Barriers and facilitators to state public health agency climate and health action: a qualitative assessment

Hartwell, Cat; Lovell, Sam; Hess, Jeremy; Dolan, Kathleen; Vickery, Jamie; Errett, Nicole A.

doi:10.1186/s12889-023-14996-2

Cited by 9 publications

(4 citation statements)

References 17 publications

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“…Malawi's food security depends on rainfed agriculture, which is mainly measured by corn availability (Hess, 2005). However, due to several factors like dry spells, floods, unreliable rainfall, land degradation, and an increase in the cost of farm inputs, productivity has remained very low (WFP, 2019).…”

Section: Methodsmentioning

confidence: 99%

Multidimensional evaluation of the impacts of agricultural interventions to achieve food security in Malawi

Chikafa,

Nejadhashemi,

Moller

et al. 2023

Food and Energy Security

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Malawi's food and nutrition security heavily relies on rainfed agricultural production, which is prone to the effects of climate change, such as floods and dry spells. To improve the situation, policies have been established as a guide to assist in the implementation of agricultural technologies in the country. This study aims to evaluate the effect of two national policies on addressing nutrition, economics, and food security by introducing modern/existing technologies in the Phalombe district in Malawi. To gain insight into the representative farm operations, financial, demographic, and consumption behaviors of smallholder farmers, the data were obtained through a combination of focus group discussions, expert opinions, and various published reports, including both government and nongovernment sources. The farm simulation model (FARMSIM) was utilized to analyze district‐level crop and livestock farm operations. In this study, four irrigation technologies (treadle pump system, motorized pump system, solar‐powered system, and river diversion irrigation system) were assessed among the agricultural interventions implemented in Malawi. Also, seven land uses (i.e., corn, onion, bean, rice, tomato, leafy vegetable, and cabbage) were developed and simulated under irrigation scenarios. The irrigation systems and land use scenarios were evaluated based on economics, productivity, nutrition, and risk. The treadle pump and leafy vegetable scenario were generally identified as the most preferred combination. In addition, the productivity and riskiness of the other scenarios can be improved by selecting the best combination of crop and irrigation systems. The study concludes that government and private investment in subsidies for large‐scale irrigation systems, as well as improvements to market prices and infrastructure, are necessary to boost food security and enhance the livelihood of smallholder farmers in rural Malawi.

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Section: Methodsmentioning

confidence: 99%

Multidimensional evaluation of the impacts of agricultural interventions to achieve food security in Malawi

Chikafa,

Nejadhashemi,

Moller

et al. 2023

Food and Energy Security

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show abstract

“…Further, recipients highlighted that BRACE was not tailored to their organization's resources and capacity, nor the level of government (i.e., state vs. local) in which they operate, limiting their effectiveness in implementing BRACE. Recipients also highlighted the need for additional practical guidance for each step, as well as other key components of climate and health adaptation, such as partnership development, authentic community engagement with appropriate funding support, communications, and navigating political contexts [51]. It is also recognized that the experiences of states, cities, and tribal partners may differ and that guidance specific to each is needed [28,37,51].…”

Section: Identified Gaps With Brace Frameworkmentioning

confidence: 99%

“…Recipients also highlighted the need for additional practical guidance for each step, as well as other key components of climate and health adaptation, such as partnership development, authentic community engagement with appropriate funding support, communications, and navigating political contexts [51]. It is also recognized that the experiences of states, cities, and tribal partners may differ and that guidance specific to each is needed [28,37,51].…”

Section: Identified Gaps With Brace Frameworkmentioning

confidence: 99%

“…In addition to a revision of the framework, the revised BRACE will include a new set of tools that will support the implementation of BRACE and meet the needs of a diverse set of users. Limited implementation guidance is a noted challenge of using BRACE [51]. Tools that support implementation of the revised BRACE will require careful attention to the complexities of implementing each step in a localized, multi-sectoral, collaborative context and provide practical guidance to implementers.…”

Section: Application To Diverse Settingsmentioning

confidence: 99%

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Reimagining the Role of Health Departments and Their Partners in Addressing Climate Change: Revising the Building Resilience against Climate Effects (BRACE) Framework

Lemon,

Joseph,

Williams

et al. 2023

IJERPH

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Public health departments have important roles to play in addressing the local health impacts of climate change, yet are often not well prepared to do so. The Climate and Health Program (CHP) at the Centers for Disease Control and Prevention (CDC) created the Building Resilience Against Climate Effects (BRACE) framework in 2012 as a five-step planning framework to support public health departments and their partners to respond to the health impacts of climate change. CHP has initiated a process to revise the framework to address learnings from a decade of experience with BRACE and advances in the science and practice of addressing climate and health. The aim of this manuscript is to describe the methodology for revising the BRACE framework and the expected outputs of this process. Development of the revised framework and associated guidance and tools will be guided by a multi-sector expert panel, and finalization will be informed by usability testing. Planned revisions to BRACE will (1) be consistent with the vision of Public Health 3.0 and position health departments as “chief health strategists” in their communities, who are responsible for facilitating the establishment and maintenance of cross-sector collaborations with community organizations, other partners, and other government agencies to address local climate impacts and prevent further harm to historically underserved communities; (2) place health equity as a central, guiding tenet; (3) incorporate greenhouse gas mitigation strategies, in addition to its previous focus on climate adaptation; and (4) feature a new set of tools to support BRACE implementation among a diverse set of users. The revised BRACE framework and the associated tools will support public health departments and their partners as they strive to prevent and reduce the negative health impacts of climate change for everyone, while focusing on improving health equity.

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Health-based strategies for overcoming barriers to climate change adaptation and mitigation

Kinney,

Ge,

Sampath

et al. 2023

Journal of Allergy and Clinical Immunology

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Barriers and facilitators to state public health agency climate and health action: a qualitative assessment

Cited by 9 publications

References 17 publications

Multidimensional evaluation of the impacts of agricultural interventions to achieve food security in Malawi

Multidimensional evaluation of the impacts of agricultural interventions to achieve food security in Malawi

Reimagining the Role of Health Departments and Their Partners in Addressing Climate Change: Revising the Building Resilience against Climate Effects (BRACE) Framework

Health-based strategies for overcoming barriers to climate change adaptation and mitigation

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