Search Climate Insights Directory

The Institute for Economic Justice (IEJ) evaluates South Africa's R500 billion COVID-19 rescue package, concluding that the government's support measures have largely failed due to poor uptake, bureaucratic hurdles, and insufficient funding. The report highlights significant underspending, with an estimated R375 billion remaining unspent by June 2020. Key failures include the Temporary Employer/Employee Relief Scheme (TERS), which reached only 8% of employers, and the Social Relief of Distress Grant, where only 1.2 million of 6.2 million applicants had been paid by June 18, 2020. Business support, including tax deferrals and the Credit Guarantee Scheme, suffered from low uptake and stringent eligibility criteria. Health and municipal support were described as patchy or underspent, with critical gaps in ICU bed capacity and water infrastructure in informal settlements.

The African Union (AU) and Africa CDC reacted quickly to COVID-19, coordinating health responses and establishing an anti-COVID-19 fund. However, the pandemic has exacerbated security threats in West and Central Africa, where fighting against terrorism and internal conflicts continues despite global ceasefire calls. In the Horn of Africa, the virus has disrupted peace processes and created new instabilities, including the politicisation of response measures and the release of thousands of inmates. The report also highlights the extreme vulnerability of Africa's 25.2 million refugees and internally displaced persons, warning that border closures may increase irregular migration and transmission risks.

A group of over 75 South African economists and analysts argues that current government responses to the COVID-19 pandemic are insufficient in scale. They propose a comprehensive set of measures including income transfers, payment holidays, expanded emergency loans, and increased health system funding to protect vulnerable populations and sustain businesses during the crisis.

The document argues that climate change is already causing avoidable injuries, illnesses, and deaths while damaging healthcare infrastructure. It highlights a significant global adaptation gap, noting that funding for health adaptation is less than 1% of international climate adaptation finance. The authors propose a framework for building climate-resilient health systems focusing on workforce knowledge, information systems, service delivery, and adequate financing. Key recommendations include increasing research investments, developing scenario-based integrated adaptation plans, and promoting zero-emission technologies to reduce the overall adaptation burden.

The document outlines the climate-related risks facing health care facilities (HCFs) and provides a framework for mitigation and adaptation. It highlights that 90% of health care life-cycle GHG emissions in Canada are generated upstream in the supply chain, with pharmaceuticals and hospitals being major contributors. The guide recommends using resiliency checklists, vulnerability assessments, and sustainable procurement to reduce environmental footprints. It also discusses specific interventions in energy efficiency, transportation (including telemedicine), and the reduction of potent inhalation anesthetic gases.

The report analyzes the sustainability of off-grid solar PV systems in public health and education facilities across Sub-Saharan Africa and South Asia. Using a framework based on three pillars—organizational, technical, and economic sustainability—and four project lifecycle phases, it examines seven retrospective case studies and several emerging and hypothetical models. Key findings highlight that many systems fail within 3–5 years due to a lack of long-term operation and maintenance (O&M) planning, insufficient funding for component replacement (especially batteries), and a tendency to devolve responsibility to under-resourced local actors. The report argues that sustainability requires aligning public and private incentives, securing lifetime funding upfront, and utilizing centralized O&M management or performance-based private contracts to avoid the 'responsibility vacuum' that often occurs after initial project funding ends.

The document analyzes Africa's epidemiological transition, noting that while communicable diseases currently cause a disproportionate share of deaths, non-communicable diseases (NCDs) are rising. Using scenario modeling, it argues that achieving SDG 3.3 (eradicating communicable diseases) would significantly boost GDP and life expectancy but accelerate the shift toward NCDs, potentially stressing health systems. Conversely, achieving SDG 3.4 (reducing premature NCD deaths) improves productivity through reduced disability but offers smaller overall economic gains than the eradication of infectious diseases.

The report argues that climate change poses a significant threat to public health and the delivery of health services in Canada, necessitating a shift toward resilient infrastructure and sustainable practices. It highlights that Canadian hospitals are among the most energy-inefficient in OECD northern climates and face risks from extreme weather, particularly in northern and coastal areas. The document recommends investing in renewable energy, implementing Green Revolving Funds, and conducting climate resiliency assessments. It also suggests leveraging the trusted status of health professionals to drive public behavior change and utilizing institutional lands for ecosystem services to improve public well-being.

The document analyzes the 'vertical' healthcare approach favored by Western nations—which targets specific diseases—versus the 'horizontal' approach traditionally used by China, which focuses on infrastructure and integrated systems. While both provided short-term emergency aid during the Ebola crisis, the author argues that China's long-term strategy of building healthcare infrastructure is more sustainable for African states. The brief suggests that an ideal response combines both systems and calls for increased cooperation between China and the West, alongside regular UN Security Council meetings on public health, to strengthen global health security.

The document examines Africa's engagement with the CWC and BTWC, noting that while CWC participation is high due to the support of the OPCW, BTWC engagement is low due to a lack of an oversight body and a perception that biological weapons are not a primary threat. It highlights significant gaps in national legislation and the vulnerability of African public health systems to deliberate disease outbreaks.

The document describes a comprehensive training program focused on transitioning from isolated pilot projects to system-wide health adaptation in the Americas. It details eleven sessions covering the urgency of climate threats, the conceptual difference between incremental and transformational adaptation, and the use of vulnerability and adaptation assessments (V&As). The course emphasizes overcoming institutional resistance, integrating climate considerations into bureaucratic structures, and the importance of inclusive, Indigenous-led approaches to ensure health equity. Additionally, it addresses the need for strategic communication, cross-jurisdictional collaboration, and the synergy between health system decarbonization and climate resilience.

A group of over 75 economists and experts argue that South Africa's initial economic responses to COVID-19 were insufficient in scale compared to other nations. They propose a comprehensive five-pillar strategy to support households, protect workers, sustain businesses, strengthen public health, and stabilize the broader economy, emphasizing the need for fiscal and monetary expansion to protect the most vulnerable populations.

The research examines whether armed conflict contributes to excess female mortality by affecting reproductive health and maternal mortality. The study finds that while conflict is associated with moderately higher maternal mortality rates, its effect on overall fertility is only significant in low-income countries, where it may act as a deterrent to the demographic transition. Unexpectedly, the study identifies that conflicts in neighboring countries are associated with lower maternal mortality, potentially due to the effectiveness of international health interventions for refugee populations.

The document analyzes how Fiji, Ghana, and Benin are mainstreaming climate adaptation into their health systems through policy development, pilot projects, and political leadership. It identifies key barriers such as limited funding and poor data access, while recommending 'no-regrets' actions like staff training and the establishment of cross-sectoral collaboration mechanisms to build resilience against climate-related health risks and other shocks.