ALM UNDP

Outcome 1: An early warning system providing reliable information on likely incidence of climate sensitive health risks.

1. Climate sensitive health risks/CSD reporting system with prediction modeling.
2. Institutional strengthening of health and key multisectoral partners in data management across sectors.
3. Timely dissemination of data and advocacy.
4. Information systems supporting integrated assessments of climate change and risks in management and long term health planning.

Outcome 2: Capacity of health sector institutions to respond to climate sensitive health risks based on early warning systems improved.

1. Clarified and harmonized institutional mandates and procedures to respond to climate risks to public  health.
2. Health professionals in selected pilot regions have the capacity to respond to climate  sensitive health risks based  on early warning systems.
3. Health professional in selected pilot regions have the capacity to effectively respond to HMDs and CSDs with specific attention on psychosocial intervention.

Outcome 3: Disease prevention measures piloted in areas of heightened health risk due to climate change

1. Community members are aware of climate change on their community and take actions to make adaptations to minimize potential health risks.
2. Community members are aware of CSDs, what to do when symptoms develop and how to take preventative  measures to avoid them.
3. Community members are aware of the effects of climate change on their community and take actions to make adaptation to minimize potential risks.
4. Detailed Communication Plans in place (for Outcomes 1-3).

Outcome 1: A comprehensive and integrated monitoring and surveillance systems for wastewater reuse activities is in place.

• Coordination and implementation of existing monitoring systems of quality of treated wastewater used in agriculture are improved.
• Coordination and implementation of existing monitoring systems for food safety are improved.
• Heath and epidemiological surveillance programs provide reliable data on wastewater-related diseases, linked to water and food quality monitoring.
• Social acceptance of agricultural products irrigated by treated wastewater is increased.

Outcome 2: Regulatory and institutional frameworks for management of health risks associated with increased wastewater reuse in unrestricted agriculture are improved and implemented.

• National health guidelines or standards for safe wastewater reuse are developed and promoted.
• Institutional responsibilities to operationalize the national health guidelines for safe wastewater re-use are defined.
• A legislative tool to define institutional responsibilities for different components of the system is issued.
• Institutional capacity needed to execute the system is established.

Outcome 3: Health protection measures for safe wastewater reuse are defined and implemented in X pilot sites.

• A manual and operating procedure on health protection measures for all vulnerable groups (farmers, nearby communities, and consumers) is developed.
• Operational wastewater reuse safety plan, applying the provisions of the national guidelines on safe wastewater reuse, is developed and implemented at 10 selected sites.
• The manual and lessons learnt from applying the safety plan at the site are disseminated.
• A mechanism for implementation of the needed safety plan at all farms using treated wastewater is established and enforced.

Outcome 1: Climate-sensitive health risks are identified with sufficient lead-time for effective response

1. Climate-sensitive health risk data are reported in timely and reliable manner to disease control agencies.
2. Climate data are reported in timely and reliable manner to disease control agencies.
3. Climate change-induced changes and drivers of health-risks are determined.

Outcome 2: Capacity of health sector institutions to respond to climate-sensitive health risks will be improved

1. Clarified and harmonized institutional mandates and procedures to respond to climate risks to public health.
2. Training syllabus and long-term support mechanisms for community and national level health  protection from climate change developed.

Outcome 3: Disease prevention measures piloted in areas of heightened health risk due to climate change

1. Advance planning of responses for pilot regions.
2. Preventative interventions applied on the basis of plan, in response to warning system information.

Outcome 1: Policies and Programs are implemented to ensure health risks do not increase as a result of using treated wastewater to recharge aquifers and for irrigation.

1. Develop Procedures and guidelines for the effective recharge of aquifers using wastewater.
2. Develop Strategies, policies and procedures for the use of wastewater for irrigation, ensuring that the quality and safety of agriculture crops is assured.
3. Develop guidelines and standards for the safe use of wastewater.
4. Develop monitoring systems for using wastewater in agriculture and aquifer recharge.

Outcome 2: Public acceptance of the use of treated wastewater for non potable use.

1. Social Acceptance of the use of treated wastewater.

Outcome 3: Public safely stores water to prevent the breeding of Aedes aegypti mosquitoes.

1. Enhance current rainwater storage facilities for the prevention of the breeding of Aedes aegypti mosquito.

Outcome 1: An early warning system is established for impending heat waves to protect people at risk of cerebro- and cardiovascular diseases.

• Establishment of a multi-sectoral cooperation mechanism of health sector, meteorological bureau and environmental protection bureau.
• Collection and analysis of information on the relationship between meteorological and health data to establish a model to forecast health risks for vulnerable groups.
• Design of a system for “early forecast, early prevention and early treatment”, providing graded forecasts of the severity of health risks in the project community.

Outcome 2: Systemic and institutional capacity of health sector will be improved to respond to climate-sensitive health risks.

• Setting up a steering committee for actions during heat waves, and implementing resource sharing, information and skill exchange.
• Community medical consulting personnel trained with respect to health risks during climate extremes, necessary health consultations and services, and self-protection measures.

Outcome 3: Improve the adaptation capacities and emergency medical plans implemented for cases of cerebro- and cardiovascular diseases during heat waves.

• Emergency plan and support system established for high risk people in the project sites.
• Public awareness raised through a coordinated media campaign, including videocasts with health education lectures, and regular update of health education and consulting services in communities and schools.
• Communication and education provided to Government and other decision makers on health risks associated with extreme heat, and effective behavioural responses.
• Strengthened bilateral and multilateral cooperation through the participation and communication of decision-makers, government officers and researchers in international exchange.

Outcome 1: Risk Assessment and integrated surveillance enhanced for effective management of climate sensitive health risks.

• Vulnerability and impact assessment determines high-risk areas and populations, and establishes the disease burden (baseline) of climate sensitive diseases.
• Integrated surveillance and alert network system piloted across high-risk (riverine and highland) areas to monitor and provide early detection of changes in climate sensitive diseases and health risks.

Outcome 2: Community and health sector institutions have improved capacity to respond to climate-sensitive health risks.

• Professional skills and health system strengthen in areas identified to have higher risks of extreme weather events or disasters, and epidemic diseases by providing training, capacity building and institutional support.
• Strengthened awareness of climate relevance to health amongst national policy makers, and improved multi-sector health coordination improves effectiveness of prevention, monitoring and management of health risks.
• Increased community awareness, capacity and empowerment helps communities prepare for and cope with increased stresses on the community posed by climate change or emergencies.

Outcome 3: Emergency preparedness and disease prevention measures implemented in areas of heightened health risk due to climate change.

• Implementation of Health sector Emergency Contingency Plan.
• Scale up and targeting of community level interventions for control of water and vector borne diseases, mental health and nutritional issues.

Outcome 1: An early warning system that provides reliable information on likely incidence of climate-sensitive health risks established

1. Cooperation agreement on information flow sharing between governmental agencies is reached.
2. Computer-based information system established to share climate change and health information to Government decision makers in the two pilot states.
3. An early warning system of potential health impacts of climate events on vulnerable groups will be designed and tested.
4. Contingency plans for health care system developed in the event of adverse climate variation.

Outcome 2: Skills and knowledge of health care personnel to cope with climate sensitive diseases enhanced and awareness of the population to take self-preventive measures for climate-induced diseases are increased

1. Capacity building training programs for medical personnel and primary care workers on the relationship between diseases and climate developed and introduced.
2. Increased awareness raising to the local population in the health risks associated with climate change and how to take self-preventive measures against climate sensitive diseases.

Outcome  3: Action plans to address climate sensitive diseases successfully implemented within the 2 study provinces

1. Intervention plans for climate-sensitive health outcomes implemented within the study regions.
2. Effectiveness of interventions will be monitored.