A group of people gather around the bottom of a weather station located on the slopes of a mountain.
This station in Shikharpur Baitadi, Nepal provides data to better plan and develop climate change mitigation technologies in the country's most vulnerable regions and communities. | Photo Credit: IWMI Nepal
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Four Ways Climate Information is Helping Health Programs Adapt to Meet the Climate Challenge

Targeted and Informed Surveillance Saving Lives and Livelihoods
By Fernanda Zermoglio, Maggie Barnes, Liz Lugten

As the world grapples with the realities of climate change, its far-reaching impacts are becoming impossible to ignore. Rising temperatures, shifting weather patterns, and the increasing frequency of extreme weather events are not just environmental concerns—they are public health emergencies. These changes are forcing us to reshape our health programs to ensure they remain effective and resilient in the face of these new challenges.

Climate change affects health in numerous ways, from heat stress and the exacerbation of respiratory diseases due to worsening air quality, to altering the spread of infectious diseases like malaria and dengue fever by expanding warmer climates where mosquitoes thrive. The impacts are widespread and often disproportionately affect the most vulnerable populations, including those in low-income regions where health systems and infrastructures may already be under strain.

Traditional approaches to health programming are no longer sufficient in this rapidly changing climate. We must now account for the environmental factors that affect health outcomes, increase demand for health services, and impact the availability of health resources. This means integrating climate considerations into every aspect of our health programs, from planning and resource allocation to service delivery and emergency response.

A key strategy of this integration is the use of Climate Information Services (CIS). CIS involves collecting and analyzing climate data to predict and address the impacts of climate change on health. By using CIS, we can anticipate potential health crises and adjust our programs accordingly. Below are four real-life examples of how health programs are shifting to better respond to our changing climate. 

Climate-Informed Early Warning and Response Systems for Malaria in Ethiopia

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Resting under the mosquito net
Habiba Suleiman, a district malaria surveillance officer in Zanzibar, naps with her little girl, Rahma, under a mosquito net. Habiba works to track, test, and treat cases of malaria to stop its spread and create a malaria-free future for her children.

Ethiopia is implementing a tool that integrates malaria surveillance and climate data to generate forecasts and produce malaria early warning reports with up to 8-12 weeks lead time. Investing in a climate-informed early detection system built flexibility into malaria control programs, allowing them to adapt to changing climate conditions. Additionally, targeted and concentrated surveillance can create opportunities to control outbreaks as they happen while also reducing the risk of novel outbreaks.

Anticipatory Action to Reduce the Impact of Extreme Weather Events on Health 

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Man and other community members use discarded oyster shells, sand bags, and stakes to build embankments along the coast.
Sea level rise and accompanying coastal flooding are proving to be major risks to the lives and livelihoods of the people of coastal Sierra Leone, including the Momaya community. Now, community members are using discarded oyster shells, sand, and stakes to build embankments that will protect their property from coastal erosion.

This approach, spearheaded by the International Federation of the Red Cross and Red Crescent Societies (IFRC), represents a significant pivot in disaster risk management and health systems strengthening by emphasizing preparedness while also strengthening response and relief systems. It includes preparing for and mitigating the health threats of climate change through anticipatory action: IFRC links locally led humanitarian action with regional- and global-scale responses and surge support through forecast-based financing from the Disaster Response Emergency Fund.

PEPFAR’s El Nino Response: Lessons Learned from Food Security and HIV/AIDS Crisis Funding 

The 2015-2016 El Niño exacerbated food insecurity in Southern Africa, severely impacting vulnerable populations, including those living with HIV/AIDS. The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) response included a $20 million grant to the World Food Programme to combat malnutrition and support HIV-affected households, reaching over 349,000 people. This case study underscores the importance of integrating CIS and fostering inter-agency collaboration to strengthen health systems and improve outcomes in future climate-related emergencies.

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A group of women in colorful clothes stand together on recently tilled land.
Members of the Nkhombedzi Rice Scheme in Malawi take a break from planting drought-resistant seeds that can withstand Malawi’s changing climate to sing and dance. Many areas in Malawi have battled food insecurity due to flooding and drought.
A Health Early Warning System to Reduce Extreme Heat Impacts in Senegal

As climate change intensifies, early warning systems are essential to address the increasing frequency and severity of heatwaves, particularly in vulnerable regions like the Sahel. Improved monitoring, accurate forecasting, and strong community engagement are critical components of these systems, helping to protect health and strengthen resilience. This pilot program, supported by the National Oceanic and Atmospheric Administration, enhances regional preparedness through heat-health early warning systems, highlighting the need for improved monitoring, forecasting, and community engagement to mitigate these growing threats.

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Two boys walk through a partially dry riverbed of the Yamuna River. The Yamuna is one of India’s most sacred rivers and the longest tributary of the Ganga in India. Its water is used for irrigation, agriculture, drinking, industry, bathing, and laundry, but due to increased temperatures and a heatwave, the river dried up to its lowest point.

These approaches are looking beyond immediate risks to anticipate future threats and needs. By integrating climate considerations, we can ensure that our efforts to improve health outcomes worldwide are sustainable and effective in the long term.

Watch this space for the forthcoming technical report, learning materials, and webinars that will showcase USAID’s work on climate and health systems strengthening moving forward.

Sectors
Adaptation, Health
Strategic Objective
Adaptation, Integration
Topics
Adaptation, Climate, Climate Change Integration, Climate Risk Management, Disaster Risk Management, Health, Resilience, Systems Change, Weather, Climate Information Services
Region
Global

Fernanda Zermoglio

Fernanda Zermoglio is a Senior Advisor in the Center for Resilience, Bureau for Resilience, Environment, and Food Security. She works to support missions and programs to integrate climate risks into programs and activities. She has over 25 years of experience providing strategic and technical leadership in integrating climate adaptation and resilience into development policy and practice.

Maggie Barnes

Maggie Barnes is the Program and Communications Coordinator for the USAID Office of Health Systems’ Strategic Communications, Analytics, Learning and Evidence (SCALE) team. In her current role, she supports OHS' communications and messaging and is part of the AOR team that manages the $1.15 billion WHO Consolidated Portfolio. Maggie also serves as the Country Team Coordinator for Burkina Faso. She has her Masters of Public Health from George Washington University.

Liz Lugten

Liz Lugten currently serves as a Senior Policy Analyst in USAID’s Bureau for Policy, Learning, and Resource Management supporting the formulation and implementation of global health policy documents. She has worked on climate-related issues for over 12 years across energy, agriculture, and health. In previous roles at USAID, she has been instrumental in developing a robust portfolio to strengthen health system resilience and integrate climate into health programming. She has her Masters in Global Environmental Health from Emory University and undergraduate degree from Stony Brook University.

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