Future

摘要：研究项目 该研究项目的目标是建立一个全球研究基础设施，并进行案例研究， 保护健康和改善卫生公平性，改进与气候相关的预警系统的使用， 在灾害发生之前采取预防措施。来自世界各地的7所大学的合作 支持气候与健康全球灾害研究中心（CORD）的长期目标， 制定注重行动的战略，在与气候有关的灾害中保护健康和建设复原力。 目标是在全球服务不足社区的6个案例研究中进行前沿研究。 气候相关灾害对健康影响风险高的南方国家。社区参与的研究 实践将使受影响的社区、从业者和政策制定者参与研究过程和工作 根据这些研究结果，与他们一起改善健康公平性。这种全球性的、跨学科的、虚拟的 来自世界各地的7所大学组成的联盟将提供独特而有价值的数据来源， 这些观点将为与服务不足人群相关的政策、实践和科学提供信息。中央 假设是，如果预先采取的行动符合公平和社区的需要， 以行动为基础，以卫生治理为支持。 目标RES 1是确定与气候有关的灾害对妇女和男子的健康影响有何不同 以及难民与东道国人口之间的关系，以及他们对预警信息的理解有何不同。情况 研究将衡量：1）孟加拉国洪水对孕产妇和胎儿健康的不同影响; 2） 难民的健康如何受到乌干达洪水或干旱的不同影响。一般的方法是 旨在确定研究不足的人群的独特脆弱性。目的RES 2是评估预期的 采取行动，减少与气候有关的干旱对粮食不安全和福祉的影响。案例研究将 确定社区一级改善粮食安全/营养的适应行动的普遍程度， 心理社会后果：1）纳米比亚干旱; 2）莱索托作物歉收。一个跨学科 将制定方法，利用气候数据和社区参与的研究， 社区适应工作。目标RES 3是评估卫生治理系统如何使或 不鼓励预期行为。案例研究将衡量这种制度如何影响预期行动 缓解：1）莫桑比克飓风弗雷迪后的霍乱疫情; 2）2022年莫桑比克登革热疫情 菲律宾将制定一个通用方法，以评估卫生治理对以下方面的影响： 对气候相关灾害的健康影响采取预先行动。 这些项目的成功完成将为从业人员和决策者提供关键证据， 针对面临气候相关健康影响风险的特定人群的预期行动。

ABSTRACT: Research Project The goal of the Research Project is to establish a global research infrastructure and conduct case studies to protect health and improve health equity by improving the use of climate-related Early Warning Systems to take Anticipatory Action before disasters strike. This collaboration of 7 universities from around the world supports the long-term goal of the Center for Climate and Health glObal Research on Disasters (CORD) to develop action-oriented strategies to protect health and build resilience in climate-related disasters. The objective is to conduct cutting-edge research in 6 case studies in under-served communities in the Global South that are at high risk for health impacts from climate-related disasters. Community-engaged research practices will engage affected communities, practitioners, and policymakers in the research process and work with them to improve health equity based on these research findings. This global, trans-disciplinary, virtual consortium of 7 universities from around the world will provide a unique and valuable source of data and perspectives that will inform policy, practice, and science relevant to under-served populations. The central hypothesis is that anticipatory action can improve health outcomes if it is tailored for equity and community- based action and supported by health governance. Aim RES1 is to determine how health impacts from climate-related disasters are different for women vs men and for refugees vs host populations and how they understand early warning information differently. Case studies will measure: 1) how maternal and fetal health is differentially affected by floods in Bangladesh; and 2) how refugee health is differentially affected by floods or droughts in Uganda. A general methodology will be developed to identify unique vulnerabilities of under-studied populations. Aim RES2 is to evaluate Anticipatory Actions to reduce the impacts of climate-related droughts on food insecurity and well-being. Case studies will determine the prevalence of community-level adaptation actions to improve food security/nutrition and psychosocial outcomes during: 1) droughts in Namibia; and 2) crop failures in Lesotho. A trans-disciplinary methodology will be developed to use climate data and community-engaged research to document existing community adaptation efforts. Aim RES3 is to assess the how health governance systems enable or discourage Anticipatory Actions. Case studies will measure how such systems influenced Anticipatory Actions to mitigate: 1) cholera outbreaks after Cyclone Freddy in Mozambique; and 2) a 2022 dengue outbreak in the Philippines. A general methodology will be developed to evaluate the impacts of health governance on Anticipatory Action for health impacts of climate-related disasters. Successful completion of these projects will provide critical evidence to practitioners and policymakers to tailor Anticipatory Actions to specific populations at risk for climate-related health effects.