Evidence map›Paper›PMID 41856671›Full record

SynthesisBMJ paediatrics open2026

Systematic review of climate change interventions for improving child health.

Jhermayne Ubalde, Corey Bradshaw, Syeda Hira Fatima, Peter Le Souëf, Melinda Judge

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ paediatrics open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

5 authors.

Jhermayne UbaldeSchool of Biomedical Sciences, The University of Western Australia, Perth, Western Australia, Australia ubalde.jhermayne@gmail.com.ORCID http://orcid.org/0009-0007-1626-187X
Corey BradshawCollege of Science and Engineering, Flinders University, Adelaide, South Australia, Australia.
Syeda Hira FatimaCollege of Science and Engineering, Flinders University, Adelaide, South Australia, Australia.
Peter Le SouëfWal-Yan Respiratory Research Centre, The Kids Research Institute Australia, Perth, Western Australia, Australia.
Melinda JudgeWal-Yan Respiratory Research Centre, The Kids Research Institute Australia, Perth, Western Australia, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildren are disproportionately affected by the negative health effects of climate change. We did a systematic review to synthesise the available evidence on tested interventions to improve child health in response to the impacts of climate change.

methodsWe searched

resultsOf 4381 records we identified, 52 met the eligibility criteria. Interventions addressed health outcomes relating to: (1) heat (n=14), (2) water, sanitation and hygiene (n=3), (3) food insecurity and undernutrition (n=4), (4) disasters and extreme weather (n=6), (5) respiratory illness (n=3), (6) mental health (n=2) and (7) vector-borne diseases (n=5). 15 studies examined the co-benefits of mitigation on child health outcomes. Maternity ward relocation and high school sport guidelines reduced heat-related morbidity. Cash transfers to pregnant women, rainwater collection and access to green spaces reduced the incidence of low birth weight. Household-level livelihood diversification reduced the incidence of being underweight during childhood. Retrofitting buildings with insulation and administering pneumococcal conjugate vaccines improved respiratory outcomes. Insecticide-treated nets, indoor residual spraying and artemisinin-based combination therapy reduced malaria complications. Classroom-based sessions related to climate change and post-bushfire counselling increased mental well-being, knowledge of climate risks and adaptive behaviours. Reports of mitigation policies found co-benefits in improving infant mortality, and respiratory and adverse birth outcomes.

conclusionsCurrent evidence reporting which interventions are successful is scarce, heterogenous and of inconsistent quality. More robust scientific demonstrations of effectiveness are needed for interventions within climate change policies to ensure they improve child health.

Indexed as

Child HealthClimate ChangeChildEvidence GapsFood SupplyHumansHygieneSanitationAdolescent HealthChild HealthHealth PolicyInfant

Identifiers

PMID41856671
PMCPMC13007085

What OpenQuestion holds

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LicenceCC BY-NC
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.