气候变化领域集成服务门户(CCPortal): A story of (in)coherence: climate adaptation for health in South African policies

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DOI	10.1093/heapol/czae011
	A story of (in)coherence: climate adaptation for health in South African policies
	Quintana, Amanda, V; Mayhew, Susannah H.; Kovats, Sari; Gilson, Lucy
发表日期	2024
ISSN	0268-1080
EISSN	1460-2237
起始页码	39
结束页码	4
卷号	39 期号:4
英文摘要	Climate adaptation strengthens and builds the resilience of health systems to future climate-related shocks. Adaptation strategies and policies are necessary tools for governments to address the long-term impacts of climate change and enable the health system to respond to current impacts such as extreme weather events. Since 2011 South Africa has national climate change policies and adaptation strategies, yet there is uncertainty about: how these policies and plans are executed; the extent to which health policies include adaptation; and the extent of policy coherence across sectors and governance levels. A policy document analysis was conducted to examine how South African climate change, development and health policy documents reflect the health adaptation response across national and Western Cape levels and to assess the extent of coherence across key health and environment sector policy documents, including elements to respond to health-related climate risks, that can support implementation. Our findings show that overall there is incoherence in South African climate adaptation within health policy documents. Although health adaptation measures are somewhat coherent in national level policies, there is limited coherence within Western Cape provincial level documents and limited discussion on climate adaptation, especially for health. Policies reflect formal decisions and should guide decision-makers and resourcing, and sectoral policies should move beyond mere acknowledgement of adaptation responses to a tailored plan of actions that are institutionalized and location and sector specific. Activities beyond documents also impact the coherence and implementation of climate adaptation for health in South Africa. Clear climate risk-specific documents for the health sector would provide a stronger plan to support the implementation of health adaptation and contribute to building health system's resilience.
英文关键词	Climate change; health policy; policy analysis
语种	英语
WOS研究方向	Health Care Sciences & Services
WOS类目	Health Care Sciences & Services ; Health Policy & Services
WOS记录号	WOS:001185678700001
来源期刊	HEALTH POLICY AND PLANNING
文献类型	期刊论文
条目标识符	http://gcip.llas.ac.cn/handle/2XKMVOVA/308352
作者单位	University of London; London School of Hygiene & Tropical Medicine; University of Cape Town; University of London; London School of Hygiene & Tropical Medicine
推荐引用方式 GB/T 7714	Quintana, Amanda, V,Mayhew, Susannah H.,Kovats, Sari,et al. A story of (in)coherence: climate adaptation for health in South African policies[J],2024,39(4).
APA	Quintana, Amanda, V,Mayhew, Susannah H.,Kovats, Sari,&Gilson, Lucy.(2024).A story of (in)coherence: climate adaptation for health in South African policies.HEALTH POLICY AND PLANNING,39(4).
MLA	Quintana, Amanda, V,et al."A story of (in)coherence: climate adaptation for health in South African policies".HEALTH POLICY AND PLANNING 39.4(2024).