A systematic review of adaptation practices to promote health resilience in response to climate change

IF 4.7 2区环境科学与生态学 Q2 ENVIRONMENTAL SCIENCES

Environmental Development Pub Date : 2025-02-07 DOI:10.1016/j.envdev.2025.101166

Babul Hossain

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Abstract

Climate change represents substantial global health challenges, especially in precarious areas where the frequency and magnitude of extreme weather events and environmental changes are rapidly deteriorating the public health systems. This systematic literature review qualitatively examines adaptation practices designed to boost health resilience in response to climate change by synthesizing 16 peer-reviewed articles published between 2004 and 2023 following the PRISMA guidelines. Four key adaptation themes emerged through thematic analysis: traditional and local knowledge, social and community practices, technological practices, and organizational practices, with each theme including four sub-themes. This review reveals that traditional knowledge systems, particularly those within indigenous and rural communities, have an important role in tackling health vulnerabilities in settings with limited cutting-edge healthcare. Social and community-based responses are fundamental for sharing the risk of these rapid events among communities. At the same time, technological interventions like telemedicine, early warning systems, and health information systems provide essential tools to deal with acute health risks. It is crucial to secure the scaling-up of adaptation and continuity of the health systems withstanding climate change through organizational practices such as policy-making, capacity development, and intersectoral collaboration. These results highlight the importance of undertaking an inclusive approach toward the integration of traditional and modern healthcare systems, monitoring community involvement as well as utilizing technological solutions that could optimize health services. This review accordingly presents a holistic guide for guiding the attention of policy-makers, practitioners, and researchers on enhancing adaptive capacities to respond to climate change and ensure public health protection.

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系统审查促进健康复原力以应对气候变化的适应做法

气候变化构成了重大的全球卫生挑战，特别是在极端天气事件的频率和规模以及环境变化正在迅速恶化公共卫生系统的不稳定地区。本系统文献综述通过综合2004年至2023年间根据PRISMA指南发表的16篇同行评议文章，定性地考察了旨在提高健康复原力以应对气候变化的适应实践。通过专题分析，出现了四个关键的适应主题：传统和地方知识、社会和社区实践、技术实践和组织实践，每个主题还包括四个副主题。这一综述表明，传统知识系统，特别是土著和农村社区的传统知识系统，在解决尖端卫生保健有限的环境中的卫生脆弱性方面具有重要作用。社会和基于社区的应对措施对于在社区之间分担这些快速事件的风险至关重要。与此同时，远程医疗、早期预警系统和卫生信息系统等技术干预措施为应对急性健康风险提供了基本工具。至关重要的是，通过制定政策、能力发展和部门间合作等组织做法，确保卫生系统适应气候变化的能力和连续性得到加强。这些结果突出了采取包容性方法整合传统和现代卫生保健系统、监测社区参与以及利用可优化卫生服务的技术解决方案的重要性。因此，这篇综述为政策制定者、从业者和研究人员提供了一个整体指南，指导他们关注如何提高应对气候变化的适应能力，并确保公众健康得到保护。

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来源期刊

Environmental Development Social Sciences-Geography, Planning and Development

CiteScore

8.40

自引率

1.90%

发文量

审稿时长

74 days

期刊介绍： Environmental Development provides a future oriented, pro-active, authoritative source of information and learning for researchers, postgraduate students, policymakers, and managers, and bridges the gap between fundamental research and the application in management and policy practices. It stimulates the exchange and coupling of traditional scientific knowledge on the environment, with the experiential knowledge among decision makers and other stakeholders and also connects natural sciences and social and behavioral sciences. Environmental Development includes and promotes scientific work from the non-western world, and also strengthens the collaboration between the developed and developing world. Further it links environmental research to broader issues of economic and social-cultural developments, and is intended to shorten the delays between research and publication, while ensuring thorough peer review. Environmental Development also creates a forum for transnational communication, discussion and global action. Environmental Development is open to a broad range of disciplines and authors. The journal welcomes, in particular, contributions from a younger generation of researchers, and papers expanding the frontiers of environmental sciences, pointing at new directions and innovative answers. All submissions to Environmental Development are reviewed using the general criteria of quality, originality, precision, importance of topic and insights, clarity of exposition, which are in keeping with the journal''s aims and scope.