Protecting pregnant women from extreme heat: A content analysis of heat health action plans

IF 4.5 1区 地球科学 Q1 GEOSCIENCES, MULTIDISCIPLINARY
Yohani Dalugoda , Dwan Vilcins , Darsy Darssan , Amie Steel , Dung Phung
{"title":"Protecting pregnant women from extreme heat: A content analysis of heat health action plans","authors":"Yohani Dalugoda ,&nbsp;Dwan Vilcins ,&nbsp;Darsy Darssan ,&nbsp;Amie Steel ,&nbsp;Dung Phung","doi":"10.1016/j.ijdrr.2025.105831","DOIUrl":null,"url":null,"abstract":"<div><div>Extreme heat exposure increases maternal vulnerability to adverse health outcomes. Heat Health Action Plans (HHAPs) are crucial to risk reduction and adaptive strategies for this vulnerable population. This study analyses the content of HHAPs to assess the extent to which they recognise pregnant women as a heat-vulnerable population, identify any maternal heat-health interventions, and develop recommendations to enhance HHAPs from a maternal health perspective. The grey literature search combined three strategies: 1) Google advanced searches for all HHAPs, 2) customised searches for country-specific HHAPs, and (3) targeted website searches for well-known HHAPs. The search included two phases: Phase 1 identified HHAPs published until August 2023; Phase 2 verified updates to the Phase 1 plans and identified newly released HHAPs from September 2023 to June 2025. Our analysis identified 36 HHAPs across thirteen countries that acknowledged the heightened vulnerability of pregnant women to extreme heat. Among these, 36 % (13/36) provided heat-health education interventions, 33 % (12/36) offered heat-risk communication interventions, 31 % (11/36) included support for health and social care and governance, while only 8 % (3/36) focused on indoor heat reduction for pregnant women. No plans included early warning systems, long-term plans or real-time surveillance targeting pregnant women. Our findings highlight the need to strengthen maternal health resilience in HHAPs through targeted communication, education, integrated health and social care, and indoor heat reduction strategies, along with governance frameworks for early warning systems, long-term heat-health interventions, and real-time surveillance.</div></div>","PeriodicalId":13915,"journal":{"name":"International journal of disaster risk reduction","volume":"130 ","pages":"Article 105831"},"PeriodicalIF":4.5000,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International journal of disaster risk reduction","FirstCategoryId":"89","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2212420925006557","RegionNum":1,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"GEOSCIENCES, MULTIDISCIPLINARY","Score":null,"Total":0}
引用次数: 0

Abstract

Extreme heat exposure increases maternal vulnerability to adverse health outcomes. Heat Health Action Plans (HHAPs) are crucial to risk reduction and adaptive strategies for this vulnerable population. This study analyses the content of HHAPs to assess the extent to which they recognise pregnant women as a heat-vulnerable population, identify any maternal heat-health interventions, and develop recommendations to enhance HHAPs from a maternal health perspective. The grey literature search combined three strategies: 1) Google advanced searches for all HHAPs, 2) customised searches for country-specific HHAPs, and (3) targeted website searches for well-known HHAPs. The search included two phases: Phase 1 identified HHAPs published until August 2023; Phase 2 verified updates to the Phase 1 plans and identified newly released HHAPs from September 2023 to June 2025. Our analysis identified 36 HHAPs across thirteen countries that acknowledged the heightened vulnerability of pregnant women to extreme heat. Among these, 36 % (13/36) provided heat-health education interventions, 33 % (12/36) offered heat-risk communication interventions, 31 % (11/36) included support for health and social care and governance, while only 8 % (3/36) focused on indoor heat reduction for pregnant women. No plans included early warning systems, long-term plans or real-time surveillance targeting pregnant women. Our findings highlight the need to strengthen maternal health resilience in HHAPs through targeted communication, education, integrated health and social care, and indoor heat reduction strategies, along with governance frameworks for early warning systems, long-term heat-health interventions, and real-time surveillance.
保护孕妇免受极端高温:热健康行动计划的内容分析
极端高温会增加产妇对不良健康结果的脆弱性。热健康行动计划(HHAPs)对于减少这一弱势群体的风险和制定适应性战略至关重要。本研究分析了卫生保健服务的内容,以评估它们在多大程度上认识到孕妇是易受热影响的人群,确定任何孕产妇热保健干预措施,并从孕产妇保健的角度提出建议,以加强卫生保健服务。灰色文献搜索结合了三种策略:1)谷歌高级搜索所有HHAPs, 2)定制搜索特定国家的HHAPs,以及(3)针对知名HHAPs的目标网站搜索。搜索包括两个阶段:第一阶段确定发布至2023年8月的HHAPs;第二阶段验证了第一阶段计划的更新,并确定了2023年9月至2025年6月期间新发布的hhap。我们的分析确定了13个国家的36个haps,这些haps承认孕妇对极端高温的脆弱性增加。其中,36%(13/36)提供热健康教育干预措施,33%(12/36)提供热风险沟通干预措施,31%(11/36)包括对健康和社会护理及治理的支持,而只有8%(3/36)侧重于孕妇的室内减热。没有一个计划包括早期预警系统、长期计划或针对孕妇的实时监控。我们的研究结果强调,需要通过有针对性的沟通、教育、综合卫生和社会护理、室内减热战略,以及早期预警系统、长期热健康干预和实时监测的治理框架,加强卫生保健机构的孕产妇健康复原力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
International journal of disaster risk reduction
International journal of disaster risk reduction GEOSCIENCES, MULTIDISCIPLINARYMETEOROLOGY-METEOROLOGY & ATMOSPHERIC SCIENCES
CiteScore
8.70
自引率
18.00%
发文量
688
审稿时长
79 days
期刊介绍: The International Journal of Disaster Risk Reduction (IJDRR) is the journal for researchers, policymakers and practitioners across diverse disciplines: earth sciences and their implications; environmental sciences; engineering; urban studies; geography; and the social sciences. IJDRR publishes fundamental and applied research, critical reviews, policy papers and case studies with a particular focus on multi-disciplinary research that aims to reduce the impact of natural, technological, social and intentional disasters. IJDRR stimulates exchange of ideas and knowledge transfer on disaster research, mitigation, adaptation, prevention and risk reduction at all geographical scales: local, national and international. Key topics:- -multifaceted disaster and cascading disasters -the development of disaster risk reduction strategies and techniques -discussion and development of effective warning and educational systems for risk management at all levels -disasters associated with climate change -vulnerability analysis and vulnerability trends -emerging risks -resilience against disasters. The journal particularly encourages papers that approach risk from a multi-disciplinary perspective.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信