Inconvenient truths for health- Each year: - Undernutrition kills 3.5 million - Diarrhoea kills 2.2 million - Malaria kills 900,000- - Extreme weather events kill 60,000 These, and others, are highly sensitive to changing climate.- WHO estimates that climate change causes over 140,000 additional deaths per year
SIDR, AILA…The Innocent Victims Women and Children the most vulnerable group Health is directly linked with Food, Water, Shelter and Livelihood crisis in Disaster
CASE STUDY: BANGLADESH VULNERABILITY Bangladesh: Part of GBM - Highly Vulnerable to Climate Change
Cost estimation for climateattributable 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 LDCsClimate 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 ofclimate change and to protect human health from current and projected risks due to climate change.
Current project from MOEF Trust FundRisk 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.
Health and Climate Change Health andClimate NutritionChange A) Inadequate food Eco-system B) Metabolic DiseaseDisaster disorders Human Health C) Malnutrition D) Infection
Conceptual Framework on Impact of Climate Change on Health Capacity building on adaptive measures on Health and Nutrition Health care providers Risk reduction Climate through research change and awareness Localadaptive government Healthy building populationmeasures Innovative and CBO, NGO appropriate technology to Community strengthen people community participation
Project areasCyclone 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.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 clinicsUrban 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.
BCCSAP 2009Under 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 Type of Facility Level Super-specialty National hospital Medical Division (6) college/tertiary hospital District (64) 50-250 bed hospital Sub-district 31-50 bed (482) hospital Union Outpatient (4,498) static facility Ward (13,394) Domiciliary Villages Workers (87,000)
Community Clinics (PHC) Type of Facility Level Super-specialty National hospital Medical college/tertiary Division (6) hospital District (64) 50-250 bed hospital Sub-district 31-50 bed (482) hospital Union Outpatient (4,498) static facility Ward• In Ward level, there were lack of static (13,394) Domiciliary health facility Workers• Community Clinics will fulfill this lack Villages (87,000)
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
How to Mitigate? How to Adapt? Do we have The Answers?
National ScaleHealth Policy, National strategies, Community Development & Disaster Risk MgmntGovernance, & ResourceMobilization Govt Mechanisms Youth Think Health Sector Private Tank Government Private Sector NGO/CBO CBO NGO Community Scale Health Risks, Needs & Implementation
Baseline SurveyBase line Survey was conducted in the projectarea in order to make an assessment of healthoutcomes relating to Climate Change andknowledge about Climate Change among ruralpopulation in Bangladesh.
Training manual on Climate Change & Health for ModelSchool Health and Community Clinics using PHC approach Based on the suggestions from the 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.
Training manual on Climate Change & Health for ModelSchool Health and Community Clinics using PHC approach The manual on Climate Change and Health for School Children has been already approved as supplementary reading by National Curriculum & Text Board (NCTB).
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 (Nalta Hospital & Community Health Foundation, Satkhira) is broadcasting 2 hours radio program every day on early warning system and climate resilience on public health with edutainment approach using folk media and local languages. Radio Sagargiri‘ in Shitakunda, Chittagong is going to start their broadcasting soon.
E-Health and TelemedicineCCHPU is going to facilitate 56 CommunityClinics with tele- medicare in the climatevictim areas with solar PV system.
Inauguration of Telemedicine in Community Level Location: Sarafvata Village, Rangunia, Chittagong Date: 17 September, 2011
Inauguration of Telemedicine in Community Level Location: Dhaka Date: 17 September, 2011
Community Based Approach for Adaptation- To Remove Salinity of WaterTo facilitate pure and safe drinking water in the cyclone Ailaaffected regions CCHPU took an attempt to purify water forremoving salinity and monitor the changes.
Community Radio- Radio Nalta Location: Nalta, Kaliganj ,Satkhira.
Community Radio- Radio Sagargiri Location: Shitakunda, Chittagong.
Health FairsCCHPU arranges Health Fair at Community Level to create awareness
Training to PH professionalsIn District level,Upazilla level, Unionlevel and Communitylevel training onClimate Change andHealth is beingprovided by CCHPU.
Youth Think Tank A hope Ahead• Group of energetic, dedicated, innovative, enthusiastic youths• 350 applicants from all over Bangladesh• Selected 100 based on essay writing and innovative ideas• 64 from each district,16 from costal belt, 20 with health background
1st Conference 2012 • Training, Workshop, conference• Local problem, solutions, need assessment, action plan