Academic Journal

Implementation of climate adaptation in the public health sector in Europe: qualitative thematic analysis.

Bibliographic Details
Title: Implementation of climate adaptation in the public health sector in Europe: qualitative thematic analysis.
Authors: Turner GA; Department of Public Health, Environments and Society, London School of Hygiene and Tropical Medicine, London, UK.; NIHR Health Protection Research Unit in Environmental Change and Health, London School of Hygiene and Tropical Medicine, London, UK., de'Donato F; Department of Epidemiology, Lazio Regional Health Service - ASL Roma 1, Rome, Italy., Hoeben AD; Wegener Center for Climate and Global Change and Institute for Environmental Systems Sciences, University of Graz, Graz, Austria., Nordeng Z; Department of Research Administrative Support, Norwegian Public Health Institute, Oslo, Norway., Coleman S; Department of Public Health, Environments and Society, London School of Hygiene and Tropical Medicine, London, UK., Otto IM; Wegener Center for Climate and Global Change and Institute for Environmental Systems Sciences, University of Graz, Graz, Austria., Hajat S; Department of Public Health, Environments and Society, London School of Hygiene and Tropical Medicine, London, UK.; NIHR Health Protection Research Unit in Environmental Change and Health, London School of Hygiene and Tropical Medicine, London, UK., Kovats S; Department of Public Health, Environments and Society, London School of Hygiene and Tropical Medicine, London, UK.; NIHR Health Protection Research Unit in Environmental Change and Health, London School of Hygiene and Tropical Medicine, London, UK.
Source: European journal of public health [Eur J Public Health] 2024 Jun 07; Vol. 34 (3), pp. 544-549.
Abstract: Background: Adaptation, to reduce the health impacts of climate change, is driven by political action, public support and events (extreme weather). National adaptation policies or strategies are limited in addressing human health risks and implementation of adaptation in the public health community is not well understood.
Aim: To identify key issues in climate change adaptation implementation for public health in Europe.
Methods: Key informant interviews with decision-makers in international, national and local city governments in 19 European countries. Participants were recruited if a senior decision-maker working in public health, environmental health or climate adaptation.
Interviews Addressed: Barriers and levers for adaptation, policy alignment, networks and evidence needs.
Results: Thirty-two interviews were completed between June and October 2021 with 4 international, 5 national and 23 city/local government stakeholders. Respondents reported inadequate resources (funding, training and personnel) for health-adaptation implementation and the marginal role of health in adaptation policy. A clear mandate to act was key for implementation and resource allocation. Limited cross-departmental collaboration and poor understanding of the role of public health in climate policy were barriers to implementation.
Conclusions: Across Europe, progress is varied in implementation of climate adaptation in public health planning. Providing appropriate resources, training, knowledge mobilization and supporting cross-departmental collaboration and multi-level governance will facilitate adaptation to protect human health.
(© The Author(s) 2023. Published by Oxford University Press on behalf of the European Public Health Association.)
Publication Type: Journal Article
Language: English
Journal Info: Publisher: Oxford University Press Country of Publication: England NLM ID: 9204966 Publication Model: Print Cited Medium: Internet ISSN: 1464-360X (Electronic) Linking ISSN: 11011262 NLM ISO Abbreviation: Eur J Public Health Subsets: MEDLINE
Imprint Name(s): Publication: Oxford : Oxford University Press
Original Publication: Stockholm, Sweden : Almqvist & Wiksell International, c1991-
MeSH Terms: Climate Change* , Public Health* , Qualitative Research*, Humans ; Europe ; Interviews as Topic ; Health Policy
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Grant Information: 101003966 European Union's Horizon 2020; National Institute for Health and Care Research; NIHR 200909 Health Protection Research Unit in Environmental Change and Health; UK Health Security Agency; London School of Hygiene and Tropical Medicine; PHSEZT6210 University College London and the Met Office; NIHR; UK Health Security Agency; London School of Hygiene and Tropical Medicine; University College London; Met Office or the Department of Health and Social Care
Entry Date(s): Date Created: 20231215 Date Completed: 20240607 Latest Revision: 20240609
Update Code: 20240609
PubMed Central ID: PMC11161147
DOI: 10.1093/eurpub/ckad218
PMID: 38099866
ISSN: 1464-360X
DOI: 10.1093/eurpub/ckad218
Database: MEDLINE
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