Christopher De Weir Golden

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Timothy Bouley

University of Exeter

Kristie L. Ebi

University of Washington

Amelia Midgley

Joy Shumake-Guillemot

World Meteorological Organization

Joy Shumake Shumake-Guillemot

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World Bank Group

World Meteorological Organization

World Health Organization

National Oceanic and Atmospheric Administration

University of Southern Queensland

Met Office

Universidad Rovira i Virgili

Federal Office of Meteorology and Climatology MeteoSwiss

University of East Anglia

Agence Nationale de l'Aviation Civile et de la Météorologie

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Madagascar - Climate change and health diagnostic : risks and opportunities for climate-smarthealth and nutrition investment

Timothy Bouley Amelia Midgley Joy Shumake-Guillemot Christopher De Weir Golden Kristie L. Ebi

In Madagascar, climate change is already impacting health, and this damage will continue. Without adequate investment in health sector resilience, recent development gains are likely to be reversed, with serious consequences for Madagascar’s people and environment. Even so, sustainable pathways to a resilient health sector are possible, despite growing evidence of climate change impacts across the country. What is needed is a clear understanding of these pathways to build resilience, taking into account robust projections of the country’s climate and development future. This report highlights the most prominent climate change impacts facing Madagascar, with a particular emphasis on health, and provides investment relevant solutions to build resilience. Through the establishment of priority interventions to address the identified vulnerabilities, this report links evidence to opportunities for development actors, while providing specific input into the design of a World Bank investment. In doing so, the report builds momentum for the emerging climate and health activities in the country and seeks to facilitate multi-sector dialogue to enhance Madagascar’s policy planning.

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A country-based approach for assessing risks and investing in climate-smart health systems

Timothy Bouley Kristie L. Ebi Amelia Midgley Joy Shumake Shumake-Guillemot Christopher De Weir Golden

Many World Bank Group (WBG) client countries—and especially their poor populations—are being disproportionately affected by the impacts of climate change on human health. To promote understanding of potential future climate resilience, this Climate Change and Health Diagnostic was developed to help technical staff at the WBG and other development partners facilitate an action-focused dialogue among stakeholders about risks, resilience, and the performance of sectors and systems. The Diagnostic identifies priority actions and investments to enhance a health system’s (and other related systems’) resilience, reduce greenhouse gas emissions, and increase the climate-smart potential of planned or ongoing projects. The overall goal of conducting a climate change and health diagnostic is to link knowledge to investment.

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