Pan-African-Programme for Public Health Adaptation to Climate Change (PPHA) by Elena Villalobos Prats, WHO

1. Consultationon Health component of NAPs1 |
Pan-African-Programme for
Public Health Adaptation to
Climate Change (PPHA)
Bonn, Germany, 15 April 2015
Elena Villalobos Prats
Dr Magaran Bagayoko
Climate Change and Health Unit

2. Consultationon Health component of NAPs2 |
Revised WHO workplan on health and climate
change: 2015-2020
Advocacy
Implementation
Evidence
Partnerships

3. Consultationon Health component of NAPs3 |
Health Impacts of Climate Change:
Approximately 250,000 excess deaths/year by 2030s
WHO, 2014.

4. Consultationon Health component of NAPs4 |
Protecting health from climate change
through health adaptation planning
Operational Framework for Building
Climate Resilient Health Systems
Guidance for Health
Adaptation within NAPs

5. Consultationon Health component of NAPs5 |
Pan-African-Programme for Public Health
Adaptation to Climate Change (PPHA).
 The 61st Session of the WHO Regional Committee for Africa adopted
the Framework for Public Health Adaptation to Climate Change
through Resolution AFR/RC61/R2. (2011)
 The framework aims to guide the formulation and implementation of
the health component of national climate change adaptation plans.
 Resolution AFR/RC61/R2 requested WHO to establish a Pan-
African-Programme for Public Health Adaptation to Climate Change
(PHHA).
 PPHA was therefore established in 2012.

6. Consultationon Health component of NAPs6 |
Pan African Programme for Health
Adaptation to Climate Change
 Libreville Declaration on Health and
Environment in Africa, 2008
 Inter-Ministerial Conference on Health
and Environment, Luanda 2010
 2012 - Adaptation to Climate Change
in Africa: Plan of Action for the Health
Sector 2012-2016

7. Consultationon Health component of NAPs7 |
Purpose of the Pan African Programme
… Strenghthening Health Components of National Climate Change
Adaptation Plans (H-NAPs):
To provide a scientifically and evidence-based coordinated
response to climate change adaptation needs of African countries that
supports the commitments and priorities of governments and that
spearheads the Cancun Adaptation Framework in the health sector in
Africa.
To offer a common platform to allow comparability and to assess
progress made in the enhancement of country resilience.
To provide a basis for standardized resource requirement
estimates at the national level.

8. Consultationon Health component of NAPs8 |
Set of interventions:
PPHA mainstreams the actions agreed
upon in the adaptation framework, which
include :
• Baseline risk and Capacity assessments,
• Capacity building,
• Integrated environment and health
surveillance,
• Awareness raising and social mobilization,
• strengthening partnerships and inter-sectoral
collaboration, and
• Research.

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Health Impact Assessment (HIA)
 Mandate in article 4.1.f. UNFCCC for all mitigation and
adaptation policies and programmes undertaken by
countries;
 A combination of procedures, methods and tools by which
a policy, project, or hazard may be judged as to its
potential effects on the health of a population, and the
distribution of those effects within the population

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Health progress should be tracked and monitored,
including effects from other health-determining sectors
Main GHG emitting
sectors (IPCC)
Industry
Energy supply and
conversion
Buildings
Agriculture
Transport
Annual deaths linked to
selected related risks
(WHO 2008, 2009, 2014)
> 1 million occupational risks
3.7 million outdoor air pollution
4.3 million indoor air pollution
2.8 million overweight/obese
1.3 million road traffic accidents
FormoreinformationseeWHOreportson
climate–healthcobenefitsat
http://www.who.int/hia/green_economy/en/

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Elements in HIA
 Integrated assessment of impacts, i.e., not concentrating
on single risk factors and disease outcomes (a holistic
view of health)
 Relates to policies and projects outside the health sector
 Multidisciplinary process
 Provides information for decision-makers, designed with
needs of decision-makers in mind
 Quantification of the expected health burden due to an
environmental exposure in a specific population

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E.g. Describe risk distribution using
spatial mapping
 Valuable approach for describing
geographical distribution of
current or projected future vulnerabilities &
hazards.
 Neutral platform for the integration,
visualization and analysis of various
health & environmental data used or
produced during the assessment
 Several GIS software packages available
in the public domain

13. Consultationon Health component of NAPs13 |
Update on Current implementing efforts
WHO has provided multifaceted support to countries for the
implementation the PHHA.
Achievements include:
a)Strengthened partnership and inter-sectoral collaboration,
b)Heightened advocacy,
c)Reinforced country systems to address public health impact of
climate change, and
d)Increased resources to implement HNAP

14. Consultationon Health component of NAPs14 |
Update on Current implementing efforts
a) Strengthened partnership and inter-sectoral
collaboration
 Collaboration with the World Meteorological Organization was
reinforced through the Global Framework for Climate Services.
(GFCS)
 In 2013, WHO established an International Consortium for Climate
and Health in Africa (Clim-Health Africa)
 Clim-Health Africa is network of institutions to support African
countries to manage the effects of climate change on public health:
.

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Founding Institutions
Biotechnology Centre, University of Yaounde,
Cameroon
International Research Institute for Climate and
Society, Columbia University, New York, USA
Natural Oceanic and Atmospheric
Administration (NOAA), Washington DC, USA
ACMAD, Niger
Malaria Research and Training Centre,
University of Bamako, Mali
Nouna Health Research Centre in Burkina
Faso-INDEPTH
Kenya Medical Research Institute, Kisumu,
Kenya
World Meteorological Organization
National Institute for Medical Research, Tanga,
Tanzania
United Natiosn Environment Programme
Noguchi Memorial Institute for Medical
Research, Accra, Ghana
World Health Organization (AFRO/PHE,
HQ/PHE, HQ/TDR)
Environmental Health Research Unit, Medical
Research Council, Johannesburg, South Africa

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Clim-HEALTH Africa (The International
Network for Climate and Health in Africa)
 A multistakeholder initiative agreed upon by 13 organizations as a WHO
informal network of institutions
 To support public health adaptations to climate change in Africa
 To support the implementation of:
o the Libreville Declaration on Health and Environment in Africa
(2008),
o The Luanda Commitment (2010) and
o the Framework and Plan of Action for Public Health and Adaptation
to Climate Change in the African Region (2012)

17. Consultationon Health component of NAPs17 |
Update on Current implementing efforts (cont.)
 An interactive web-based platform for planing, fundrainsing
and implementaion of HNAP is being developed
:http://stage.health-nap.org/ ( Ibrahim Diallo- SatAfrica can take
participants through the platform)
 All country plans are uploaded in the tool, activity by activity,
component by component, country by country.

19. Consultationon Health component of NAPs19 |
3. Update on Current implementing efforts
(continued)
c) Reinforced country systems to address public
health impact of climate change
 Through the Libreville Declaration, African countries have established inter-sectoral
coordination mechanisms to undertake joint planning and implementation of the
Pan-African programme.
 To date, 34 African countries have established multi-sectoral country task
teams (CTT), and completed assessment of environmental risk factors to human
health and their management systems, including vulnerability to climate change.
 WHO developed a technical guide for the development of HNAP
 To date, WHO has supported 42 countries to develop their Health National
Adaption Plans (HNAP).


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3. Update on Current implementing efforts
(continued)
d) Increased resources to implement HNAP
 Through WHO financial and technical support, all African countries
(47) have developed their HNAPs except: Algeria, Democratic
Republic of Congo, South Sudan, Rwanda, Tanzania (Norway funding
).
 Funds were mobilized to support Ethiopia, Kenya, Malawi, Mali and
Tanzania to carry out large-scale projects on the impact of climate
change on Nutrition, diarrheal and vector borne diseases (funding:
DFID, GFCS, Norway)
 Vulnerability and adaptation assessment planned for Guinea,
Madagascar, Zambia, Malawi (GIZ funding)

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Conclusion
 Despite the progress made, the implementation of the Pan-
African programme faces a number of technical and
institutional challenges at the country level. These include:
 Limited technical and scientific capacity in the field of climate change
and health,
 Weak integrated approach,
 Insufficient funding, and
 inadequate advocacy on the impact of climate change on health

22. Consultationon Health component of NAPs22 |
More information:
Global Environmental Change
http://www.who.int/globalchange/
Climate Change
http://www.who.int/globalchange/climate/