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Abstract Background Climate change (CC) adaptation is considered a priority for Caribbean Small Islands Developing States (SIDS), as these territories and communities are considered particularly vulnerable to climate-related events. The primary health care (PHC) system is an important actor in contributing to climate change adaptation. However, knowledge on how PHC is prepared for CC in Caribbean SIDS is very limited. The objective of this paper is to discuss health adaptation to climate change focusing on the PHC system. Methods We explored the perspectives of PHC professionals in Dominica on climate change. Focus group discussions (FGDs) were conducted in each of the seven health districts in Dominica, a Caribbean SIDS, between November 2021 and January 2022. The semi-structured interview guide was based on the Essential Public Health Functions: assessment, access to health care services, policy development and resource allocation. Data coding was organized accordingly. Results Findings suggest that health care providers perceive climate change as contributing to an increase in NCDs and mental health problems. Climate-related events create barriers to care and exacerbate the chronic deficiencies within the health system, especially in the absence of high-level policy support. Healthcare providers need to take a holistic view of health and act accordingly in terms of disease prevention and health promotion, epidemiological surveillance, and ensuring the widest possible access to health care, with a particular focus on the ecological and social determinants of vulnerability. Conclusion The Primary Health Care system should be a key actor in designing and operationalizing adaptation and transformative resilience. The Essential Public Health Functions should integrate social and climate and ecological determinants of health to guide primary care activities to protect the health of communities. This indicates a need for improved research on the linkages between climate events and health outcomes, surveillance, and development of plans that are guided by contextual knowledge in the SIDS.
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Abstract Background Evidence continues to demonstrate that certain marginalised populations are disproportionately affected by COVID-19. While many studies document the impacts of COVID-19 on social inequalities in health, none has examined how public health responses to the pandemic have unfolded to address these inequities in Canada. The purpose of our study was to assess how social inequalities in health were considered in the design and planning of large-scale COVID-19 testing programs in Montréal (Québec, Canada). Methods Part of the multicountry study HoSPiCOVID, this article reports on a qualitative case study of large-scale testing for COVID-19 in Montréal. We conducted semi-structured interviews with 19 stakeholders involved in planning large-scale testing or working with vulnerable populations during the pandemic. We developed interview guides and a codebook using existing literature on policy design and planning, and analysed data deductively and inductively using thematic analysis in NVivo. Results Our findings suggest that large-scale COVID-19 testing in Montréal did not initially consider social inequalities in health in its design and planning phases. Considering the sense of urgency brought by the pandemic, participants noted the challenges linked to the uptake of an intersectoral approach and of a unified vision of social inequalities in health. However, adaptations were gradually made to large-scale testing to improve its accessibility, acceptability, and availability. Actors from the community sector, among others, played an important role in supporting the health sector to address the needs of specific subgroups of the population. Conclusions These findings contribute to the reflections on the lessons learned from COVID-19, highlighting that public health programs must tackle structural barriers to accessing healthcare services during health crises. This will be necessary to ensure that pandemic preparedness and response, including large-scale testing, do not further increase social inequalities in health.
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IntroductionCaribbean Small island developing states (SIDS) are generally qualified as disproportionately vulnerable to climate change, including extreme weather events like hurricanes. While many studies already documented the impacts of climate change on health in the wealthiest countries, there is little knowledge in this field in Caribbean SIDS. Our study aims to discuss health risks and vulnerabilities in a Caribbean context to inform future adaptation measures to climate change.MethodsOur paper is based on a qualitative study that was conducted in Dominica, a Caribbean SIDS. The data come from semi-structured interviews organized between March 2020 and January 2021 with people internally displaced following an extreme climate event, either tropical storm Erika (2015) or Hurricane Maria (2017), and with some people who migrated to Guadeloupe after Hurricane Maria. Interview guides were based on conceptual frameworks on climate change, migration and health, and vulnerability to climate change. Data were analyzed deductively based on frameworks and inductively to allow new codes to emerge.ResultsOur findings suggest that current knowledge of climate change by those who have been displaced by an extreme climate event varied greatly depending on the education level, class, and socioeconomic condition of the participant. Participants experienced various negative consequences from a storm or hurricane such as increased risk of relocation, lack of access to healthcare, and food, job, and water insecurities – all circumstances know to correlate with mental health issues. Participants suggested stronger dwellings, community preparedness committees to act sooner, and climate change sensitization and awareness campaigns to foster community unity and solidarity.ConclusionThese findings contribute to the perspectives and knowledge of climate change, highlighting that existing extreme climate event committees and government officials need to address structural and social barriers that can potentially increase social inequalities and lead to maladaptation to climate change with potential consequences on public health.