Multilateral funding for health adaptation and the health co-benefits of climate mitigation: An observational study

IF 9.7 1区 环境科学与生态学 Q1 ENVIRONMENTAL SCIENCES Environment International Pub Date : 2024-12-01 Epub Date: 2024-12-02 DOI:10.1016/j.envint.2024.109172
Ana-Catarina Pinho-Gomes , Louis Jamart
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Abstract

Background

The health impacts of climate change have been increasingly recognised for the past years. However, it remains unclear how this has translated into funding for health adaptation and health co-benefits of climate mitigation.

Methods

We analysed the projects funded by the Green Climate Fund (GCF) between 2021 and 2023 and the Adaptation Fund between 2019 and 2024 to estimate the amount of funding provided for health adaptation and the health co-benefits of climate mitigation. Based on the Notre Dame Global Adaptation Index (ND-GAIN), we estimated adaptation vulnerability and readiness for each country and investigated the association between this index and the total adaptation funding received by each country.

Findings

Between 2021 and 2023, 85 projects were funded by the GCF, of which 37 were adaptation, 32 cross-cutting, and 16 mitigation projects. The funds provided by the GCF contributed US$764 million to health adaptation (US$178 million in 2021 to US$422 million in 2023). There was no association between the amount of funding provided by the GCF towards adaptation and the estimated vulnerability, resilience, and combined adaptation index (ND-GAIN) at country level. Among the 48 mitigation and cross-cutting projects, 15 did not mention health, 13 mislabelled health co-benefits, 11 identified specific health co-benefits, and 9 correctly identified and measured health co-benefits as outcomes. The main health co-benefits were reduction in the health impact of air pollution, improved nutrition, and reduction in traffic casualties. There were 15 active projects on the Adaptation Fund website, amounting to a total of US$51,944,915. Seven of the projects mentioned health benefits but only one explicitly measured health adaptation indicators as outcomes.

Interpretation

Funding for health adaptation and health co-benefits of mitigation provided by the two main multilateral adaptation funds has been increasing over the recent years. However, it remains insufficient and does not seem to be targeting the countries facing the greatest impacts of climate change.
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为适应健康和减缓气候变化对健康的共同惠益提供多边资金:一项观测研究
过去几年,气候变化对健康的影响已得到越来越多的认识。然而,目前尚不清楚这如何转化为用于适应健康和减缓气候变化的健康惠益的资金。方法分析绿色气候基金(GCF)在2021 - 2023年资助的项目和适应基金在2019 - 2024年资助的项目,估算用于健康适应的资金量和气候减缓的健康协同效益。基于巴黎圣母院全球适应指数(ND-GAIN),我们估算了每个国家的适应脆弱性和准备程度,并调查了该指数与每个国家收到的适应资金总额之间的关系。在2021年至2023年期间,绿色气候基金资助了85个项目,其中37个是适应项目,32个是交叉项目,16个是减缓项目。绿色气候基金提供的资金为卫生适应贡献了7.64亿美元(2021年为1.78亿美元,2023年为4.22亿美元)。GCF为适应提供的资金量与国家一级估计的脆弱性、恢复力和综合适应指数(ND-GAIN)之间没有关联。在48个缓解和跨领域项目中,15个没有提及健康,13个错误地标记了健康共同惠益,11个确定了具体的健康共同惠益,9个正确地确定和衡量了健康共同惠益作为结果。主要的健康附带效益是减少空气污染对健康的影响、改善营养和减少交通伤亡。适应基金网站上有15个活跃项目,总额为51,944,915美元。其中7个项目提到了健康效益,但只有一个项目明确将健康适应指标作为结果加以衡量。近年来,两个主要多边适应基金为健康适应和缓解的健康共同惠益提供的资金一直在增加。然而,它仍然不够,似乎没有针对面临气候变化影响最大的国家。
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来源期刊
Environment International
Environment International 环境科学-环境科学
CiteScore
21.90
自引率
3.40%
发文量
734
审稿时长
2.8 months
期刊介绍: Environmental Health publishes manuscripts focusing on critical aspects of environmental and occupational medicine, including studies in toxicology and epidemiology, to illuminate the human health implications of exposure to environmental hazards. The journal adopts an open-access model and practices open peer review. It caters to scientists and practitioners across all environmental science domains, directly or indirectly impacting human health and well-being. With a commitment to enhancing the prevention of environmentally-related health risks, Environmental Health serves as a public health journal for the community and scientists engaged in matters of public health significance concerning the environment.
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