Developing Health-Related Indicators of Climate Change: Australian Stakeholder Perspectives

Navi, Maryam; Hansen, Alana; Nitschke, Monika; Hanson-Easey, Scott; Pisaniello, Dino

doi:10.3390/ijerph14050552

Cited by 11 publications

(5 citation statements)

References 38 publications

(56 reference statements)

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“…A good indicator should be based on a credible link between public health and climate change, should be sensitive to changes in the climate, and less sensitive to non-climate explanations, its data should be available and reproducible across temporal and geographical scales, and the indicator should provide actionable informa tion to guide policy in a timely manner. 8 The Lancet Countdown has adopted an iterative and open approach to the development of indicators of the links between climate change and public health. The Lancet Countdown's 2016 report 9 launched a global consultation, seeking input on what can and should be tracked, with a final set of indicators presented in its 2017 report.…”

Section: A Global Monitoring System For Health and Climate Changementioning

confidence: 99%

The 2018 report of the Lancet Countdown on health and climate change: shaping the health of nations for centuries to come

et al. 2018

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Decreasing labour productivity, increased capacity for the transmission of diseases such as dengue fever, malaria, and cholera, and threats to food security provide early warning of compounding negative health and nutrition effects if temperatures continue to rise. Adaptation, planning, and resilience for health Global inertia in adapting to climate change persists, with a mixed response from national governments since the signing of the Paris Agreement in 2015. More than half of global cities surveyed expect climate change to seriously compromise public health infrastructure, either directly, with extremes of weather disrupting crucial services, or indirectly, through the overwhelming of existing services with increased burdens of disease (indicator 2.2). Globally, spending for climate change adaptation remains well below the $100 billion per year commitment made under the Paris Agreement. Within this annual spending, only 3•8% of total development spending committed through formal UN Framework Convention on Climate Change (UNFCCC) mechanisms is dedicated to human health (indicator 2.8). This low investment in Panel 1: Progress towards the recommendations of the 2015 Lancet Commission on health and climate change In 2015, the Lancet Commission made ten policy recommendations. Of these ten recommendations, the Lancet Countdown is measuring progress on the following: Recommendation 1: invest in climate change and public health research Since 2007, the number of published articles on health and climate change in scientific journals has increased by 182% (indicator 5.2). Recommendation 2: scale up financing for climate-resilient health systems Spending on direct health adaptation as a proportion of total adaptation spending increased in 2017 to 4•8% (£11•68 billion), which is an increase in absolute and relative terms from the previous year (indicator 2.7). Health-related adaptation spending (including disaster response and food and agriculture) was estimated at 15•2% of total adaptation spend. Although this national-level spending is increasing, climate financing for mitigation and adaptation remains well below the US$100 billion per year committed in the Paris Agreement (indicator 2.8). Recommendation 3: phase out coal-fired power Coal consumption remains high, but continued to decline in 2017, a trend which is largely driven by China's decreased reliance and continued investment in renewable energy (indicators 3.2 and 3.3). The Powering Past Coal Alliance (an alliance of 23 countries including the UK, Italy, Canada, and France) was launched at the 23rd Conference of the Parties to the UN Framework Convention on Climate Change (UNFCCC) in December, 2017 (COP23), committing to phase out coal use by 2030 or earlier. Recommendation 4: encourage city-level low-carbon transition to reduce urban pollution In 2017, a new milestone was reached, with more than 2 million electric vehicles on the road, and with global per-capita electricity consumption for road transport increasing by 13% from 2013 to 2015 (indicator 3.6). C...

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Section: A Global Monitoring System For Health and Climate Changementioning

confidence: 99%

The 2018 report of the Lancet Countdown on health and climate change: shaping the health of nations for centuries to come

et al. 2018

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“…Indicators, where they exist, can also inform us whether institutions are meeting accreditation requirements for education for sustainable healthcare. Targets and indicators are best refined in consultation with the community of practice (Navi et al 2017). There is thus a need for engagement of the health professional community to use existing indicators but also develop new robust indicators to measure and monitor progress.…”

Section: Proposed Indicators For Education For Sustainable Healthcarementioning

confidence: 99%

AMEE Consensus Statement: Planetary health and education for sustainable healthcare

et al. 2021

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The purpose of this Consensus Statement is to provide a global, collaborative, representative and inclusive vision for educating an interprofessional healthcare workforce that can deliver sustainable healthcare and promote planetary health. It is intended to inform national and global accreditation standards, planning and action at the institutional level as well as highlight the role of individuals in transforming health professions education. Many countries have agreed to 'rapid, far-reaching and unprecedented changes' to reduce greenhouse gas emissions by 45% within 10 years and achieve carbon neutrality by 2050, including in healthcare. Currently, however, health professions graduates are not prepared for their roles in achieving these changes. Thus, to reduce emissions and meet the 2030 Sustainable Development Goals (SDGs), health professions education must equip undergraduates, and those already qualified, with the knowledge, skills, values, competence and confidence they need to sustainably promote the health, human rights and well-being of current and future generations, while protecting the health of the planet. The current imperative for action on environmental issues such as climate change requires health professionals to mobilize politically as they have before, becoming strong advocates for major environmental, social and economic change. A truly ethical relationship with people and the planet that we inhabit so precariously, and to guarantee a future for the generations which follow, demands nothing less of all health professionals. This Consensus Statement outlines the changes required in health professions education, approaches to achieve these changes and a timeline for action linked to the internationally agreed SDGs. It represents the collective vision of health professionals, educators and students from various health professions, geographic locations and cultures. 'Consensus' implies broad agreement amongst all individuals engaged in discussion on a specific issue, which in this instance, is agreement by all signatories of this Statement developed under the auspices of the Association for Medical Education in Europe (AMEE). To ensure a shared understanding and to accurately convey information, we outline key terms in a glossary which accompanies this Consensus Statement (Supplementary Appendix 1). We acknowledge, however, that terms evolve and that different terms resonate variably depending on factors such as setting and audience. We define education for sustainable healthcare as the process of equipping current and

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“…Developing an indicator requires clarity on its purpose, use, and users. Identifying stakeholders and involving them in development helps to meet their needs, allowing potential barriers to implementation to be described (Navi et al 2017).…”

Section: Use Of Indicators To Inform Change In Hpementioning

confidence: 99%

“…Engaging people is also essential and results can provide a tool for communication to promote discussion. By reflecting the adequacy of its response back to the sector, an indicator can create an informed appetite for change (Navi et al 2017). Comprehensive stakeholder engagement in the original development of indicators and agreed ways of collecting and communicating the data are ways to achieve engagement.…”

Section: Sustainable Development Goals (Sdg) Indicator Frameworkmentioning

confidence: 99%

Why use indicators to measure and monitor the inclusion of climate change and environmental sustainability in health professions’ education?

et al. 2020

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Currently, health professionals are inadequately prepared to meet the challenges that climate change and environmental degradation pose to health systems. Health professions' education (HPE) has an ethical responsibility to address this and must include the health effects of climate change and environmental sustainability across all curricula. As there is a narrow, closing window in which to take action to avoid the worst health outcomes from climate change, urgent, systematic, system-level change is required by the education sector. Measuring, monitoring, and reporting activity using indicators have been demonstrated to support change by providing a focus for action. A review of the literature on the use of indicators in medical education for climate change and health, however, yielded no publications. The framework of targets and indicators developed for implementation of the Sustainable Development Goals (SDGs) by 2030 and the UNESCO initiative of the Education for Sustainable Development provide a guide for the development of indicators for HPE. Engaging stakeholders and achieving consensus on an approach to indicator development is essential and, where they exist, accreditation standards may have a supporting role. Creating capacity for environmentally sustainable health care at scale and pace should be our collective goal as health professions' educators.

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Developing Health-Related Indicators of Climate Change: Australian Stakeholder Perspectives

Cited by 11 publications

References 38 publications

The 2018 report of the Lancet Countdown on health and climate change: shaping the health of nations for centuries to come

The 2018 report of the Lancet Countdown on health and climate change: shaping the health of nations for centuries to come

AMEE Consensus Statement: Planetary health and education for sustainable healthcare

Why use indicators to measure and monitor the inclusion of climate change and environmental sustainability in health professions’ education?

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