ABSTRACT

Increasingly severe extreme weather events (EWEs) threaten population health in Asia-Pacific. Resilient health systems can minimize health risks by improving EWE preparedness, response, and recovery. However, how health systems demonstrate resilience is less understood in the emerging resilience literature. The objective of this scoping review was to describe how peer-reviewed and grey literature has operationalized health system resilience to EWEs in Asia-Pacific. Included sources were available in English, published from 2000 to 2019, and focused on health system activity in Asia-Pacific for EWE risk management. The World Health Organization's climate-resilient health system framework and building block model guided analysis of 49 sources. Health system activity was categorized by system building blocks. Assets and/or gaps to resilience were identified based on whether building blocks facilitated or impeded EWE risk management. Sources mostly focused on the Philippines (29%), India (16%) and Thailand (14%), with lower income economies and Pacific Island countries underrepresented. Floods (47%), typhoons (27%), and cyclones (16%) were frequently discussed while no sources mentioned droughts. Financing was the least mentioned building block (27%) and often described as a gap to resilience (24%). Overall, this review highlights opportunities for future research to develop EWE resilient health systems in Asia-Pacific and beyond.

摘要

日益严重的极端天气事件（EWE）威胁着亚太地区的人口健康。弹性的卫生系统可以通过改善EWE的准备，响应和恢复来最大程度地降低健康风险。但是，在新兴的复原力文献中很少了解卫生系统如何表现出复原力。范围界定审查的目的是描述同行评审和灰色文献如何使卫生系统对亚太地区的EWE产生适应力。包括的来源为英语，于2000年至2019年出版，重点关注亚太地区针对EWE风险管理的卫生系统活动。世界卫生组织的气候适应性卫生系统框架和构件模型指导了对49种来源的分析。卫生系统活动按系统构建块分类。根据构建模块是促进还是阻碍了EWE风险管理，确定了抵御能力的资产和/或差距。消息来源主要集中在菲律宾（29％），印度（16％）和泰国（14％），低收入经济体和太平洋岛国的代表性不足。人们经常讨论洪水（47％），台风（27％）和气旋（16％），而没有消息来源提到干旱。融资是最不被提及的构成要素（占27％），通常被描述为弹性缺口（占24％）。总的来说，这篇评论强调了未来研究在亚太及其他地区开发EWE弹性卫生系统的机会。收入较低的经济体和太平洋岛国代表不足。人们经常讨论洪水（47％），台风（27％）和气旋（16％），而没有消息来源提到干旱。融资是最不被提及的构成要素（占27％），通常被描述为弹性缺口（占24％）。总的来说，这篇综述强调了未来研究在亚太及其他地区开发EWE适应性卫生系统的机会。收入较低的经济体和太平洋岛国代表不足。人们经常讨论洪水（47％），台风（27％）和气旋（16％），而没有消息来源提到干旱。融资是最不被提及的构成要素（占27％），通常被描述为弹性缺口（占24％）。总的来说，这篇评论强调了未来研究在亚太及其他地区开发EWE弹性卫生系统的机会。