A story of (in)coherence: climate adaptation for health in South African policies.

IF 2.9 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Amanda V Quintana, Susannah H Mayhew, Sari Kovats, Lucy Gilson
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Abstract

Climate adaptation strengthens and builds the resilience of health systems to future climate-related shocks. Adaptation strategies and policies are necessary tools for governments to address the long-term impacts of climate change and enable the health system to respond to current impacts such as extreme weather events. Since 2011 South Africa has national climate change policies and adaptation strategies, yet there is uncertainty about: how these policies and plans are executed; the extent to which health policies include adaptation; and the extent of policy coherence across sectors and governance levels. A policy document analysis was conducted to examine how South African climate change, development and health policy documents reflect the health adaptation response across national and Western Cape levels and to assess the extent of coherence across key health and environment sector policy documents, including elements to respond to health-related climate risks, that can support implementation. Our findings show that overall there is incoherence in South African climate adaptation within health policy documents. Although health adaptation measures are somewhat coherent in national level policies, there is limited coherence within Western Cape provincial level documents and limited discussion on climate adaptation, especially for health. Policies reflect formal decisions and should guide decision-makers and resourcing, and sectoral policies should move beyond mere acknowledgement of adaptation responses to a tailored plan of actions that are institutionalized and location and sector specific. Activities beyond documents also impact the coherence and implementation of climate adaptation for health in South Africa. Clear climate risk-specific documents for the health sector would provide a stronger plan to support the implementation of health adaptation and contribute to building health system's resilience.

一个(不)连贯的故事:南非健康政策中的气候适应。
气候适应可加强和建设卫生系统应对未来气候相关冲击的复原力。适应战略和政策是政府应对气候变化长期影响的必要工具,并使卫生系统能够应对极端天气事件等当前影响。自 2011 年以来,南非已制定了国家气候变化政策和适应战略,但在以下方面仍存在不确定性:这些政策和计划是如何执行的;卫生政策在多大程度上包含了适应内容;以及各部门和治理层面的政策一致性程度。我们对政策文件进行了分析,以研究南非的气候变化、发展和卫生政策文件如何在国家和西开普省层面反映卫生适应对策,并评估主要卫生和环境部门政策文件的一致性程度,包括应对与卫生相关的气候风险的要素,以支持政策的实施。我们的研究结果表明,总体而言,南非卫生政策文件中的气候适应措施并不一致。虽然在国家层面的政策中,健康适应措施具有一定的连贯性,但在西开普省层面的文件中,连贯性有限,对气候适应的讨论也很有限,尤其是在健康方面。政策反映了正式决定,应为决策者和资源提供指导,部门政策也应超越仅仅承认适应对策的范围,而应制定制度化、针对具体地点和部门的有针对性的行动计划。文件之外的活动也会影响南非卫生领域气候适应的一致性和实施。针对卫生部门的明确气候风险文件将提供更有力的计划,以支持卫生适应的实施,并促进卫生系统复原力的建设。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health policy and planning
Health policy and planning 医学-卫生保健
CiteScore
6.00
自引率
3.10%
发文量
98
审稿时长
6 months
期刊介绍: Health Policy and Planning publishes health policy and systems research focusing on low- and middle-income countries. Our journal provides an international forum for publishing original and high-quality research that addresses questions pertinent to policy-makers, public health researchers and practitioners. Health Policy and Planning is published 10 times a year.
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