Understanding Basic Concepts in DRRM Disaster Risk Reduction Network Philippines ( DRRNetphils)
Prioritising health action for climate and disaster risk from the Philippines
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Transcript of Prioritising health action for climate and disaster risk from the Philippines
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Prioritising health action for climate & disaster risk in the Philippines
Nicola BanwellDr. Cordia Chu, Dr. Brendan Mackey, Dr. Shannon Rutherford
Centre for Environment and Population HealthSchool of Environment, Griffith University
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Healthactors haveacrucialroleinaddressingdisasterandclimatechange
risksimultaneously
Health&healthsecurityClimateChange
Disasters
• Death• Disease• Injury
• Increasedservicedemand• Reducedcapacity tomeethealthneeds• Health-determiningsectorsandservices
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• Considerable overlap in impacts of disasters and climate change on health(Aitsi-Selmi et al., 2015; Keim 2008 & 2011; Mayner, and Arbon, 2010; Phakey, et al., 2016)
• Health is central in Disaster Risk Reduction & Climate Change Adaptation (Arnold, 2002; Aitsi-Selmi & Murray, 2015a, 2015b; Keim, 2011; Mayner, and Arbon, 2010; Murray, Aitsi-Selmi, & Blanchard, 2015)
• Current research call for links between DRR and CCA to be made in health (Aitsi-Selmi et al., 2015; Aitsi-Selmi, & Murray, 2015b; Keim 2008 & 2011; Maini, et al., 2017; Murray, 2014; Murray, Aitsi-Selmi, & Blanchard, 2015; Phakey, et al., 2016)
DisasterRisk
Reduction
ClimateChange
Adaptation
SustainableDevelopment
Therefore: It is important to build linksbetween DRR and CCA in health
But: How will countries deal with this at national, sub-national & local levels?
Nicola Banwell, Centre for Environment and Population Health, Griffith University
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Myresearchexaminesin-depthhowlinkscanbebuiltbetweenDisasterRiskReductionandClimateChangeAdaptation inhealthpolicies,strategiesandactivitiestosimultaneouslymanage
climateanddisasterrisks
ThroughacasestudyapproachgroundedinthePhilippines
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This research is significant because…
It will contribute to the understanding of how to simultaneously manage
disaster and climate change impacts on health by investigating the:§ Challenges§ Opportunities § Needs§ Use of resilience as a framework
In linking DRR and CCA in health, in a real-world context
Nicola Banwell, Centre for Environment and Population Health, Griffith University
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Data collection and analysisLiteraturereview
PhilippineCaseStudy
Globalpolicyexperts
2
3
1Ongoingthematicanalysisandmindmapping
Prelim.thematicanalysis
55Interviews(National,
regional&local)
33National
22Regional&sub-regional(3Regions)
Expertworkshop 20Participants(previousnationalinterviewees)
7Interviews GlobalexpertsinCCA&DRRinhealth
DepartmentofHealthManila,Philippines(May-Dec2016)
WHOClimate&Health,Geneva,Switzerland(Jan-Jun2017)
Analysis
• Thematic analysis • Inductive approach• Currently finalising
second cycle of coding
PolicyAnalysis NationalDRR,CCA&developmentpolicy
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Summary of findings to date…
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State of linking in health in the Philippines
Nicola Banwell, Centre for Environment and Population Health, Griffith University
DisasterRiskReductionandManagement(DRRM)Act2010
NationalClimateChangeAct2009
DepartmentofHealth
NationalCCframeworks&guidelinesNationalDRRMframeworks&guidelines
NationalDRRMCouncil ClimateChangeCommission
HealthEmergencyManagementBureau ClimateChangeandHealthUnit
ClimateChangeandHealthPolicyDRRMinHealthPolicy
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Challenges of linking DRR and CCA in health in the Philippines
• CCA in health is not yet strong enough for linkage on an institutional level beyond policy• Research & evidence • How to implement CCA in health• Org. structure & governance• Leadership & political will
• Don’t understand where DRR & CCA in health could be linked other than disaster preparedness and response
Nicola Banwell, Centre for Environment and Population Health, Griffith University
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Resilience as a framework for linking DRR & CCA in health
• Useful as a uniting concept to give all actors a stake • Needs to be clearly defined & measurable to be useful for linking• Conceptualisation in DRR & CCA in health differ
• Long term vs. short term • Community vs. systems perspective• “Sometimes they are like the 6-blind men and the elephant…one is talking about
the trunk and the other is talking about the legs, but they don’t know they are
both talking about an elephant.”(Previous Under Secretary of Health, Philippines)
Nicola Banwell, Centre for Environment and Population Health, Griffith University
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Needs in linking DRR & CCA in health in the Philippines• Coordination within health & across sectors to understand the importance of
health in both DRR & CCA• Enabling environment
• Leadership• Governance structure
But first…• Understanding that the whole health sector has a stake in DRR & CCA • Understanding of how DRR & CCA in health can be linked in implementationNicola Banwell, Centre for Environment and Population Health, Griffith University
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Opportunities for linking DRR and CCA in the Philippines
Hazard
Exposure
Healthimpactfromdisasters&climatechange
VulnerabilitySusceptibility
Capacity
DirectIndirect
Climate-relatedeventsposingrisktohealth Risk
CommunityexposureHealthsystemexposure
Extremeclimaticevents• Community• Healthsystem
• Communityhealthstatus• Determinantsofhealth
Climate-sensitivediseaseoutbreaks
Nicola Banwell, Centre for Environment and Population Health, Griffith University
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My next steps…• Pull this all together in a coherent manner• I am considering Questions such as:
• What levels & types of linkages can occur?• Explicit and formal • Implicit and informal
• How to ensure linking DRR and CCA in health does not just stop at ‘no regrets’ strategies?
• To what end?
Nicola Banwell, Centre for Environment and Population Health, Griffith University
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Thank you!