健康科学杂志

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Primary Healthcare in Community-Based Disaster Risk Management as Strategy for Climate Change Adaptation

Hastoro Dwinantoaji, Sakiko Kanbara, Hasti Widyasamratri and Mila Karmilah

Disaster preparedness will be determined by the vulnerability of communities and might include preparation for reducing health risk due to climate change and rapid urbanization. This article overviews the evidence for human-induced climate change, its health impacts, and the role of health cadres in flood risk management and primary healthcare as strategies for CCA and DRR. Climate change has substantial potential health effects. Transmission of DHF is also sensitive to periodic fluctuations in the climate factors. Displaced persons may face more environmental threats that harm their health. Primary healthcare implemented by health cadres plays an important role in preparing for flooding and responding to infectious disease outbreaks due to changing patterns of vector- and water- borne diseases. However, there is a challenge for system shift towards more inclusive approach to DRR and CCA comprising primary healthcare measures, that is inadequate the mechanism of protection and compensation for health cadres. Building health cadres’ capacity for flood risk management and strengthening their roles into the integration of primary healthcare as strategies for CCA and DRR, can help to meet the goal of the SFDRR 2015-2030 that calls for the participation of people disproportionately affected by disasters.