SynthesisBMC public health2025
Disaster preparedness of health systems in LMICs in the face of climate change: a systematic mapping review of vulnerabilities and response strategies.
Synthesis in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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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.
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.
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Who cites it
3 citing papers in PubMed.
- Emergency and disaster preparedness in the zonal hospitals in the Somali Regional State, Ethiopia: a cross-sectional study.Research in health services & regions · 2026Article
- Mapping the impacts of climate change on prehospital emergency medical services: protocol for a scoping review.BMJ open · 2026Article
- Applying a climate lens framework to the World Health Organization's maternal and perinatal intervention recommendations.Pregnancy (Hoboken, N.J.) · 2026Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundClimate change has intensified the frequency and severity of natural disasters, disproportionately impacting health systems in low-and middle-income countries (LMICs) that face unique vulnerabilities due to limited infrastructure, workforce shortages, and constrained resources. This systematic mapping review examined disaster preparedness within LMICs' health systems and identified common components of disaster preparedness, existing gaps, and adaptive strategies aimed at improving preparedness.
methodsA systematic search of PubMed, Embase, CINAHL, and Web of Science was conducted in March 2025, following PRISMA guidelines. Empirical studies published in English that addressed climate-related disaster preparedness in LMIC health systems were included. Data extraction was performed using a structured template, and methodological quality was assessed using the Mixed Methods Appraisal Tool. A narrative synthesis was used to identify key themes.
resultsOf 518 records screened, 20 studies met the inclusion criteria. Study populations included health systems, healthcare workers, hospital administrators, disaster responders, and affected patients. Natural disasters examined included floods, earthquakes, droughts, cyclones, and landslides. Common preparedness components included workforce training, infrastructure capacity, stock and supply readiness, communication systems, and coordination and partnership. While some systems demonstrated adaptive strategies such as backup resources and coordination protocols, most faced persistent gaps in training, policy implementation, and system resilience. The findings indicate that enhancing resilience in LMICs requires investment in human capital, robust infrastructure, and coordinated emergency protocols.
conclusionThe findings underscore that strengthening disaster preparedness in LMICs' health systems requires targeted investments in workforce development, infrastructure resilience, and cross-sector collaboration. These efforts are critical for building climate-resilient health systems capable of withstanding future emergencies.
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Registered trials
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.