Climate change adaptation responses are being developed and delivered in many parts of the world in the absence of detailed knowledge of their effects on public health. Here we present the results of a systematic review of peer-reviewed literature reporting the effects on health of climate change adaptation responses in low- and middle-income countries (LMICs). The review used the ‘Global Adaptation Mapping Initiative’ database (comprising 1682 publications related to climate change adaptation responses) that was constructed through systematic literature searches in Scopus, Web of Science and Google Scholar (2013–2020). For this study, further screening was performed to identify studies from LMICs reporting the effects on human health of climate change adaptation responses. Studies were categorised by study design and data were extracted on geographic region, population under investigation, type of adaptation response and reported health effects. The review identified 99 studies (1117 reported outcomes), reporting evidence from 66 LMICs. Only two studies were ex ante formal evaluations of climate change adaptation responses. Papers reported adaptation responses related to flooding, rainfall, drought and extreme heat, predominantly through behaviour change, and infrastructural and technological improvements. Reported (direct and intermediate) health outcomes included reduction in infectious disease incidence, improved access to water/sanitation and improved food security. All-cause mortality was rarely reported, and no papers were identified reporting on maternal and child health. Reported maladaptations were predominantly related to widening of inequalities and unforeseen co-harms. Reporting and publication-bias seems likely with only 3.5% of all 1117 health outcomes reported to be negative. Our review identified some evidence that climate change adaptation responses may have benefits for human health but the overall paucity of evidence is concerning and represents a major missed opportunity for learning. There is an urgent need for greater focus on the funding, design, evaluation and standardised reporting of the effects on health of climate change adaptation responses to enable evidence-based policy action.

The public sector of many African countries is notoriously corrupt; cultural inclinations and socialization processes largely have a tendency to lead public officials into actions that may amount to corrupt practices. Providing seven (7) key pointers for reflection, this study explores public sector corruption in African countries by examining the interplay between culturally acceptable norms and professional expectations of public officials. The public official, by these two unparalleled expectations, tends to walk on a tight rope which often results in ethical dilemma and conflict of interest. The study adopts Riggs' prismatic-sala model and uses the case of Ghana and traditional proverbs to explain the cultural context within which Ghanaian public official ought to operate. How can one combine these cultural expectations with professionalism? To what extent does the 'collectivity culture', 'culture of gift giving and acceptance', 'extended family system', 'ethnic loyalty' and 'unfettered respect of the aged' downplay professional bureaucratic and ethical principles?

Purpose The much-trumpeted Green Climate Fund and several other official financial mechanisms for financing adaptation to climate change under the UN Framework Convention on Climate Change have fallen short in meeting adaptation needs. Many poorer people are still grappling with the scourge of climate change impacts. Consequently, there has been a dominant research focus on climate change financing emanating from official development assistance (ODA), Adaptation Fund, public expenditure and private sector support. However, there has been little attempt to examine how migrants’ remittances can close adaptation financing gaps at the local level, ostensibly creating a large research gap. This paper aims to argue that migrants’ remittances provide a unique complementary opportunity for financing adaptation and have a wider impact on those who are extremely vulnerable to climate change. Design/methodology/approach The paper is aligned to the qualitative research approach. Both secondary and primary data acquired through interviews and focus group discussions were used for the study. Multiple sampling methods were also used to select the respondents. Findings The findings show that remittances are used to finance both incremental costs of households’ infrastructure and consumption needs, as well as additional investment needs to be occasioned by ongoing or expected changes in climate. Originality/value In the wake of dwindling government/public revenue, ODA and poor commitment of Annex II countries to fulfil their financial obligations, the study makes the following recommendations: First, the financial infrastructure underpinning money transfers in both sending and recipient countries should be improved to make transfers attractive. Second, significant steps should be taken to reduce the fees on remittance services, especially for the small transfers typically made by poor migrants. Finally, adequate climatic information should be made available to local people to ensure that remittances are applied to the right adaptation option to avoid maladaptation.

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Rural poverty in Ghana is relatively high. Adopting interpretivist approach, this study aimed at assessing the role of non-governmental organizations (NGOs) in rural poverty reduction using the experience of the Hunger Project (THP) in selected rural communities in Ghana. Purposive and cluster sampling techniques were used to select 37 respondents, drawn from five different ‘epicentres’ who have benefitted from THP. The study found out that THP has helped to reduce poverty levels of rural people in the Asante Akyem South District through their programmes that train, empower and resource beneficiaries. Beneficiaries have become self-reliant, socially responsible and active, economically empowered who continue to impact their households and beyond; this has cascading effect on further rural poverty reduction. The study also identifies few challenges that affect THP’s programmes. The study concludes that THP’s ‘four-phase epicentric approach’ to community development enables self-reliance, people’s involvement and holds great promise for holistic poverty eradication effort in the district. The poverty eradication component of ‘Millennium Development Goal (MDG) Beyond 2015’ makes the role of the ‘third sector’ quintessential; policy suggestions from the study serve as an input for NGOs’ decision-making processes in an attempt to scale up their poverty reduction activities in rural communities.

Purpose -This paper aims to provide empirical evidence on the El Nino and its effects on maize production in three municipalities: Ejura, Techiman and Wenchi in the transitional zone of Ghana. Using a mixed approach, the study details the effects of the El Nino on rainy season characteristics, particularly, rainfall amounts and distribution, onset and cessation of rains, duration of the rainy season and total seasonal rainfall and how it impacted smallholder maize production.

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