G. Shirali, V. Salehi, B. Cheraghian, G. Goudarzi, A. Shahsavani, N. Alavi, S. Maddah, F. Borhani
{"title":"Promoting environmental sustainability and climate change resilience at healthcare facilities: a pilot study in Iran","authors":"G. Shirali, V. Salehi, B. Cheraghian, G. Goudarzi, A. Shahsavani, N. Alavi, S. Maddah, F. Borhani","doi":"10.1007/s13762-024-05892-2","DOIUrl":null,"url":null,"abstract":"<p>Healthcare facilities (HCFs) such as hospitals, clinics, and health centres are recognized as the first and last line of defence against unfavourable impacts of climate change. This study examined the climate resilience and environmental sustainability (CRES) of HCFs in seven pilot provinces of Iran. In this regard, the action levels of HCFs were explored in four major areas, including health workforce; water, sanitation and healthcare waste; energy; and infrastructure, technologies and products. Analysis of conditions at HCFs in the studied areas demonstrated that energy; infrastructure, technologies, products; and water, sanitation and healthcare waste are at a low level, while the health workforce area is considered as a medium level. Among the various types of HCFs the highest CRES is related to hospitals, and the lowest is allocated to rural–urban health centres. Therefore, raising the level of awareness, training and empowering health workforces, optimizing the use of resources particularly water and energy, waste minimization, replacing fossil fuels with renewable energy, and promoting new systems and technologies can improve HCFs resilience in these centres. The results of this research led to the establishment of an effective tool for the evaluation of the CRES of HCFs. In addition, identifying HCFs conditions can help policymakers and health system officials in planning and managing appropriately to increase the level of CRES of these systems.</p>","PeriodicalId":589,"journal":{"name":"International Journal of Environmental Science and Technology","volume":null,"pages":null},"PeriodicalIF":3.0000,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Environmental Science and Technology","FirstCategoryId":"93","ListUrlMain":"https://doi.org/10.1007/s13762-024-05892-2","RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ENVIRONMENTAL SCIENCES","Score":null,"Total":0}
引用次数: 0
Abstract
Healthcare facilities (HCFs) such as hospitals, clinics, and health centres are recognized as the first and last line of defence against unfavourable impacts of climate change. This study examined the climate resilience and environmental sustainability (CRES) of HCFs in seven pilot provinces of Iran. In this regard, the action levels of HCFs were explored in four major areas, including health workforce; water, sanitation and healthcare waste; energy; and infrastructure, technologies and products. Analysis of conditions at HCFs in the studied areas demonstrated that energy; infrastructure, technologies, products; and water, sanitation and healthcare waste are at a low level, while the health workforce area is considered as a medium level. Among the various types of HCFs the highest CRES is related to hospitals, and the lowest is allocated to rural–urban health centres. Therefore, raising the level of awareness, training and empowering health workforces, optimizing the use of resources particularly water and energy, waste minimization, replacing fossil fuels with renewable energy, and promoting new systems and technologies can improve HCFs resilience in these centres. The results of this research led to the establishment of an effective tool for the evaluation of the CRES of HCFs. In addition, identifying HCFs conditions can help policymakers and health system officials in planning and managing appropriately to increase the level of CRES of these systems.
期刊介绍：
International Journal of Environmental Science and Technology (IJEST) is an international scholarly refereed research journal which aims to promote the theory and practice of environmental science and technology, innovation, engineering and management.
A broad outline of the journal''s scope includes: peer reviewed original research articles, case and technical reports, reviews and analyses papers, short communications and notes to the editor, in interdisciplinary information on the practice and status of research in environmental science and technology, both natural and man made.
The main aspects of research areas include, but are not exclusive to; environmental chemistry and biology, environments pollution control and abatement technology, transport and fate of pollutants in the environment, concentrations and dispersion of wastes in air, water, and soil, point and non-point sources pollution, heavy metals and organic compounds in the environment, atmospheric pollutants and trace gases, solid and hazardous waste management; soil biodegradation and bioremediation of contaminated sites; environmental impact assessment, industrial ecology, ecological and human risk assessment; improved energy management and auditing efficiency and environmental standards and criteria.
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