(care) nexus (hereafter referred to as the nexus). Similarly, FPs can provide valuable insights into building capacity through integrating health-determining sectors for climate-resilient and migration-inclusive health systems, especially in Sub-Saharan Africa (SSA). Here, we explore FPs’ perceptions on the nexus in SSA and on intersectoral capacity building. Three focus groups conducted during the 2019 WONCA-Africa conference in Uganda were transcribed verbatim and analyzed using an inductive thematic approach. Participants’ perceived interactions related to (1) migration and climate change, (2) migration for better health and healthcare, (3) health impacts of climate change and the role of healthcare, and (4) health impacts of migration and the role of healthcare were studied. We coined these complex and reinforcing interactions as continuous feedback loops intertwined with socio-economic, institutional, and demographic context. Participants identified five intersectoral capacity-building opportunities on micro, meso, macro, and supra (international) levels: multi-dimensional and multi-layered governance structures; improving FP training and primary healthcare working conditions; health advocacy in primary healthcare; collaboration between the health sector and civil society; and more responsibilities for high-income countries. This exploratory study presents a unique and novel perspective on the nexus in SSA which contributes to interdisciplinary research agendas and FP policy responses on national, regional, and global levels.

Climate change, health, and sustainable development in Africa

This paper critically examines the effects of climate change on the African continent and suggests ways in which the negative effects of climate change can be effectively combatted to ensure sustainable development. Although responsible for a small share of global climate change, Africa is the most vulnerable region of the world to climate change, which destroys the people's source of food, medication, shelter, and income, leading to poor nutrition and exposure to infectious diseases, more hospitalizations, less working hours, and heavy financial losses. Apart from global environmental deterioration, Africa is one of the regions of the world experiencing the severest droughts and water scarcity. The impact of all this on Africa's already fragile socio-economic and political structures is grave. Climate change threatens the political stability of the continent. In this paper we argue that the effects of climate change on the continent have been amplified by human choices and political ineptitude of the ruling elites in Africa. We maintain that good governance, the promotion of African traditional values that encourage the protection of the environment, paying attention to rural development and the emancipation of women economically and politically, and investing in alternative and renewable energy are the necessary pre-conditions for effectively mitigating the effects of climate change and ensuring sustainable development in Africa.

Complex climate change risk and emerging directions for vulnerability research in Africa

Complex climate change risk and emerging directions for vulnerability research in Africa, 2023

This article explains the assessment and conceptual framing of the Vulnerability Synthesis in the Africa chapter of the Intergovernmental Panel on Climate Change’s (IPCC) 6th Assessment Report (AR6), situating the synthesis within emerging understandings of complex climate change risk, intersectionality and multi-dimensional vulnerability. It highlights how reducing vulnerability holds the greatest potential gains for reducing near-term climate risk in Africa. It elaborates how important dimensions of vulnerability, such as inequalities of gender, migrant status or level of income, compound with each other to affect risk. Our review of current vulnerability scholarship reveals severe limitations for climate risk management that are rooted in a lack of attention to interacting social drivers and their effects on risk, as well as an orientation toward vulnerability analyses at coarse social and spatial levels. These scales do not match well with the localised nature of vulnerability nor the impacts of climate change. There is also limited research on the intersectional differentiation of vulnerabilities, which is essential to understanding the heterogeneous nature of vulnerable groups and their agency, particularly concerning navigating or contesting unequal power relations. Reflecting on these dimensions in the Vulnerability Synthesis, we identify how research can provide a deeper understanding of the interactions among multiple drivers of vulnerability and why this matters for adaptation in Africa. Key to this understanding will be to show how responses to climate change affect important dimensions of vulnerability and with what overall risk outcomes. Doing so will advance intersectional analysis within place-based vulnerability assessments across Africa and better inform the design of interventions targeting those dimensions and scales of vulnerability that have the greatest proportional effect on risk reduction. These will contribute informed safeguards against maladaptation as well as provide concrete directions for planning for more inclusive climate- resilient development.

Climate and health in Africa

Earth Perspectives, 2014

This paper describes the work of the International Research Institute for Climate and Society (IRI) and its partners towards the development of climate services for the health sector in Africa; integrating research, operational applications and capacity building alongside policy development and advocacy. It follows the evolution of IRI's health work from an initial focus on the use of seasonal climate forecasts to a wider agenda serving climate and environmental information needs to a broad range of health-related users. Recognizing that climate information must be relevant to the priority policy and programming needs of national and international health stakeholders, this review highlights an approach that has centered not only on the assessment and creation of evidence, but also on knowledge transfer through engagement with decision-makers. Current opportunities and priorities identified for the routine use of climate and environmental information in health in Africa include: i) understanding mechanisms by which climate impacts on transmission and occurrence of disease; ii) mapping populations at risk both in space and by season; iii) developing early warning systems; iv) understanding the contributions of climate to trends in disease incidence v) improving the evaluation of the impacts of climate-sensitive interventions. While traditional metrics (e.g. peer review publications) have been important in establishing evidence for policy, the IRI's role as a knowledge broker (in research and professional capacity building, facilitation of communities of practice, and engagement in policy dialogue at local and global scale) has been critical to delivery of its mission.