2018
DOI: 10.3390/ijerph15091943
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Monitoring and Evaluation Indicators for Climate Change-Related Health Impacts, Risks, Adaptation, and Resilience

Abstract: Climate change poses a range of current and future health risks that health professionals need to understand, track, and manage. However, conventional monitoring and evaluation (M&E) as practiced in the health sector, including the use of indicators, does not adequately serve this purpose. Improved indicators are needed in three broad categories: (1) vulnerability and exposure to climate-related hazards; (2) current impacts and projected risks; and (3) adaptation processes and health system resilience. These i… Show more

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Cited by 70 publications
(68 citation statements)
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“…Therefore, adaptation processes occur at different time scales. While the fastest are seen within one single season [16] other responses show mortality displacement across seasons [28,29] or might even take years [30].…”
Section: Discussionmentioning
confidence: 99%
“…Therefore, adaptation processes occur at different time scales. While the fastest are seen within one single season [16] other responses show mortality displacement across seasons [28,29] or might even take years [30].…”
Section: Discussionmentioning
confidence: 99%
“…Health authorities are increasingly responding to that need by taking preventive actions to build climate-resilient health systems (e.g., assessments, global conferences, research studies, partnership building) and the development of decision-support tools to support adaptation (e.g., health facility resiliency tools) [ 11 ]. Health authorities also are beginning to monitor progress towards resilience [ 48 ]. Climate change and health stress tests build upon these efforts, exploring the extent to which each component of health systems is prepared to manage increases in climate-related shocks and stresses in the context of other challenges—a key indicator of resilience.…”
Section: Discussionmentioning
confidence: 99%
“…Existing monitoring and evaluation techniques as practiced in the health sector today do not adequately serve the purposes required by the proposed Health Crisis Manager. Improved indicators are needed in: (1) vulnerability and exposure to climate-related hazards; (2) current impacts and projected risks; and (3) adaptation processes and health system resilience, and an evidence-based approach requiring systematic, coordinated efforts among various stakeholders (Hess et al 2014;Ebi et al 2018). My listing of some of the responsibilities of a proposed health crisis manager is meant to shock the consciousness of current disaster planners, and emphasize why and how climate change poses a wide range of current and future health risks and professional tasks that health professionals need to understand, track, and manage within a broader multidisciplinary framework.…”
Section: Climate Change/extremesmentioning
confidence: 99%