Grossman Elena, Hathaway Michelle, Bush Kathleen F, Cahillane Matthew, English Dorette Q, Holmes Tisha, Moran Colleen E, Uejio Christopher K, York Emily A, Dorevitch Samuel
Division of Environmental and Occupational Health Sciences, School of Public Health, University of Illinois at Chicago, Illinois, Chicago (Mss Grossman and Hathaway and Dr Dorevitch); Division of Public Health Services, New Hampshire Department of Health & Human Services, Concord, New Hampshire (Dr Bush and Mr Cahillane); Office of Health Equity, California Department of Public Health, Richmond, California (Ms English); Departments of Urban & Regional Planning (Dr Holmes) and Geography (Dr Uejio), Florida State University, Tallahassee, Florida; Wisconsin Department of Health Services, Madison, Wisconsin (Ms Moran); and Oregon Health Authority, Portland, Oregon (Ms York).
J Public Health Manag Pract. 2019 Mar/Apr;25(2):113-120. doi: 10.1097/PHH.0000000000000826.
Human health is threatened by climate change. While the public health workforce is concerned about climate change, local health department (LHD) administrators have reported insufficient knowledge and resources to address climate change. Minigrants from state to LHDs have been used to promote a variety of local public health initiatives.
To describe the minigrant approach used by state health departments implementing the Centers for Disease Control and Prevention's (CDC's) Building Resilience Against Climate Effects (BRACE) framework, to highlight successes of this approach in promoting climate change preparedness at LHDs, and to describe challenges encountered.
Cross-sectional survey and discussion.
State-level recipients of CDC funding issued minigrants to local public health entities to promote climate change preparedness, adaptation, and resilience.
The amount of funding, number of LHDs funded per state, goals, selection process, evaluation process, outcomes, successes, and challenges of the minigrant programs.
Six state-level recipients of CDC funding for BRACE framework implementation awarded minigrants ranging from $7700 to $28 500 per year to 44 unique local jurisdictions. Common goals of the minigrants included capacity building, forging partnerships with entities outside of health departments, incorporating climate change information into existing programs, and developing adaptation plans. Recipients of minigrants reported increases in knowledge, engagement with diverse stakeholders, and the incorporation of climate change content into existing programs. Challenges included addressing climate change in regions where the topic is politically sensitive, as well as the uncertainty about the long-term sustainability of local projects beyond the term of minigrant support.
Minigrants can increase local public health capacity to address climate change. Jurisdictions that wish to utilize minigrant mechanisms to promote climate change adaptation and preparedness at the local level may benefit from the experience of the 6 states and 44 local health programs described.
人类健康受到气候变化的威胁。虽然公共卫生工作人员关注气候变化，但地方卫生部门（LHD）管理人员报告称，应对气候变化的知识和资源不足。从州到地方卫生部门的小额赠款已被用于推动各种地方公共卫生倡议。
描述州卫生部门采用的小额赠款方法，这些部门实施疾病控制和预防中心（CDC）的增强气候适应能力（BRACE）框架，以突出该方法在促进地方卫生部门应对气候变化准备方面的成功之处，并描述所遇到的挑战。
横断面调查和讨论。
获得疾病预防控制中心资金的州级机构向地方公共卫生实体发放小额赠款，以促进气候变化准备、适应和恢复能力。
小额赠款计划的资金数额、每个州获得资助的地方卫生部门数量、目标、选择过程、评估过程、结果、成功之处和挑战。
六个获得疾病预防控制中心资金以实施BRACE框架的州级机构，每年向44个不同的地方司法管辖区发放7700美元至28500美元不等的小额赠款。小额赠款的共同目标包括能力建设、与卫生部门以外的实体建立伙伴关系、将气候变化信息纳入现有项目以及制定适应计划。获得小额赠款的机构报告称，在知识水平、与不同利益相关者的互动以及将气候变化内容纳入现有项目方面有所增加。挑战包括在该话题政治敏感的地区应对气候变化，以及小额赠款支持期结束后地方项目长期可持续性的不确定性。
小额赠款可以提高地方公共卫生应对气候变化的能力。希望利用小额赠款机制在地方层面促进气候变化适应和准备的司法管辖区，可能会从所描述的6个州和44个地方卫生项目的经验中受益。
