NAP Expo 2015 Session Vii, IV PAN African Initiative

Consultation on Health component of NAPs 1 |

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


Revised WHO workplan on health and climate

change: 2015-2020

Advocacy

Implementation

Evidence

Partnerships


Health Impacts of Climate Change:

Approximately 250,000 excess deaths/year by 2030s

WHO, 2014.


Protecting health from climate change

through health adaptation planning

Operational Framework for Building

Climate Resilient Health Systems

Guidance for Health

Adaptation within NAPs


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.


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


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.


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.


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


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

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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


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


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


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:

.


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


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)


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.

http://stage.health-nap.org/




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).


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)


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


More information:

Global Environmental Change

http://www.who.int/globalchange/

Climate Change

http://www.who.int/globalchange/climate/

http://www.who.int/globalchange

http://www.who.int/globalchange/climate

