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Session 20 kabir bangladesh cc human health
 
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Issues and approaches for Climate Change Adaptation to protect Human Health in Bangladesh. Presented at CBA5 by Dr. Iqbal Kabir Climate Change & Health Protection Unit, Ministry of Health and Family ...

Issues and approaches for Climate Change Adaptation to protect Human Health in Bangladesh. Presented at CBA5 by Dr. Iqbal Kabir Climate Change & Health Protection Unit, Ministry of Health and Family Welfare - Bangladesh

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    Session 20 kabir bangladesh cc human health Session 20 kabir bangladesh cc human health Presentation Transcript

      • 5 th CBA conference: 29 March 2011, Dhaka
      • Climate change impact on human health: Experiences and initiatives of Bangladesh
      • Climate Change & Health Promotion Unit (CCHPU) Ministry of Health & Family Welfare
      • Dr. Iqbal Kabir
      • Asst. Professor (Epidemiology), NIPSOM
      • Coordinator,CCHPU, MOHFW
    • Climate Change, Livelihood, Health…??? Extreme events! SIDR, AILA…The Innocent Victims
    • Food and Water Security Disaster Malnutrition Illness/Disease Burden Climate Change Vicious linkage of Health with Climate Change Diarrhoea Typhoid, ARI, COPD Dengue, VBD
      • Women and Children the most vulnerable group
      • Health is directly linked with Food, Water, Shelter and Livelihood crisis
      • in extreme events of climate change
    • Sea Level Rise 1 Meter Sea Level Rise
    • Cost estimation for climate attributable diseases (2010-2021)
    • Approaches in Addressing Health Impacts of Climate Change
      • Documentation of the risks and vulnerability within and between populations
      • Development of health protection strategies
      • Identification of health co-benefits
      • More investment and resources for strengthening health systems
      • Estimation of the financial costs of action
      • Community based PHC approach
    • A model best practice for LDCs Climate Change and Health Promotion Unit Ministry of Health and Family Welfare Government of the People’s Republic of Bangladesh
    • Goal of the CCHP Unit
      • To build capacity and strengthen health systems to combat the health impact of climate change and to protect human health from current and projected risks due to climate change.
    • Objectives of the Unit
      • To coordinate all Climate Change and Health Promotional activities of Intra and Inter Ministerial initiatives.
      • To increase awareness of health consequences of climate change;
      • To strengthen the capacity of health systems to provide protection from climate-related risks through innovative approaches using e-Health and Telemedicine;
      • To ensure that health concerns are addressed in decisions to reduce risks from climate change in other key sectors;
      • To conduct research, evaluate and monitor programmes related to health promotion and climate change;
      • To coordinate emergency medical services and school health promotion to reduce health hazards during disasters and emergencies.
    • CCHPU Office Location in G-Earth
    • web site is www.cchpu-mohfw.gov.bd
    • We have installed a solar panel at our office roof as a token step of GREEN Initiatives
    • Current project from MOEF Trust Fund
      • Risk reduction and adaptive measures in the context of climate change impact on health sector in Bangladesh .
      • Broader Objective: To conduct research and monitor disease patterns and develop effective adaptive measures in the context of climate change impact on health.
    • Conceptual Framework on Impact of Climate Change on Health Eco-system Human Health Health and Nutrition A ) Inadequate food ,unsafe WatSan B) Metabolic disorders C) Malnutrition D) Infection Disease Climate Change Disaster Risk reduction through research and awareness building Climate change adaptive measures Healthy population Capacity building on adaptive measures on Health and Nutrition Innovative and appropriate technology to strengthen community participation Health care providers Local government Community Group (CC) CBO, NGO
    • Current Project areas of MOHFW
      • Cyclone prone Costal areas
      • 7 Upazials of Satkhira District total 175 community clinics
      • 9 Upazials of Bagerhat District total 153 community clinics.
      • 5 Upazials of Barguna District total 105 community clinics.
      • 2 upazilas of Cox’s bazar total 30 community clinics
      • Salinity prone areas
      • 9 Upazials of Khulna District total 153 community clinics.
      • River erosion and flood prone areas
      • 9 Upazials of Serajganj District total 275 community clinics.
      • 9 Upazials of Faridpur District total 166 community clinics.
      • 2 Upazials of Chittagong District total 51 community clinics
      • Urban areas for research comparison :
      • 6 District town in 6 Division.Gopalganj in Dhaka, Jessore in Khulna, Chapainawabganj in Rajshahi, Rangamati in Chittagong, Sunamganj in Sylhet, Patuakhali in Barisal Division.
    • NAPA update and Bangladesh Climate Change Strategy and Action Plan 2009
        • Bangladesh prepared NAPA update on August 2009
      • Some new priority activities have been identified in the NAPA update
      • Bangladesh prepared Bangladesh Climate Change Strategy and Action Plan (BCCSAP) 2008 and revised in 2009
      • BCCSAP has been highly appreciated nationally and internationally
      • It is built on six pillars, under which 44 programs are listed .
    • BCCSAP 2009
      • Under thematic area 1 (Food security, social protection and health) some programs and actions have been identified on health sector, namely:
      • Research on the impact of climate change on health (including the incidence of malaria and dengue, diarrheal diseases, heatstroke) and the cost to society of increased mortality, morbidity and consequent fall in productivity
      • Develop adaptive strategies against outbreaks of malaria, dengue and other vector borne diseases, and invest in preventive and curative measures and facilities
      • Develop adaptive strategies against diarrheal and other diseases, which may increase due to climate change, and invest in preventive and curative measures and facilities
    • The health care network of Bangladesh Domiciliary Workers Outpatient static facility 31-50 bed hospital 50-250 bed hospital Medical college/tertiary hospital Division (6) District (64) Sub-district (482) Union (4,498) Ward (13,394) Villages (87,000) National Super-specialty hospital Level Type of Facility
    • Community Clinics (PHC )
      • In Ward level, there were lack of static health facility
      • Community Clinics will fulfill this lack
      Domiciliary Workers Outpatient static facility 31-50 bed hospital 50-250 bed hospital Medical college/tertiary hospital Division (6) District (64) Sub-district (482) Union (4,498) Ward (13,394) Villages (87,000) National Super-specialty hospital Level Type of Facility
    • Why Community Participation is Important to Address the Health Impacts of Climate Change
      • Cost Effective
      • Higher Acceptability
      • Early Warning
      • Rapid Feedback
      • Direct Communication
      • Reality Check for both service recipients and service providers
      • Community Empowered (CBO, NGO,GO Mix)
      • Community Choice Reflected
    • CCHPU Steps Vulnerability assessment
      • Meeting with the Ministry of Health and Family Welfare and technical agencies done
      • IEDCR- Institute of Epidemiological Disease Control and Research will conduct the assessment with the technical support from WHO
      • IEDCR & WHO has organized a workshop and training on vulnerability assessment
      • Technical committee formed
    • Consultative workshop to prepare school manual on Climate Change & Health Safety
      • We have prepared a school manual on Climate Change & Health Safety to create awareness among the Parents, students and teachers based on WHO guidelines 2008.
      • We are in the process of adaptation of the manual with our National School Curriculum
    • Training manual on Climate Change & Health for Model School Health and Community Clinics using PHC approach
      • Experts in climate change, manual development, representatives from MOEF, MOHFW, DGHS, NIPSOM, IPH, IEDCR, ICDDRB,BHE, NGO, civil society and Member and Senior Specialists of the National Curriculum & Text Board (NCTB) of MOE attended the two workshops to prepare the manual.
    • Community Radio Initiative for Climate resilience and effective early warning system in costal belt
      • Community Radio for building awareness on early warning system and climate resilience on public health for the costal population.
      • PPP Model- MOHFW and NHCHF (Nolta Hospital & Community Health Foundation, Satkhira) will on- air 2 hour radio program every day on early warning system and climate resilience on public health with edutainment approach using folk media and local languages
    • One pack of ORS…..???? Many Hands….. ?Resilience
    • Vulnerable people ( climate refugees ) cluster in and around cities of Bangladesh and cause water logging resulting breeding place of mosquitoes and ends up with Dengue, Malaria, Typhoid and Diarrhoeal diseases Migration to city slums
    • South Asia regional high level meeting: Dhaka Declaration 2010
    • We need to be prepared for the Health of these people (The area was visited by DG WHO)
    • Way Forward Coordination Ministry Response Community Group Preparedness Local Government+ Health CBA YOUTH+ School students+ CC+ CBO
    • Youth Climate Champions The Future
    •  
    •  
    • Thank you www.cchpu-mohfw.gov.bd