ArticleThe journal of climate change and health
Enablers and barriers for climate resilient health systems: Lessons from a qualitative study in Nepal.
Article in The journal of climate change and health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Climate change poses escalating threats to health systems, particularly in low-resource settings like Nepal, where extreme weather events and chronic stressors challenge service delivery. Despite Nepal's high vulnerability, little is known about the enablers and barriers that underpin its health system's resilience to climate change. Methods: We conducted a qualitative study using semi-structured interviews with 26 key informants across Nepal's health system, including government officials, researchers, provincial workers and non-governmental organization (NGO) representatives. The World Health Organization Operational Framework for Building Climate-Resilient and Low-Carbon Health Systems guided thematic analysis to identify "enablers" - that is, facilitating factors - and barriers. Results: Barriers significantly outweighed enablers. Enablers were sparse and largely not climate-specific. Notable climate-specific enablers included improved early warning systems and a Ministry of Health climate change focal point. Barriers included policymakers' limited climate literacy and prioritization; poor policy implementation; lack of managerial capacity and climate-health expertise; and inadequate infrastructure. Most enablers and barriers originated at governmental and health system levels. Conclusion: This study offers rare, empirically grounded insights into the factors that shape climate resilience of health systems in low-income settings such as Nepal, where climate change amplifies entrenched leadership, governance and capacity deficits. Strengthening everyday resilience, political will to tackle climate change and health challenges, and embedding climate considerations into health policy, workforce and infrastructure are critical. These are constructive insights not only for the federalizing Nepal health system but for global health systems confronting the dual challenges of climate change and systemic fragility, underscoring the urgent need for strong, clear leadership and governance.
Indexed as
Identifiers
What OpenQuestion holds
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.