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Climate and health

A path to strategic co-financing

Bibliographic Data

ID15127091
AuthorsJosephine Borghi (0000-0002-0482-5451, Global Health and Development, London School of Hygiene and Tropical Medicine , London WC1H9SH), Soledad Cuevas (0000-0002-4897-5240, INSTITUTO DE ECONOMÍA, GEOGRAFÍA Y DEMOGRAFÍA (IEGD), Consejo Superior de Investigaciones Científicas (CSIC) , Madrid 28037), Blanca Anton (0000-0003-3991-9690, Global Health and Development, London School of Hygiene and Tropical Medicine , London WC1H9SH), Domenico Iaia (Partnership for Maternal, Newborn, Child and Adolescent Health (PMNCH), WHO , Geneva 1211), Domenico Gerardo Iaia (0000-0001-8277-9342), Giulia Gasparri (0000-0002-3408-114X, Partnership for Maternal, Newborn, Child and Adolescent Health (PMNCH), WHO , Geneva 1211), Mark A Hanson (0000-0002-6907-613X, Partnership for Maternal, Newborn, Child and Adolescent Health (PMNCH), WHO , Geneva 1211), Agnès Soucat (0000-0002-7779-8079, Health and Social Protection, Agence Française de Développement (AfD) , Paris 75598), Flavia Bustreo (Fondation Botnar , Basel 4052), Eleanor Langlois (0000-0002-4853-2511), Étienne V Langlois (Partnership for Maternal, Newborn, Child and Adolescent Health (PMNCH), WHO , Geneva 1211)
Year2024
Volume39
IssueSupplement_2
Pagesi4-i18
Publication date2024-11-18
Open AccessYes
TypeARTICLE
VenueHealth Policy and Planning (JOURNAL)
Journal identifiersISSN: 0268-1080 • E-ISSN: 1460-2237
PublisherOxford University Press (PUBLISHER • GB)
DOI10.1093/heapol/czae044
PMID39552341
OpenAlexW4404474018
LanguageEN
References cited72

Leveraging the co-benefits of investments in health and climate can be best achieved by moving away from isolated financing approaches and adopting co-financing strategies, which aim to improve the outcomes of both sectors. We propose a framework for studying co-financing for health and climate that considers the degree of integration between sector funding, and whether arrangements are ‘passive’, when cross-sectoral goals are indirectly affected, or ‘strategic’, when they are pre-emptively supported to build resilience and sustainability. We conducted a rigorous, evidence-focused review to describe co-financing mechanisms according to a framework, including the context in which they have been employed, and to identify enablers and barriers to implementation. We searched the international literature using Pubmed and Web of Science from 2013 to 2023, the websites of key health and climate agencies for grey literature and consulted with stakeholders. Our review underscores the significant impact of climate change and related hazards on government, health insurance and household health-related costs. Current evidence primarily addresses passive co-financing, reflecting the financial consequences of inaction. Strategic co-financing is under explored, as are integrative co-financing models demanding cross-sectoral coordination. Current instances of strategic co-financing lack sufficient funding to demonstrate their effectiveness. Climate finance, an under used resource for health, holds potential to generate additional revenue for health. Realizing these advantages necessitates co-benefit monitoring to align health, climate mitigation and adaptation goals, alongside stronger advocacy for the economic and environmental benefits of health investments. Strategic co-financing arrangements are vital at all system levels, demanding increased cross-sectoral collaboration, additional funding and skills for climate integration within health sector plans and budgets, and mainstreaming health into climate adaptation and mitigation plans. Supporting persistent health needs post-disasters, promoting adaptive social protection for health and climate risks, and disseminating best practices within and among countries are crucial, supported by robust evaluations to enhance progress

Business · Climate change · Climate Finance · Climate resilience · Context (archaeology) · Developing country · Economic growth · Economics · Government (linguistics) · Revenue · Sustainability · Climate Change and Health Impacts · Finance · Global Health Care Issues · Health disparities and outcomes

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