Community collective action to respond to climate change influencing the environment-health nexus

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Climate change is an ongoing, creeping environmental influencer producing a wide variety of multi-scalar effects across communities. Climate change drives ecosystem changes intersecting deep-rooted, chronic vulnerabilities, including to hazards related to heat stress, infectious disease, and food systems. In diverse settings across the globe, and often as a result of inadequate action by formal institutions like governments and businesses, grassroots organizations are taking initiatives to conduct environmental monitoring and to engage in climate change-related actions. Being non-profit, often informal, and with limited resources, these organizations face classic collective action problems of incentivizing members to contribute outside of wider systems, such as markets and governments, with the clout to punish or reward actions.We propose to study how volunteer-based, local groups self-organize to respond to climate change and its environmental impacts in order to contribute to health systems, formal and informal, which can adequately address changes to heat stress, infectious disease, and food systems. Building on prior research from the partners, we will sample citizen science and non-profit groups based in the US (Alaska) and Trinidad and Tobago (Caribbean) in order to provide a contrast of locations with similar concerns about climate change. Working with these groups, we will study not only successful organizations that have grown and acted over several years, but also sample recently formed and unsuccessful groups. Groups at these varying stages of their life cycles will provide comparative controls, and avoid biasing the data, as would occur if we studied only groups that were long lived.The method will use a combination of semi-structured qualitative interviews, focus groups, and participatory development exercises. The latter will draw on participatory rural appraisal, factoring in the critiques of it, using processes such as resource maps, dream maps, change maps, pair-wise ranking of issues, and community walk-throughs. The findings will include recommendations as to the features that contribute to the survival and effectiveness of grassroots groups supporting their own health and health systems. Recommendations will be provided for funding strategies for governmental (or quasi-governmental) and private sector institutions that may seek to fund grassroots groups.