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Informing adaptation strategy through mapping the dynamics linking climate change, health, and other human systems: Case studies from Georgia, Lebanon, Mozambique and Costa Rica

dc.contributoreditor: Dasgupta, Shouro
dc.contributor.authorLoffreda, Giulia
dc.contributor.authorChikovani, Ivdity
dc.contributor.authorMocumbi, Ana O.
dc.contributor.authorAsmar, Michele Kosremelli
dc.contributor.authorBlanco, Laura C.
dc.contributor.authorGrant, Liz
dc.contributor.authorAger, Alastair
dc.date.accessioned2023-04-20T06:02:14Z
dc.date.available2023-04-20T06:02:14Z
dc.date.issued2023-04-19
dc.date.submitted2022-11-12
dc.date.updated2023-04-19T19:00:05Z
dc.descriptionFrom PLOS via Jisc Publications Router
dc.descriptionHistory: received 2022-11-12, collection 2023, accepted 2023-03-20, epub 2023-04-19
dc.descriptionAcknowledgements: We are deeply grateful to our workshops participants who provided their knowledge, time and expertise to develop the case studies. These include: Dr Maia Uchaneishvili, Research Unit Director, Curatio International Foundation; Dr Nia Giuashvili, Environmental Health Expert, Advisor of the National Center for Disease Control and Public Health General Director on Environmental Health; Dr Mariam Maglakelidze, Head, Department of Institutional Culture Development, Petre Shotadze Tbilisi Medical Academy; Affiliate Scholar, Institute for Advanced Sustainability Studies, Potsdam, Germany; Ina Girard, Climate Change and Human Health Expert, WHO Focal Point on the Environmental Health Issues at the National Environmental Agency; Dr Tamar Kashibadze, Public Health Specialist, NCD Department, National Center for Disease Control and Public Health; Dr Tatiana Marrufo, Instituto Nacional de Saúde (INS), National Health Observatory Technical Secretariat, Program Lead of Environmental Health; Dr Fady Asmar, Forestry Expert, Lebanon; D.E.A. Pascal Girot, Head of the School of Geography, Universidad de Costa Rica; Dr Valeria Lentini, Lecturer, School of Economics, Universidad de Costa Rica; Dr Juan Robalino, Head of the Economics Research Institute, Universidad de Costa Rica; Dr Yanira Xirinachs-Salazar, Associate Professor, School of Economics, Universidad de Costa Rica; and Dr Paola Zúñiga-Brenes, Associate Professor, School of Economics, Universidad de Costa Rica.
dc.descriptionPublication status: Published
dc.descriptionFunder: National Institute for Health and Care Research; funder-id: http://dx.doi.org/10.13039/501100000272; Grant(s): 16/136/100 RUHF
dc.descriptionFunder: Royal Society of Edinburgh; funder-id: http://dx.doi.org/10.13039/501100000332
dc.descriptionAlastair Ager - ORCID: 0000-0002-9474-3563 https://orcid.org/0000-0002-9474-3563
dc.descriptionGiulia Loffreda - ORCID: 0000-0003-4895-1051 https://orcid.org/0000-0003-4895-1051
dc.descriptionData Availability: Causal loop diagrams refined during workshop discussion comprise the major data source of the study and are included in the submitted manuscript. Search terms and the extraction matrix used for the literature search to develop preliminary causal loop models are included as Supplementary material. Listing of the literature accessed and data extracted are lodged on the QMU eData repository: https://eresearch.qmu.ac.uk/handle/20.500.12289/12889.
dc.description.abstractWhile scientific research supporting mitigation of further global temperature rise remains a major priority, CoP26 and CoP27 saw increased recognition of the importance of research that informs adaptation to irreversible changes in climate and the increasing threats of extreme weather events. Such work is inevitably and appropriately contextual, but efforts to generalise principles that inform local strategies for adaptation and resilience are likely crucial. Systems approaches are particularly promising in this regard. This study adopted a system dynamics framing to consider linkages between climate change and population health across four low- and middle-income country settings with a view to identifying priority inter-sectoral adaptation measures in each. On the basis of a focused literature review in each setting, we developed preliminary causal loop diagrams (CLD) addressing dynamics operating in Mozambique, Lebanon, Costa Rica, and Georgia. Participatory workshops in each setting convened technical experts from different disciplines to review and refine this causal loop analysis, and identify key drivers and leverage points for adaptation strategy. While analyses reflected the unique dynamics of each setting, common leverage points were identified across sites. These comprised: i) early warning/preparedness regarding extreme events (thus mitigating risk exposure); ii) adapted agricultural practices (to sustain food security and community livelihoods in changing environmental conditions); iii) urban planning (to strengthen the quality of housing and infrastructure and thus reduce population exposure to risks); iv) health systems resilience (to maintain access to quality healthcare for treatment of disease associated with increased risk exposure and other conditions for which access may be disrupted by extreme events); and v) social security (supporting the livelihoods of vulnerable communities and enabling their access to public services, including healthcare). System dynamics modelling methods can provide a valuable mechanism for convening actors across multiple sectors to consider the development of adaptation strategies.
dc.description.ispublishedpub
dc.description.statuspub
dc.identifierdoi: 10.1371/journal.pclm.0000184
dc.identifierpublisher-id: pclm-d-22-00178
dc.identifierhttps://eresearch.qmu.ac.uk/handle/20.500.12289/13167/13167.pdf
dc.identifier.citationLoffreda G, Chikovani I, Mocumbi AO, Asmar MK, Blanco LC, Grant L, et al. (2023) Informing adaptation strategy through mapping the dynamics linking climate change, health, and other human systems: Case studies from Georgia, Lebanon, Mozambique and Costa Rica. PLOS Climate 2(4): e0000184. Available at: https://doi.org/10.1371/journal.pclm.0000184
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/13167
dc.identifier.urihttps://doi.org/10.1371/journal.pclm.0000184
dc.languageen
dc.publisherPublic Library of Science
dc.rightsLicence for this article: http://creativecommons.org/licenses/by/4.0/
dc.rights© 2023 Loffreda et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
dc.rights.licenseAttribution 4.0 International (CC BY 4.0)
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourceeissn: 2767-3200
dc.subjectResearch Article
dc.subjectEarth Sciences
dc.subjectMedicine and health sciences
dc.subjectPeople and Places
dc.subjectEcology and Environmental Sciences
dc.titleInforming adaptation strategy through mapping the dynamics linking climate change, health, and other human systems: Case studies from Georgia, Lebanon, Mozambique and Costa Rica
dc.typearticle
dcterms.accessRightspublic
dcterms.dateAccepted2023-03-20
qmu.authorLoffreda, Giulia
qmu.authorAger, Alastair
qmu.centreInstitute for Global Health and Development
refterms.dateAccepted2023-03-20
refterms.dateDeposit2023-04-20
refterms.depositExceptionpublishedGoldOA
refterms.versionVoR
rioxxterms.publicationdate2023-04-20
rioxxterms.versionVoR

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