Exploring linkages between climate change and sexual health: a scoping review protocol

Logie, Carmen H.; Toccalino, Danielle; Reed, Anna Cooper; Malama, Kalonde; Newman, Peter A.; Weiser, Sheri D.; Harris, Orlando; Berry, Isha; Adedimeji, Adebola

doi:10.1136/bmjopen-2021-054720

Cited by 9 publications

(10 citation statements)

References 80 publications

(90 reference statements)

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“…Food security has been already been identified as a critical mechanism contributing to increased mobility of PLHIV and higher risk for other infections. 1,2 Food insecurity is known to contribute to increased HIV transmission and poorer health outcomes for PLHIV due to worsening immune impairment, increasing an individual’s vulnerability to diarrheal disease. 2,3 .…”

Section: Discussionmentioning

confidence: 99%

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Providing HIV Treatment during community-wide flooding: experiences of clients and Health Care Workers in Malawi

Mphande,

Paneno,

Robson

et al. 2024

Preprint

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Background In Malawi, community wide flooding, especially in high HIV burdened districts, continues to affect continuity of care and access to facilities. We explored the lived experiences of clients and healthcare workers (HCWs) to gain understanding of challenges and to propose interventions for improved ART care delivery. Methods Participants came six health facilities and surrounding communities impacted by flooding between Dec 2021-Apr 2022 in Chikwawa, Nsanje and Mulanje districts in Malawi. Facilities are supported by Partners in Hope, a local NGO and PEPFAR/USAID partner. We conducted In-depth interviews with (IDIs) ART clients identified through medical chart reviews and focus group discussions (FGDs) with HCWs. IDIs and FGDs were coded using inductive and deductive methods in Atlas.ti. Results We conducted IDIs with 23 respondents, of which, ten were women, ten experienced treatment interruption (>28 days without medication) and 17 relocated from their homes. The Six FGDs involved 37 HCWs. (21 ART providers; 16 lay cadre). In IDIs, most clients who relocated and lost livestock, possessions and ART medications. They travelling for income generation. Barriers to care included dangerous travel conditions, competing needs for time and fear of ill treatment at facilities. Some outreach clinics did not provide ART. Respondents were motivated to remain on care and motivators included fear of developing illnesses and HIV-status acceptance. All providers said that lack of standardized guidelines affected preparedness and response and they advocated for guidelines, stakeholder coordination and adequate resources. Most also reported personal physical exhaustion, damage to their own houses and property, and drug stock-outs. Documentation due to loss of registers was also mostly mentioned. Discussion Clients motivated to remain in care but face barriers and challenges. National flooding protocols, adequate resource planning and seasonal 6-month ART dispensing may improve ART outcomes.

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Section: Discussionmentioning

confidence: 99%

“…Geographical areas prone to extreme weather events also have the highest HIV prevalence. 1,2 Further, extreme weather events, such as flooding disproportionately affect vulnerable populations, including those most at risk of HIV 1 . Extreme weather events cause migration and affect access to health services 3 .…”

Section: Introductionmentioning

confidence: 99%

Providing HIV Treatment during community-wide flooding: experiences of clients and Health Care Workers in Malawi

Mphande,

Paneno,

Robson

et al. 2024

Preprint

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“…Protracted and acute variables of the climate crisis continue to change the public health landscape and outcomes ( 1 ). The specific linkages between HIV and the climate crisis are relatively understudied, primarily because the relationship between the two is largely indirect ( 2 ).…”

Section: Introductionmentioning

confidence: 99%

Exploring linkages: addressing the relationship between the climate crisis and HIV prevention with recommendations for emerging pre-exposure prophylaxis programs

Williams,

Olisa,

Wilcher

2024

Front. Reprod. Health

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Short- and long-term impacts of the climate crisis continue to be felt across the public health landscape. Many individuals marginalized by the climate crisis also navigate a higher likelihood of exposure to HIV. By understanding this relationship, we can better position HIV prevention, and pre-exposure prophylaxis (PrEP) programs specifically, to meet user needs in communities experiencing the effects of the climate crisis. In support, we propose four recommendations for mitigating the impact of the climate crisis on those who may benefit from PrEP: (1) leverage existing and emerging research and lived experience to intentionally target and appropriately reach individuals affected by the climate crisis who may need or want PrEP; (2) emphasize the need for more climate-resilient PrEP products within the research and development pipeline; (3) build a continued understanding of the role of the climate crisis-HIV relationship in product introduction through national collaboration; and (4) strengthen the integration of PrEP service delivery and response to intimate partner violence. The PrEP market is set for rapid expansion with the introduction of new prevention methods to enable choice. To be comprehensively responsive to potential PrEP users, we must consider and address how the climate crisis changes not only the environmental landscape, but the prevention ecosystem.

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“…Globally, research examining the impact climate change on women's health has documented increased risk of adverse pregnancy outcomes such as premature births, stillbirths, congenital birth defects, and miscarriages, 7–10 disruption in prenatal care, 11,12 limited access to contraceptives and abortion services, 13,14 poor mental health, 15,16 and malnutrition 17,18 . Nevertheless, how climate change impacts the reproductive health of women is still not well documented.…”

Section: Introductionmentioning

confidence: 99%

“…and miscarriages, [7][8][9][10] disruption in prenatal care, 11,12 limited access to contraceptives and abortion services, 13,14 poor mental health, 15,16 and malnutrition. 17,18 Nevertheless, how climate change impacts the reproductive health of women is still not well documented.…”

mentioning

confidence: 99%

Climate change vulnerability, and health of women and children: Evidence from India using district level data

Mahapatra

Chaudhuri

Saggurti

2022

Intl J Gynecology & Obste

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Objective To understand how climate change vulnerability is associated with women and children's health (WCH) at the district level in India. Methods The district‐specific climate change vulnerability index was mapped to the district level NFHS‐5 data (N = 674). Fractional regression and spatial analyses were performed to examine the strength of association and the presence of geographic clustering. Results Bivariate analysis revealed that the levels of WCH indicators were lower in districts with a high vulnerability index than in those with a low vulnerability index. Multivariable analyses suggested that with a 1% increase in the vulnerability index, the proportion of modern contraceptive use was reduced by 0.22, four or more prenatal care visits by 0.14, postnatal care by 0.11, and full immunization by 0.12; whereas wasting and underweight proportions increased by 0.07 and 0.10, respectively. The spatial analysis found that in about 70–118 districts, mostly in eastern India, where climate vulnerability was high the WCH outcomes were also poor. Conclusion There is a macro‐level association between climate change vulnerability and WCH, as districts that had high levels of climate change vulnerability also performed poorly in WCH. There is a need for an integrated approach that considers geography‐specific climate change threats to develop health programs.

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Exploring linkages between climate change and sexual health: a scoping review protocol

Cited by 9 publications

References 80 publications

Providing HIV Treatment during community-wide flooding: experiences of clients and Health Care Workers in Malawi

Providing HIV Treatment during community-wide flooding: experiences of clients and Health Care Workers in Malawi

Exploring linkages: addressing the relationship between the climate crisis and HIV prevention with recommendations for emerging pre-exposure prophylaxis programs

Climate change vulnerability, and health of women and children: Evidence from India using district level data

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