Because the health risks of climate variability and change are not new, it has been assumed that health systems have the capacity, experience, and tools to effectively adapt to changing burdens of climate-sensitive health outcomes with additional climate change. However, health systems in many low-income countries have insufficient capacity to manage current health burdens. These countries also are those most vulnerable to climate change, including changes in food and water safety and security, increases in extreme weather and climate events, and increases in the geographic range, incidence, and seasonality of a variety of infectious diseases.To facilitate assessing and overcoming barriers to implementation and to scaling up, a desk review of evaluation reports and other materials was conducted from the first five years of implementation (2008–2013) of multinational health adaptation projects in Albania, Barbados, Bhutan, China, Fiji, Jordan, Kazakhstan, Kenya, Kyrgyzstan, Philippines, Russian Federation, Tajikistan, and Uzbekistan. Qualitative data were collected through a focus group consultation and 19 key informant interviews.Lessons learned include that increasing resilience to the health risks of climate variability and change is likely to be achieved through longer-term, multifaceted and collaborative approaches, with supporting activities (and funding) for capacity building, communication, and institutionalized monitoring and evaluation. Projects should be encouraged to focus not just on shorter-term outputs to address climate variability, but also on establishing processes to address longer-term climate change challenges. Opportunities for capacity development in the health risks of climate change should be created, identified and reinforced for the full range of actors.Irrespective of resource constraints, Ministries of Health and other institutions working on climate- and health-related issues in low- and middle-income countries need to continue to prepare themselves to maintain or improve health burdens in the context of a changing climate and socioeconomic development patterns.Speaker: Kristie L.Ebi
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