Primary health care and the climate crisis

Kadandale, Sowmya; Marten, Robert; Dalglish, Sarah L; Rajan, Dheepa; Hipgrave, David

doi:10.2471/blt.20.252882

Cited by 25 publications

(27 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This has been emphasized in the Astana declaration on PHC and included in the Global Sustainable Development Goals and universal health coverage [ 25 ]. Global-level policy and (low-income) country-level health plans should adopt the indicators of the PHC performance initiative framework [ 26 ] to better connect PHC with climate and migration health risks [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

“…Authors have identified opportunities for training and research for FPs and primary care providers to strengthen the resilience of communities and to influence policy and research priorities [ 18 , 30 ]. Such public health and emergency medicine functions are still scarce resources in most SSA health districts [ 19 ]. FPs as clinician scientists can also document climate change and migration impacts on health (services) [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

“…Finally, the voice of the PHC sector is a potentially impactful and yet neglected part of the environmental discourse [ 19 ]. As PHC providers such as CHWs, midwives, nurses, and FPs are highly trusted by local communities, they can sensitize national governments, private sector actors, and civil society on their responsibilities and raise public awareness on environmental issues [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

“…PHC is the entry point for the population’s interaction with the health system. It is crucial for strengthening national and community responses to climate change and migration [ 18 , 19 ]. Still, PHC providers are often absent in the debate on how to support and prevent health outcomes related to climate change and migration [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Family Physician Perceptions of Climate Change, Migration, Health, and Healthcare in Sub-Saharan Africa: An Exploratory Study

Scheerens

Bekaert

Ray

et al. 2021

IJERPH

View full text Add to dashboard Cite

Although family physicians (FPs) are community-oriented primary care generalists and should be the entry point for the population’s interaction with the health system, they are underrepresented in research on the climate change, migration, and health(care) nexus (hereafter referred to as the nexus). Similarly, FPs can provide valuable insights into building capacity through integrating health-determining sectors for climate-resilient and migration-inclusive health systems, especially in Sub-Saharan Africa (SSA). Here, we explore FPs’ perceptions on the nexus in SSA and on intersectoral capacity building. Three focus groups conducted during the 2019 WONCA-Africa conference in Uganda were transcribed verbatim and analyzed using an inductive thematic approach. Participants’ perceived interactions related to (1) migration and climate change, (2) migration for better health and healthcare, (3) health impacts of climate change and the role of healthcare, and (4) health impacts of migration and the role of healthcare were studied. We coined these complex and reinforcing interactions as continuous feedback loops intertwined with socio-economic, institutional, and demographic context. Participants identified five intersectoral capacity-building opportunities on micro, meso, macro, and supra (international) levels: multi-dimensional and multi-layered governance structures; improving FP training and primary healthcare working conditions; health advocacy in primary healthcare; collaboration between the health sector and civil society; and more responsibilities for high-income countries. This exploratory study presents a unique and novel perspective on the nexus in SSA which contributes to interdisciplinary research agendas and FP policy responses on national, regional, and global levels.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Family Physician Perceptions of Climate Change, Migration, Health, and Healthcare in Sub-Saharan Africa: An Exploratory Study

Scheerens

Bekaert

Ray

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…Researchers can help policymakers appreciate, anticipate and work to prevent the effects of climate change on human health and well-being. For example, most efforts to achieve primary health care (PHC) do not sufficiently consider the implications of the climate crisis ( Kadandale et al , 2020 ). There is a need to revise the discourse, policy and practice on efforts to achieve PHC, but also universal health coverage to include explicit consideration of climate change and its health effects.…”

mentioning

confidence: 99%

Climate change: an urgent priority for health policy and systems research

Marten

Yangchen

Campbell-Lendrum

et al. 2020

Health Policy and Planning

Self Cite

View full text Add to dashboard Cite

Climate change and resilience of the Senegalese health system in the face of the floods in Keur Massar

Diallo,

Ridde

2024

Health Planning & Management

View full text Add to dashboard Cite

This article is based on the observation that the affected populations perceive existing community‐based adaptation strategies to the health effects of floods differently. We explore the resilience of the local health system to climate change (CC) in Keur Massar (Senegal) using a monographic approach based on a qualitative survey of flooded households, health professionals, hygiene agents, community health actors, administrative and local authorities, agents from the Ministries of Health and Environment, and experts from the ecological and meteorological monitoring centre (n = 72). The effects of CC on health are modulated by financial, organisational, social and cultural factors. The effects of CC on health are modulated by traditionally praised by self‐centred health governance, which is often based on standardisation of problems and thus not sufficiently attuned to local contexts, especially the climate vulnerability index (CVI) of households and health structures. Despite the existence of programs to combat the consequences of CC, the notorious lack of exhaustive mapping of areas with a high CVI hinders the effective management of the health of the affected populations. A typology of forms of mobility in the context of flooding—ground floor to the upper floor, borrowing a room, renting a flat, seasonal residence—reveals inequalities in access to care as well as specific health needs management of vector‐borne diseases, discontinuity of maternal, newborn and child health care, and psychosocial assistance. The article outlines how a health territorialisation based on surveillance and response mechanisms can be co‐constructed and made sustainable in areas with a high CVI. Integrating this approach into national health policies allows for equity in health systems efficiently and sustainably.

show abstract

Primary health care and the climate crisis

Cited by 25 publications

References 11 publications

Family Physician Perceptions of Climate Change, Migration, Health, and Healthcare in Sub-Saharan Africa: An Exploratory Study

Family Physician Perceptions of Climate Change, Migration, Health, and Healthcare in Sub-Saharan Africa: An Exploratory Study

Climate change: an urgent priority for health policy and systems research

Climate change and resilience of the Senegalese health system in the face of the floods in Keur Massar

Contact Info

Product

Resources

About