Evidence map›Paper›PMID 42240349›Full record

ArticleAfrican journal of primary health care & family medicine2026

How to build the climate resilience and environmental sustainability of your facility and services.

Robert J Mash, Patricia N Schwerdtle

Abstract read
In one paragraph

Article in African journal of primary health care & family medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Robert J MashDivision of Family Medicine and Primary Care, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town. rm@sun.ac.za.
Patricia N Schwerdtle

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

African district-level health facilities and services face many interconnected challenges including infectious disease outbreaks, conflict and insecurity, fiscal austerity, population displacement and climate-related hazards such as heat, flooding and drought. Emergency preparedness and disaster risk reduction plans have often not included the challenges from climate hazards. In this article, we outline six practical steps that a facility can take to assess its vulnerabilities, capacities and climate-related risks, and develop a plan to improve climate resilience and environmental sustainability: (1) a desktop review of the facility and services; (2) contextualisation and planning; (3) an audit of the facility; (4) a focus group discussion; (5) integration and analysis; (6) creation of an action plan. Environmental sustainability needs to be considered simultaneously with climate resilience as the key domains are the same (workforce; energy; water, waste and sanitation; infrastructure and equipment). In addition, the article outlines how to perform a carbon footprint and integrate the findings into one action plan for the facility. The article provides a practical roadmap for evaluating and improving the climate resilience and environmental sustainability of primary care or primary hospital facilities, and readers can access the referenced resources if they need additional details and support.

Indexed as

Climate ChangeDisaster PlanningHealth FacilitiesPrimary Health CareAfricaCarbon FootprintPublic Health Infrastructurecarbon footprintclimate resiliencedistrict hospitalsenvironmental sustainabilityprimary care

Identifiers

PMID42240349
PMCPMC13247668

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.