youth think tank (dr. iqbal kabir)
DESCRIPTION
1st National Conference of Youth Think Tank on Climate Change and healthClimate Change and Health Promotion UnitTRANSCRIPT
Youth Think Tank
on
Climate Change and Health
Dr. Iqbal Kabir
Climate Change & Health Promotion Unit (CCHPU)Ministry of Health & Family Welfare
Rising atmospheric temperature
Rising sea level
Reductions in North
Hemisphere snow cover
The climate is changing fastThe climate is changing fast
IPCC Summary for Policymakers: WG I (2007).
The changes will continue in the future
IPCC Summary for Policymakers: WG I (2007).
Higher temperatures, more floods,more droughts
Higher temperatures, more floods,more droughts
Inconvenient truths for the planet
Inconvenient truths for health
- Each year:
- Undernutrition kills 3.5 million
- Diarrhoea kills 2.2 million
- Malaria kills 900,000- - Extreme weather events kill 60,000
These, and others, are highly sensitive to changing climate.
- WHO estimates that climate change causes over 140,000 additional deaths per year
SIDR, AILA…The Innocent Victims Women and Children the most vulnerable group
Health is directly linked with Food, Water, Shelter and Livelihood crisis
in Disaster
CASE STUDY: BANGLADESH VULNERABILITYCASE STUDY: BANGLADESH VULNERABILITYBangladesh: Part of GBM Bangladesh: Part of GBM --
Highly Vulnerable to Climate ChangeHighly Vulnerable to Climate Change
Sea
Lev
el R
ise
CycloneCyclone
Err
atic
Rai
nfa
llE
rrat
ic R
ain
fall
Riv
er B
ank
Ero
sio
nR
iver
Ban
k E
rosi
on
Cost estimation for climate attributable diseases (2010-2021)
Approaches in Addressing Health Impacts of Climate Change
• Documentation of the risks and vulnerability within and betweenpopulations
• Development of health protection strategies
• Identification of health co-benefits
• More investment and resources for strengthening health systems
• Estimation of the financial costs of action
• Community based PHC approach
A model best practice for LDCs
Climate Change and Health Promotion Unit
Ministry of Health and Family WelfareGovernment of the People’s Republic of Bangladesh
Goal of the CCHP Unit
To build capacity and strengthen health systems to combat the health impact of
climate change and to protect human health from current and projected risks due to
climate change.
CCHPU Office Location in G-Earth
web site is www.cchpu-mohfw.gov.bd
Current project from MOEF Trust Fund
Risk reduction and adaptive measures in the context of climate change impact on health sector in
Bangladesh.
Broader Objective: To conduct research and monitor disease patterns and develop effective adaptive measures in the
context of climate change impact on health.
Health and Climate Change
Eco-system
Human Health
Health and Nutrition
A) Inadequate food
B) Metabolic disorders
C) Malnutrition
D) Infection
Disease
Climate Change
Disaster
Conceptual Framework on Impact of Climate Change on Health
Risk reduction through research and awareness
building
Climate change
adaptive measures
Healthy population
Capacity building on adaptive measures
on Health and Nutrition
Innovative and appropriate
technology to strengthen community
participation
Health care providers
Local government
Community people
CBO, NGO
Project areas
Cyclone prone Costal areas • 7 Upazials of Satkhira District total 175 community clinics• 9 Upazials of Bagerhat District total 153 community clinics.• 5 Upazials of Barguna District total 105 community clinics. Salinity prone areas• 9 Upazials of Khulna District total 153 community clinics.River erosion and flood prone areas • 9 Upazials of Serajganj District total 275 community clinics.• 9 Upazials of Faridpur District total 166 community clinics.• 2 Upazials of Chittagong District total 51 community clinicsUrban areas for research comparison :• 6 District town in 6 Division.Gopalganj in Dhaka, Jessore in Khulna,
Chapainawabganj in Rajshahi, Rangamati in Chittagong, Sunamganj in Sylhet, Patuakhali in Barisal Division.
BCCSAP 2009BCCSAP 2009
Under thematic area 1 Under thematic area 1 (Food security, social protection and health)(Food security, social protection and health) some some programs and actions have been identified on health sector, namely:programs and actions have been identified on health sector, namely:
Research on the impact of climate change on health (including Research on the impact of climate change on health (including the incidence of malaria and dengue, diarrheal diseases, the incidence of malaria and dengue, diarrheal diseases, heatstroke) and the cost to society of increased mortality, heatstroke) and the cost to society of increased mortality, morbidity and consequent fall in productivitymorbidity and consequent fall in productivity
Develop adaptive strategies against outbreaks of malaria, Develop adaptive strategies against outbreaks of malaria, dengue and other vector borne diseases, and invest in dengue and other vector borne diseases, and invest in preventive and curative measures and facilitiespreventive and curative measures and facilities
Develop adaptive strategies against diarrheal and other Develop adaptive strategies against diarrheal and other diseases, which may increase due to climate change, and invest diseases, which may increase due to climate change, and invest in preventive and curative measures and facilitiesin preventive and curative measures and facilities
The health care network of Bangladesh
Domiciliary Workers
Outpatient static facility
31-50 bed hospital
50-250 bed hospital
Medical college/tertiary
hospitalDivision (6)
District (64)
Sub-district (482)
Union (4,498)
Ward (13,394)
Villages (87,000)
National
Super-specialty hospital
Level
Type of Facility
Community Clinics (PHC)
Domiciliary Workers
Outpatient static facility
31-50 bed hospital
50-250 bed hospital
Medical college/tertiary
hospitalDivision (6)
District (64)
Sub-district (482)
Union (4,498)
Ward (13,394)
Villages (87,000)
National
Super-specialty hospital
Level
Type of Facility
• In Ward level, there were lack of static health facility
• Community Clinics will fulfill this lack
Why Community Participation is Important to Address the Health Impacts of Climate Change
• Cost Effective
• Higher Acceptability
• Early Warning
• Rapid Feedback
• Direct Communication
• Reality Check for both service recipients and service providers
• Community Empowered (CBO, NGO,GO Mix)
• Community Choice Reflected
How to Mitigate?
How to Adapt?
Do we have
The Answers?
Government NGO/CBOPrivate Sector
Community Development & Disaster Risk Mgmnt
National Scale
Health Policy, National strategies, Governance, & Resource Mobilization
Community Scale
Health Risks, Needs & Implementation
Mechanisms
Youth Think Tank
Gov't
Priva
te
NG
O
CB
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Health
Secto
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Some Activitiesof CCHPU
Baseline Survey
Base line Survey was conducted in the project area in order to make an assessment of health outcomes relating to Climate Change and knowledge about Climate Change among rural population in Bangladesh.
Training manual on Climate Change & Health for Model School Health and Community Clinics using PHC approach
Based on the suggestions from the Experts in climate change, manual development, representatives from MOEF, MOHFW, DGHS, NIPSOM, IPH, IEDCR, ICDDRB,BHE, NGO, civil society and Member and Senior Specialists of the National Curriculum & Text Board (NCTB) of MOE attended the two workshops to prepare the manual.
Training manual on Climate Change & Health for Model School Health and Community Clinics using PHC approach
The manual on Climate Change and Health for School Children has been already approved as supplementary reading by National Curriculum & Text Board (NCTB).
Community Radio Initiative for Climate resilience and effective early warning system in costal belt
• Community Radio for building awareness on early warning system and climate resilience on public health for the costal population.
• PPP Model- MOHFW and NHCHF (Nalta Hospital & Community Health Foundation, Satkhira) is broadcasting 2 hours radio program every day on early warning system and climate resilience on public health with edutainment approach using folk media and local languages. 'Radio Sagargiri‘ in Shitakunda, Chittagong is going to start their broadcasting soon.
CCHPU is going to facilitate 56 Community Clinics with tele- medicare in the climate victim areas with solar PV system.
E-Health and Telemedicine
Inauguration of Telemedicine in Community Level
Location: Sarafvata Village, Rangunia, Chittagong Date: 17 September, 2011
Inauguration of Telemedicine in Community Level
Location: DhakaDate: 17 September, 2011
Community Based Approach for Adaptation-To Remove Salinity of Water
To facilitate pure and safe drinking water in the cyclone 'Aila' affected regions CCHPU took an attempt to purify water for removing salinity and monitor the changes.
Community Radio- Radio Nalta
Location: Nalta, Kaliganj ,Satkhira.
Community Radio- Radio Sagargiri
Location: Shitakunda, Chittagong.
Health Fairs
CCHPU arranges Health Fair at Community Level to create awareness
Training to PH professionals
In District level, Upazilla level, Union level and Community level training on Climate Change and Health is being provided by CCHPU.
Training on Climate Change and Health
Awareness Billboards
Way Forward
CoordinationMinistry
ResponseCommunity Group
PreparednessLocal Government+ Health
CBAYOUTH+ School students+ CC+ CBO
Youth Climate Leaders : The Future
Youth Think TankA hope Ahead
• Group of energetic, dedicated, innovative, enthusiastic youths
• 350 applicants from all over Bangladesh
• Selected 100 based on essay writing and innovative ideas
• 64 from each district,16 from costal belt, 20 with health background
1st Conference 2012
• Training, Workshop, conference
• Local problem, solutions, need assessment, action plan
Thank you
www.cchpu-mohfw.gov.bd