アフリカの保健システムにおける気候変動適応と緩和：研究と政策翻訳のスコーピングレビュー

Unofficial AI-generated summary based on the public title and abstract. Not an official translation.

🔬研究者:アフリカ保健システムにおける適応優先・緩和後回しの研究ギャップと、政策翻訳の実証的枠組みを提供する。

🏢実務担当者:新興国に医療・公共施設を持つ企業は、現地の排出データ整備の遅れをScope 3算定の前提として把握しておくべき。

🏛政策担当者:気候・保健公約を国内法・計画へ落とし込む際のSADCの遅れは、途上国支援やキャパシティビルディング政策の優先順位設定に示唆を与える。

OBJECTIVES African health systems emit relatively low emissions yet experience disproportionate climate shocks. The objective is to map climate-health adaptation and mitigation research across African health systems and examine the translation of global climate and health commitments into domestic laws, policies and plans in the Southern African Development Community (SADC). DESIGN Scoping review, reported in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. DATA SOURCES Six databases (OVID/Medline, Clarivate Analytics/Web of Science Core Collection, Embase.com, Elsevier/Scopus, Africa Index Medicus and Ebsco/CINAHL) were searched to obtain research literature. For the grey literature, one database (Climate Change Laws of the World) and targeted websites (SADC, national departments of health and environment, Alliance for Transformative Action on Climate and Health) were searched up to January 2025. ELIGIBILITY CRITERIA Studies addressing health systems in African countries and reporting on climate change adaptation and/or mitigation were included. Language and time restrictions were not applied. Studies that measured climate-related disease mortality and morbidity were excluded. DATA EXTRACTION AND SYNTHESIS Data were extracted by one author and independently checked by another author. The data were thematically organised using a framework for building climate-resilient and low-carbon health systems. RESULTS We included 78 research and 15 grey literature publications. Research literature was predominant in two framework domains: climate-smart health workforce and climate-resilient and low-carbon infrastructures, technologies and supply chains. Only two SADC countries (South Africa and Mauritius) had a Climate Change Act, while four countries (South Africa, Tanzania, Madagascar and Zambia) had a national health adaptation plan. Madagascar was the only SADC country that had conducted a national public hospital greenhouse gas emission assessment. CONCLUSIONS Immediate climate threats drive responses in African health systems to prioritise adaptation over mitigation in both research and governance. Stronger integration of climate objectives into health systems planning will be essential to support climate-resilient and sustainable low-carbon implementation.

• semanticscholar https://doi.org/10.1136/bmjopen-2026-119188first seen 2026-09-24 05:00:15 · last seen 2026-09-28 05:43:06