Anton Blanca, Cuevas Soledad, Hanson Mark, Bhutta Zulfiqar Ahmed, Langlois Etienne V, Iaia Domenico Gerardo, Gasparri Giulia, Borghi Josephine
Department of Population Health, London School of Hygiene & Tropical Medicine, London, UK
Instituto de Economía, Geografía y Demografía, Consejo Superior de Investigaciones Científicas, Madrid, Spain.
BMJ Glob Health. 2024 Apr 27;9(4):e014596. doi: 10.1136/bmjgh-2023-014596.
Women, children and adolescents (WCA), especially in low-income and middle-income countries (LMICs), will bear the worst consequences of climate change during their lifetimes, despite contributing the least to global greenhouse gas emissions. Investing in WCA can address these inequities in climate risk, as well as generating large health, economic, social and environmental gains. However, women's, children's and adolescents' health (WCAH) is currently not mainstreamed in climate policies and financing. There is also a need to consider new and innovative financing arrangements that support WCAH alongside climate goals.We provide an overview of the threats climate change represents for WCA, including the most vulnerable communities, and where health and climate investments should focus. We draw on evidence to explore the opportunities and challenges for health financing, climate finance and co-financing schemes to enhance equity and protect WCAH while supporting climate goals.WCA face threats from the rising burden of ill-health and healthcare demand, coupled with constraints to healthcare provision, impacting access to essential WCAH services and rising out-of-pocket payments for healthcare. Climate change also impacts on the economic context and livelihoods of WCA, increasing the risk of displacement and migration. These impacts require additional resources to support WCAH service delivery, to ensure continuity of care and protect households from the costs of care and enhance resilience. We identify a range of financing solutions, including leveraging climate finance for WCAH, adaptive social protection for health and adaptations to purchasing to promote climate action and support WCAH care needs.
妇女、儿童和青少年(WCA),尤其是在低收入和中等收入国家(LMICs),在其一生中将承受气候变化最严重的后果,尽管他们对全球温室气体排放的贡献最小。对妇女、儿童和青少年进行投资可以解决气候风险方面的这些不平等问题,同时带来巨大的健康、经济、社会和环境效益。然而,妇女、儿童和青少年的健康(WCAH)目前在气候政策和融资中并未成为主流。还需要考虑新的创新性融资安排,在实现气候目标的同时支持妇女、儿童和青少年的健康。我们概述了气候变化对妇女、儿童和青少年,包括最脆弱社区所构成的威胁,以及健康和气候投资应关注的领域。我们利用证据来探讨健康融资、气候融资和共同融资计划在增强公平性以及在支持气候目标的同时保护妇女、儿童和青少年健康方面所面临的机遇和挑战。妇女、儿童和青少年面临着健康不良负担和医疗需求不断增加的威胁,再加上医疗服务提供方面的限制,影响了获得基本妇女、儿童和青少年健康服务的机会,以及医疗自费支出的增加。气候变化还对妇女、儿童和青少年的经济环境和生计产生影响,增加了流离失所和移民的风险。这些影响需要额外资源来支持妇女、儿童和青少年健康服务的提供,以确保护理的连续性,保护家庭免受护理费用的影响,并增强复原力。我们确定了一系列融资解决方案,包括将气候融资用于妇女、儿童和青少年健康,对健康的适应性社会保护,以及对采购进行调整以促进气候行动并支持妇女、儿童和青少年的护理需求。