Constraints and Barriers to Public Health Adaptation to Climate Change

Huang, Cunrui; Vaneckova, Pavla; Wang, Xiaoming; FitzGerald, Gerry; Lee, Hyewon; Tong, Shilu

doi:10.1016/j.amepre.2010.10.025

Cited by 156 publications

(109 citation statements)

References 83 publications

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“…In addition to resultant direct health effects, there will be indirect human health effects resulting from crop failures, changing patterns of disease, and population displacement, highlighting the cross-sectoral nature of climate change impacts. The difficulties in responding to these impacts is magnified where there is a lack of policy coordination across sectors (e.g., Huang et al 2011). For countries that have poor infrastructure, high levels of poverty and inequality, as well as significant public health challenges, health resources will be particularly strained by climate change impacts (e.g., Lesnikowski et al 2013), and the impacts of climate change are expected to further disadvantage poor and marginalized populations (e.g., Marmot 2007).…”

Section: Health and Climate Changementioning

confidence: 99%

Coordination and health sector adaptation to climate change in the Vietnamese Mekong Delta

Gilfillan¹,

Nguyen²,

Pham³

2017

E&S

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ABSTRACT. This research examines the impact of three coordination dimensions on health sector adaptation to climate change in the Vietnamese Mekong Delta: cross-scale, cross-sectoral, and cross-boundary. While tasks are divided up between government ministries and departments in Vietnam, there is little collaboration on issues that span mandates. Similarly, while water flows in the Vietnamese Mekong Delta take resource management and health concerns across provincial boundaries, formal mechanisms for interprovincial collaboration are lacking. While decentralization efforts have sought to devolve authority and decision making to lower levels, there is continued state-centered top-down policy making, and this limits collaborative coordination across scales. All three of these issues inhibit health sector adaptation to climate change in the Vietnamese Mekong Delta, and though these coordination issues are recognized by the Vietnamese government, to date there has been little success in addressing them. The authors hope to stimulate further debate and discussion of coordination problems, and conclude that despite some significant challenges, the South West Steering Committee could play a facilitating role coordinating climate change responses in health and other sectors across the Vietnamese Mekong Delta. As an analysis of governance, this research is applicable to other areas and sectors in Vietnam, as well as to other parts of South East Asia.

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Section: Health and Climate Changementioning

confidence: 99%

Coordination and health sector adaptation to climate change in the Vietnamese Mekong Delta

Gilfillan¹,

Nguyen²,

Pham³

2017

E&S

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“…It is therefore imperative that healthcare policymakers develop adaptive, climate change-resilient, health care systems. [3][4][5]9,10 Natural disasters such as bushfires impact on patients' continuum of care, and subsequently impact on population health. The exact nature of this impact can be better understood by examining the Medication Management Pathway (MMP) Model ( Fig.…”

Section: Introductionmentioning

confidence: 99%

Burning questions: Exploring the impact of natural disasters on community pharmacies

Mak

Singleton

2017

Research in Social and Administrative Pharmacy

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BackgroundThe past decade has seen a rapid change in the climate system with an increased risk of extreme weather events. On and following the 3 rd of January 2013, Tasmania experienced three catastrophic bushfires, which led to the evacuation of several communities, the loss of many properties, and a financial cost of approximately AUD$80 million. ObjectiveTo explore the impacts of the 2012/2013 Tasmanian bushfires on community pharmacies. MethodQualitative research methods were undertaken, employing semi-structured telephone interviews with a purposive sample of seven Tasmanian pharmacists. The interviews were recorded and transcribed, and two different methods were used to analyse the text. The first method utilised Leximancer® text analytics software to provide a birds-eye view of the conceptual structure of the text. The second method involved manual, open and axial coding, conducted independently by the two researchers for inter-rater reliability, to identify key themes in the discourse. ResultsTwo main themes were identified -'people' and 'supply' -from which six key concepts were derived. The six concepts were 'patients', 'pharmacists', 'local doctor', 'pharmacy operations', 'disaster management planning', and 'emergency supply regulation'. ConclusionThis study identified challenges faced by community pharmacists during Tasmanian bushfires. Interviewees highlighted the need for both the Tasmanian State Government and the Australian Federal Government to recognise the important primary care role that community pharmacists play during natural disasters, and therefore involve pharmacists in disaster management planning. They called for greater support and guidance for community pharmacists from regulatory and other government bodies during these events. Their comments highlighted the need for a review of Tasmania's 3-day emergency supply regulation that allows pharmacists to provide a three-day supply of a patient's medication without a doctor's prescription in an emergency situation.

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“…54,55 Over the 12 years of this longitudinal prospective study, drought was not associated with poorer mental health in mid-aged women in general, or in groups of potentially vulnerable women. The finding that, compared with men, women were at reduced relative risk of suicide during drought 13 suggests that rural women appear to be less affected by drought than rural men.…”

Section: Discussionmentioning

confidence: 99%

Lack of association between drought and mental health in a cohort of 45–61 year old rural Australian women

Powers

Dobson

Berry

et al. 2015

Australian and New Zealand Journal of Public Health

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Constraints and Barriers to Public Health Adaptation to Climate Change

Cited by 156 publications

References 83 publications

Coordination and health sector adaptation to climate change in the Vietnamese Mekong Delta

Coordination and health sector adaptation to climate change in the Vietnamese Mekong Delta

Burning questions: Exploring the impact of natural disasters on community pharmacies

Lack of association between drought and mental health in a cohort of 45–61 year old rural Australian women

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