ABSTRACT
BACKGROUND: The Association of South-East Asian Nations (ASEAN) member states (AMS) are among the countries most at risk to the impacts of climate change on health and outbreaks being a major hotspot of emerging infectious diseases. OBJECTIVE: To map the current policies and programs on the climate change adaptation in the ASEAN health systems, with particular focus on policies related to infectious diseases control. METHODS: This is a scoping review following the Joanna Briggs Institute (JBI) methodology. Literature search will be conducted on the ASEAN Secretariat website, government websites, Google, and six research databases (PubMed, ScienceDirect, Web of Science, Embase, World Health Organization (WHO) Institutional Repository Information Sharing (IRIS), and Google Scholar). The article screening will be based on specified inclusion and exclusion criteria. Policy analysis will be conducted in accordance with the WHO operational framework on climate-resilient health systems. Findings will be analyzed in the form of narrative report. The reporting of this scoping review follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). ETHICS AND DISSEMINATION: Ethical approval is not required for this study as this is a scoping review protocol. Findings from this study will be disseminated through electronic channels.
Subject(s)
Climate Change , Humans , Disease Outbreaks , Research Design , Review Literature as Topic , Systematic Reviews as Topic , Asia, SoutheasternABSTRACT
As projections about the number and scale of natural hazard events and their impact on human populations grow, increasing attention is being paid to developing effective means for preparing for and mitigating those impacts. At the same time there is an emerging understanding that gradual and incremental changes in disaster risk reduction (DRR) will not adequately meet the future needs of vulnerable populations. Transformational changes have been identified as a necessary requirement to avoid ongoing large-scale losses of life and property and models have been proposed to recalibrate DRR strategies to achieve transformative changes. One cited example of a transformative change in DRR is that of Simeulue Island. Simeulue Island suffered two tsunamis approximately 100 years apart (1907, 2004) with markedly different impacts. This paper looks in detail at the cognitive and developmental mechanisms Simeulue co-opted to sustain the transformational change throughout the 20th century. Information from interviews and observation identified the role of grandmothers have in the effective communication of risk as well as motivating appropriate action to save lives. The possibility of similarly overlooked, local, and pre-existing community capacities for transformative change in DRR is then discussed.
