Evidence map›Paper›PMID 40520301›Full record

ReviewFrontiers in public health2025

The stifling burden of climate change on African public healthcare systems.

Jack Ogony, Judith Mangeni, George Ayodo, Esther Amulen, Florenc Scopas, Tusubila Juma, Michael Wagaba, Amos Deogratius Mwaka, Lena Nwanja, Sambila Princewill and 8 more

Abstract readReview
In one paragraph

Review in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

18 authors.

Jack Ogony *Department of Environmental Health and Disease Control, Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya.
Judith Mangeni *Department of Epidemiology and Biomedical Statistics, School of Public Health, Moi University, Eldoret, Kenya.
George AyodoDepartment of Public Health and Community Development, Jaramogi Oginga Odinga University of Science and Technology, Kisumu, Kenya.
Esther AmulenSchool of Public Health, Makerere University, Kampala, Uganda.
Florenc ScopasSchool of Public Health, Makerere University, Kampala, Uganda.
Tusubila JumaSchool of Public Health, Makerere University, Kampala, Uganda.
Michael WagabaSchool of Public Health, Makerere University, Kampala, Uganda.
Amos Deogratius MwakaDepartment of Internal Medicine, Faculty of Medicine, Gulu University, Gulu, Uganda.
Lena NwanjaDepartment of Environmental Science, University of Buea, Buea, Cameroon.
Sambila PrincewillDepartment of Environmental Science, University of Buea, Buea, Cameroon.
Ben OyugiDepartment of Public Health and Community Development, Jaramogi Oginga Odinga University of Science and Technology, Kisumu, Kenya.
Arthy YongoDepartment of Public Health and Community Development, Jaramogi Oginga Odinga University of Science and Technology, Kisumu, Kenya.
Sitraka RakotosolofoDepartment of Economics, University of Antananarivo, Antananarivo, Madagascar.
Alberto FrancioliDepartment of Geography and Environmental Studies, Stellenbosch University, Stellenbosch, South Africa.
Eunison MugamuDepartment of Geography and Environmental Studies, Stellenbosch University, Stellenbosch, South Africa.
Julia Davies *Arizona Institute for Resilience, The University of Arizona, Tucson, AZ, United States.
Simon KaranjaDepartment of Environmental Health and Disease Control, Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya.
Corrie Hannah *Arizona Institute for Resilience, The University of Arizona, Tucson, AZ, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Climate change is the greatest health threat of the 21st century to global health and primary health care. Despite being the least contributor to global greenhouse gas emissions, Africa is disproportionately facing severe impacts of climate change, particularly on its health systems which is already neglected and underfunded. The crisis poses a fundamental threat to human health by undermining healthcare infrastructure, straining workforce capacity, and diminishing global progress toward universal health coverage. It disrupts the physical environment, natural and human systems, and the functionality of healthcare systems, acting as a multiplier threat that jeopardizes and potentially reverses decades of health gains. The Sendai Framework, a roadmap for making vulnerable and marginalized communities safer and more resilient emphasizes the importance of investing in disaster risk prevention and reduction through both structural and non-structural measures, which are vital for enhancing socio-economic, health, and cultural resilience. This narrative review is based on the insights drawn from Climate Adaptation Research Program scholars across Africa. It explores the current and projected burden of climate change on the continent's healthcare systems. It underscores the urgent need to integrate climate resilience into healthcare planning, fostering cross-sectoral collaboration, and ensures the sustainability of health systems amid escalating climate challenges. Conclusion: The impacts of climate change on health represent a significant global challenge, demanding the establishment of robust and resilient healthcare systems. To mitigate the catastrophic and lasting effects of the climate crisis on healthcare and to prevent millions of climate-related deaths, it is essential to enhance resilience and preparedness.

Indexed as

Climate ChangeDelivery of Health CarePublic HealthAfricaHumansadaptationclimate changedisaster riskhealthcare systempreparednessresiliencevector-borne diseasesvulnerability

Identifiers

PMID40520301
PMCPMC12162508

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.