Evidence map›Paper›PMID 28632491›Full record

ArticleEnvironmental health perspectives2017

Lessons Learned on Health Adaptation to Climate Variability and Change: Experiences Across Low- and Middle-Income Countries.

Kristie L Ebi, Mariam Otmani Del Barrio

Abstract read
In one paragraph

Article in Environmental health perspectives, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. A Systems Understanding Underpins Actions at the Climate and Health Nexus.International journal of environmental research and public health · 2021
    Article
  7. Article
  8. Integrating Public Health into Climate Change Policy and Planning: State of Practice Update.International journal of environmental research and public health · 2019
    Review
  9. Assessing Health Vulnerabilities and Adaptation to Climate Change: A Review of International Progress.International journal of environmental research and public health · 2018
    Review
  10. Article
  11. Article
  12. Towards Improved Linkage of Disaster Risk Reduction and Climate Change Adaptation in Health: A Review.International journal of environmental research and public health · 2018
    Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Adaptation and resilience.Public health reviews
    Article
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  19. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Kristie L EbiDepartment of Global Health and Department of Environmental and Occupational Health Sciences, School of Public Health, University of Washington , Seattle, Washington, USA.
Mariam Otmani Del BarrioEvidence and Policy on Environmental Health Unit, Department of Public Health, Environmental and Social Determinants of Health, World Health Organization , Geneva, Switzerland.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundThere is limited published evidence of the effectiveness of adaptation in managing the health risks of climate variability and change in low- and middle-income countries.

objectivesTo document lessons learned and good practice examples from health adaptation pilot projects in low- and middle-income countries to facilitate assessing and overcoming barriers to implementation and to scaling up.

methodsWe evaluated project reports and related materials from the first five years of implementation (2008-2013) of multinational health adaptation projects in Albania, Barbados, Bhutan, China, Fiji, Jordan, Kazakhstan, Kenya, Kyrgyzstan, Philippines, Russian Federation, Tajikistan, and Uzbekistan. We also collected qualitative data through a focus group consultation and 19 key informant interviews.

resultsOur recommendations include that national health plans, policies, and budget processes need to explicitly incorporate the risks of current and projected climate variability and change. Increasing resilience is likely to be achieved through longer-term, multifaceted, and collaborative approaches, with supporting activities (and funding) for capacity building, communication, and institutionalized monitoring and evaluation. Projects should be encouraged to focus not just on shorter-term outputs to address climate variability, but also on establishing processes to address longer-term climate change challenges. Opportunities for capacity development should be created, identified, and reinforced.

conclusionsOur analyses highlight that, irrespective of resource constraints, ministries of health and other institutions working on climate-related health issues in low- and middle-income countries need to continue to prepare themselves to prevent additional health burdens in the context of a changing climate and socioeconomic development patterns. https://doi.org/10.1289/EHP405.

Indexed as

Adaptation, PhysiologicalAcclimatizationChinaClimate ChangeDeveloping CountriesHealth Status IndicatorsHumansKenyaPhilippinesRussiaSocioeconomic Factors

Identifiers

PMID28632491
PMCPMC5743455

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.