reducing risks of water-related diseases, including severity of dengue outbreaks. Maintenance of emergency health Implementation of interventions for epidemic services, and control and treatment of control in response to and other climate-sensitive diseases, but without natural disasters. explicit targeting on high risk periods and Scale up and targeting of community level locations. interventions for control of water and disease, for times of peak incidence, monitoring of effectiveness in reducing summer disease peaks. Maintenance of preventive and curative Implementation of heat-health warning systems services for cardio-vascular and other in 3 pilot cities, monitoring of effectiveness in diseases aggravated by heat-stress, but decreasing heat-related mortality. lack of advance planning of preventive measures based on heat-health warnings. Maintenance of national health system Implementation of Early Warning and Response (management, infrastructure, personnel) system developed above, with monitoring of from national to local level; but lack of effectiveness in minimizing immediate and implementation of health early warning secondary (e.g. disease outbreak) health impacts and response to HMDs. of HMDs. Health and safety legislation covering Adaptation of the WHO guidelines on safe agricultural sites, but without explicit practices for the national context, consideration of health risks from implementation of the health protection wastewater. WHO global guidelines on measures in 3 pilot sites, with monitoring and safe wastewater re-use practices exist, evaluation of impact on water-related diseases. but not implemented in . Maintenance of malaria control Increased coverage of community level malaria programme, but without investment to control interventions within 3 pilot districts at address increased frequency and increased risk of malaria epidemics, within high intensity of malaria epidemics expected risk periods identified by warning system above. through climate change. Monitoring and evaluation of increased coverage and targeting of interventions, and reduction in malaria mortality and morbidity during epidemics. Existing services for treatment and Implementation of interventions of known prevention, but without explicit targeting effectiveness (heat advisories, health education on high risk seasons, and without campaigns), timed for periods of increased investment to address increased disease climatic risks, within 3 provinces. Monitoring and burdens expected through increasing evaluation of intervention coverage, and temperatures and effectiveness in reducing summer peaks of one indicator disease (diarrhoea). OUTCOME 4 Cooperation among participating countries promotes innovation in adaptation to climate change including variability Co-financing amounts for Outcome 3: US$400,000 LDCF project grant requested: US$381,000 Without LDCF/SCCF Intervention (baseline)
reducing risks of water-related diseases, including severity of dengue outbreaks. Maintenance of emergency health services, and control and treatment of climate-sensitive diseases, but without explicit targeting on high risk periods and locations. Implementation of interventions for epidemic control in response to and other natural disasters. Scale up and targeting of community level interventions for control of water and disease, for times of peak incidence, monitoring of effectiveness in reducing summer disease peaks. Maintenance of preventive and curative services for cardio-vascular and other diseases aggravated by heat-stress, but lack of advance planning of preventive measures based on heat-health warnings. Implementation of heat-health warning systems in 3 pilot cities, monitoring of effectiveness in decreasing heat-related mortality. Maintenance of national health system (management, infrastructure, personnel) from national to local level; but lack of implementation of health early warning and response to HMDs. Implementation of Early Warning and Response system developed above, with monitoring of effectiveness in minimizing immediate and secondary (e.g. disease outbreak) health impacts of HMDs. Health and safety legislation covering agricultural sites, but without explicit consideration of health risks from wastewater. WHO global guidelines on safe wastewater re-use practices exist, but not implemented in . Adaptation of the WHO guidelines on safe practices for the national context, implementation of the health protection measures in 3 pilot sites, with monitoring and evaluation of impact on water-related diseases. Maintenance of malaria control programme, but without investment to address increased frequency and intensity of malaria epidemics expected through climate change. Increased coverage of community level malaria control interventions within 3 pilot districts at increased risk of malaria epidemics, within high risk periods identified by warning system above. Monitoring and evaluation of increased coverage and targeting of interventions, and reduction in malaria mortality and morbidity during epidemics. Existing services for treatment and prevention, but without explicit targeting on high risk seasons, and without investment to address increased disease burdens expected through increasing temperatures and Implementation of interventions of known effectiveness (heat advisories, health education campaigns), timed for periods of increased climatic risks, within 3 provinces. Monitoring and evaluation of intervention coverage, and effectiveness in reducing summer peaks of one indicator disease (diarrhoea). OUTCOME 4 Cooperation among participating countries promotes innovation in adaptation to climate change including variability Co-financing amounts for Outcome 3: US$400,000 LDCF project grant requested: US$381,000 Without LDCF/SCCF Intervention (baseline)
undp_gef_who_health_sccf_prodoc_08dec2009pk.docx