1st National Conference of Youth Think Tank on Climate Change and health Climate Change and Health Promotion Unit

1. Youth Think Tank
on
Climate Change and Health
Dr. Iqbal Kabir
Climate Change & Health Promotion Unit (CCHPU)
Ministry of Health & Family Welfare

2. The climate is
changing fast
Rising
atmospheric
temperature
Rising sea level
Reductions in
North
Hemisphere
snow cover
IPCC Summary for Policymakers: WG I (2007).

3. The changes will continue in the future
IPCC
Higher temperatures, more floods, Summary for
Policymakers:
more droughts WG I (2007).

4. Inconvenient truths for the planet

5. 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

6. 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

8. CASE STUDY: BANGLADESH VULNERABILITY
Bangladesh: Part of GBM -
Highly Vulnerable to Climate Change

9. Sea Level Rise

10. Cyclone

11. Erratic Rainfall

12. River Bank Erosion

13. Cost estimation for climate
attributable diseases (2010-2021)

14. 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

15. 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

16. 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.

17. CCHPU Office Location in G-Earth

18. web site is www.cchpu-mohfw.gov.bd

19. 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.

20. Health and Climate Change
Health and
Climate
Nutrition
Change
A) Inadequate
food
Eco-system
B) Metabolic Disease
Disaster disorders
Human Health
C) Malnutrition
D) Infection

21. 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 Local
adaptive government Healthy
building population
measures
Innovative and CBO, NGO
appropriate
technology to Community
strengthen people
community
participation

22. Project areas
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.
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.

23. 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

24. 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)

25. 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)

26. 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

27. How to Mitigate?
How to Adapt?
Do we have
The Answers?

28. National Scale
Health Policy, National strategies, Community Development & Disaster Risk Mgmnt
Governance, & Resource
Mobilization
Gov't
Mechanisms
Youth Think Health Sector
Private
Tank Government Private Sector NGO/CBO
CBO
NGO
Community Scale
Health Risks, Needs & Implementation

29. Some Activities
of CCHPU

30. Baseline Survey
Base line Survey was conducted in the project
area in order to make an assessment of health
outcomes relating to Climate Change and
knowledge about Climate Change among rural
population in Bangladesh.

32. Training manual on Climate Change & Health for Model
School 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.

33. Training manual on Climate Change & Health for Model
School 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).

34. 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.

35. E-Health and Telemedicine
CCHPU is going to facilitate 56 Community
Clinics with tele- medicare in the climate
victim areas with solar PV system.

36. Inauguration of Telemedicine in Community Level
Location: Sarafvata Village, Rangunia, Chittagong
Date: 17 September, 2011

37. Inauguration of Telemedicine in Community Level
Location: Dhaka
Date: 17 September, 2011

38. Community Based Approach for Adaptation-
To Remove Salinity of Water
To facilitate pure and safe drinking water in the cyclone 'Aila'
affected regions CCHPU took an attempt to purify water for
removing salinity and monitor the changes.

39. Community Radio- Radio Nalta
Location: Nalta, Kaliganj ,Satkhira.

40. Community Radio- Radio Sagargiri
Location: Shitakunda, Chittagong.

41. Health Fairs
CCHPU arranges Health Fair at Community Level to create awareness

42. Training to PH professionals
In District level,
Upazilla level, Union
level and Community
level training on
Climate Change and
Health is being
provided by CCHPU.

43. Training on Climate Change and Health

44. Awareness Billboards

45. Way Forward
Coordination
Ministry
Response
Community Group
Preparedness
Local Government+ Health
CBA
YOUTH+ School students+ CC+ CBO

46. Youth Climate Leaders : The Future

47. 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

48. 1st Conference 2012
• Training, Workshop, conference
• Local problem, solutions, need assessment,
action plan

50. Thank you
www.cchpu-mohfw.gov.bd