Centre on Climate Change and Planetary Health, London School of Hygiene & Tropical Medicine, London, UK.
Faculty of Epidemiology and Public Health, London School of Hygiene & Tropical Medicine, London, UK; Aga Khan Development Network, Geneva, Switzerland.
Lancet Planet Health. 2024 Oct;8(10):e778-e789. doi: 10.1016/S2542-5196(24)00206-7.
A global initiative to develop low-carbon, resilient health systems-the COP26 Health Programme-launched at the UN Framework Convention on Climate Change 26th Conference of the Parties (COP26) in 2021. As of May, 2024, 83 nations have committed to participate in this initiative. This analysis evaluates the effectiveness of existing and proposed indicators towards public monitoring and accountability to these commitments. Our findings reveal substantial gaps in data availability and indicator relevance, with many countries reporting process indicators that do not reflect actual progress towards achieving sustainable health-care systems. We found a dearth of suitable indicators and an urgent need to develop robust ones that are adaptable to different health-care system contexts. These indicators should be designed to capture tangible outcomes, support policy making, and prevent greenwashing. Integration of more robust indicators into independent scientific monitoring can support systematic inclusion of health care in global climate strategies, thereby enhancing the overall effectiveness of the COP26 Health Programme.
一个旨在开发低碳、有弹性的卫生系统的全球倡议——COP26 卫生方案——于 2021 年在联合国气候变化框架公约第二十六次缔约方会议（COP26）上启动。截至 2024 年 5 月，已有 83 个国家承诺参与该倡议。本分析评估了现有和拟议指标在公众监测和履行这些承诺方面的有效性。我们的研究结果显示，在数据可用性和指标相关性方面存在很大差距，许多国家报告的是进程指标，这些指标并不能反映在实现可持续医疗保健系统方面的实际进展。我们发现，合适的指标很少，迫切需要制定稳健的指标，使其适应不同的医疗保健系统环境。这些指标的设计应能捕捉到切实的成果，支持决策制定，并防止漂绿行为。将更稳健的指标纳入独立的科学监测，可以支持将医疗保健系统系统地纳入全球气候战略，从而提高 COP26 卫生方案的整体效果。
