This paper reviews the practice and research trends in disaster resilience and disaster risk reduction literature since 2012. It applies the rapid appraisal methodology to explore developments in the field and to identify key themes in research and practice. In particular, the paper examines how the emerging themes of disaster risk reduction from the Sendai Framework are being integrated into health risk management and disaster governance paradigms. The research findings identify three important emerging themes: socialization of responsibility for resilience; ongoing interest in risk management with an emphasis on public private partnerships as enabling mechanisms; and a nuanced exploration of the concept of adaptive resilience.

BackgroundMalaria is one of the key research concerns in climate change-health relationships. Numerous risk assessments and modelling studies provide evidence that the transmission range of malaria will expand with rising temperatures, adversely impacting on vulnerable communities in the East African highlands. While there exist multiple lines of evidence for the influence of climate change on malaria transmission, there is insufficient understanding of the complex and interdependent factors that determine the risk and vulnerability of human populations at the community level. Moreover, existing studies have had limited focus on the nature of the impacts on vulnerable communities or how well they are prepared to cope. In order to address these gaps, a systems approach was used to present an integrated risk and vulnerability assessment framework for studies of community level risk and vulnerability to malaria due to climate change.ResultsDrawing upon published literature on existing frameworks, a systems approach was applied to characterize the factors influencing the interactions between climate change and malaria transmission. This involved structural analysis to determine influential, relay, dependent and autonomous variables in order to construct a detailed causal loop conceptual model that illustrates the relationships among key variables. An integrated assessment framework that considers indicators of both biophysical and social vulnerability was proposed based on the conceptual model.ConclusionsA major conclusion was that this integrated assessment framework can be implemented using Bayesian Belief Networks, and applied at a community level using both quantitative and qualitative methods with stakeholder engagement. The approach enables a robust assessment of community level risk and vulnerability to malaria, along with contextually relevant and targeted adaptation strategies for dealing with malaria transmission that incorporate both scientific and community perspectives.

Climate change has been linked to increasing rates of malaria infection in Western Kenya. Projections show an increased risk of malaria infection under climate change scenarios, impacting vulnerable populations and placing millions of people at risk. Developing suitable risk management strategies requires understanding the hazard, exposure, vulnerability and response to climate change and malaria risk in the context of other local environmental, socio-economic and socio-cultural factors (including gender) that influence exposure, vulnerability and capacity to cope. This paper draws upon two analytical frameworks, using data gathered from focus group discussions with small-scale farmers in Western Kenya: The Intergovernmental Panel on Climate Change (IPCC) Risk Assessment Framework; and Feminist Political Ecology (FPE) to analyze social constructions underpinning farming responsibilities and decision-making power and how these influence the gendered dimensions of exposure, vulnerability and response to climate change and malaria risk in the community. This paper finds that gender influences the risk of malaria through feminization of agricultural activities in the region, socially constructed gendered responsibilities for care and farm work, which increases exposure and vulnerability to mosquito bites and malaria infection, and socially constructed rights of women to make farming decisions and manage farm income, which influences their capacity to manage risk and cope in the long term. Drawing on these findings, this paper proposes that an intersectional gender lens needs to be incorporated into climate and malaria adaptation policy and programming. It concludes with recommendations for implementing the UNFCCC Enhanced Lima Work Program on Gender at the country levels and the development of gender-responsive climate change and malaria risk management.

This chapter focuses on the interrelationships between land dispossession, climate variability, and the health and well-being of displaced senior women involved in care responsibilities for their offspring and grandchildren in Kenya. The chapter is divided into two sections: the first describes the history of the land tenure system in Kenya from the colonial to the post-independence eras, which exacerbated the land dispossession problem through forced evictions and displacement. Analyzing these historical processes is essential to addressing the causes of land injustice in Kenya, as well as to illustrating how these injustices continue to affect the health and well-being of senior women, which is the focus in the second section. Understanding these issues is important in tackling deprivations and vulnerability that women and children face, and for addressing deeper root causes of poverty.