Abstract
Conventional local public health planning and monitoring are insufficiently addressing the conjugated impact of urban development change and climate change in the future. The existing checklist and index often ignore the spatial-network interaction determining urban public health services in forward-looking aspects. This study offers and demonstrates a climate-resilient operationalization framework for urban public health services considering the interaction between urban development change and climate change across scales. A combination of collaborative scenario planning and tailor-made composite indicators were applied based on the IPCC Fifth Assessment Report (AR5)’s climate risk concept to adhere to local realities and diverse sets of scenarios. The framework was contested in a medium-sized city with a universal health care coverage setting, Khon Kaen city, Thailand. The results show that the coupling of collaborative scenario planning and composite indicators allows local public health care to operationalize their potential impact and climate-resilient targets in the future(s) in multiple service operation aspects. The scenarios assessment outcomes prove that although public health devotion can be fail-safe, achieving climate-resilient targets requires sectoral integration with urban development and health determining domains. Further exploration and disputation of the framework with a wider scale and diversified settings are recommended to enhance their robustness and universality.
Highlights
This research suggests a novel framework for operationalizing local public health care under the two future global mega challenges: urbanization and climate change
The composite indicators-based scenario assessment was developed on the foundation of the IPCC AR5 climate risk concept
The composite indicators provide a broader and deeper perspective of potential impact and promote spatial-network integration with other health determining realms that are more advanced than the existing practices
Summary
In 2015, WHO and alliance released framework and guidelines suggesting safe hospital framework and operationalization indicators based on the all-hazards approach (see more in Emergency Management in Health Care: An AllHazards Approach [2]), as well as addressing the importance of vulnerability assessment and climate-resilient and sustainable technologies and infrastructure Safe Hospital Framework [3], Hospital Safety Index [4], Operational Framework for Building Climate Resilient Health Systems [5]). In 2020, WHO disseminated a new guideline for health care facilities, WHO Guidance for Climate Resilient and Environmentally Sustainable Health Care Facilities [6]. The interventions proposed in the guidance are targeted to health care facility managers, and the checklist format does not allow comparison among facilities; the proposed generic interventions can be adapted for all sizes and levels of health care facilities. In addition to international guidelines, there are national toolkits for implementing climate resiliency and sustainability for health care facilities, such as the “Canadian Health Care Facility Climate Change Resiliency Toolkit” [7], Climate change resiliency indicators for health care facilities [8], and U.S “Sustainable and Climate
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: International Journal of Environmental Research and Public Health
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
