The stifling burden of climate change on African public healthcare systems

BackgroundClimate change is the greatest health threat of the 21st century to global health and primary health care. Despite being the least contributor to global greenhouse gas emissions, Africa is disproportionately facing severe impacts of climate change, particularly on its health systems which...

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Main Authors: Jack Ogony, Judith Mangeni, George Ayodo, Esther Amulen, Florenc Scopas, Tusubila Juma, Michael Wagaba, Amos Deogratius Mwaka, Lena Nwanja, Sambila Princewill, Ben Oyugi, Arthy Yongo, Sitraka Rakotosolofo, Alberto Francioli, Eunison Mugamu, Julia Davies, Simon Karanja, Corrie Hannah
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1559737/full
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author Jack Ogony
Jack Ogony
Judith Mangeni
George Ayodo
Esther Amulen
Florenc Scopas
Tusubila Juma
Michael Wagaba
Amos Deogratius Mwaka
Lena Nwanja
Sambila Princewill
Ben Oyugi
Arthy Yongo
Sitraka Rakotosolofo
Alberto Francioli
Eunison Mugamu
Julia Davies
Simon Karanja
Corrie Hannah
author_facet Jack Ogony
Jack Ogony
Judith Mangeni
George Ayodo
Esther Amulen
Florenc Scopas
Tusubila Juma
Michael Wagaba
Amos Deogratius Mwaka
Lena Nwanja
Sambila Princewill
Ben Oyugi
Arthy Yongo
Sitraka Rakotosolofo
Alberto Francioli
Eunison Mugamu
Julia Davies
Simon Karanja
Corrie Hannah
author_sort Jack Ogony
collection DOAJ
description BackgroundClimate change is the greatest health threat of the 21st century to global health and primary health care. Despite being the least contributor to global greenhouse gas emissions, Africa is disproportionately facing severe impacts of climate change, particularly on its health systems which is already neglected and underfunded. The crisis poses a fundamental threat to human health by undermining healthcare infrastructure, straining workforce capacity, and diminishing global progress toward universal health coverage. It disrupts the physical environment, natural and human systems, and the functionality of healthcare systems, acting as a multiplier threat that jeopardizes and potentially reverses decades of health gains. The Sendai Framework, a roadmap for making vulnerable and marginalized communities safer and more resilient emphasizes the importance of investing in disaster risk prevention and reduction through both structural and non-structural measures, which are vital for enhancing socio-economic, health, and cultural resilience. This narrative review is based on the insights drawn from Climate Adaptation Research Program scholars across Africa. It explores the current and projected burden of climate change on the continent’s healthcare systems. It underscores the urgent need to integrate climate resilience into healthcare planning, fostering cross-sectoral collaboration, and ensures the sustainability of health systems amid escalating climate challenges.ConclusionThe impacts of climate change on health represent a significant global challenge, demanding the establishment of robust and resilient healthcare systems. To mitigate the catastrophic and lasting effects of the climate crisis on healthcare and to prevent millions of climate-related deaths, it is essential to enhance resilience and preparedness.
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spelling doaj-art-01e3c08536e344e2aa507facfaf2b7df2025-08-20T03:21:34ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-05-011310.3389/fpubh.2025.15597371559737The stifling burden of climate change on African public healthcare systemsJack Ogony0Jack Ogony1Judith Mangeni2George Ayodo3Esther Amulen4Florenc Scopas5Tusubila Juma6Michael Wagaba7Amos Deogratius Mwaka8Lena Nwanja9Sambila Princewill10Ben Oyugi11Arthy Yongo12Sitraka Rakotosolofo13Alberto Francioli14Eunison Mugamu15Julia Davies16Simon Karanja17Corrie Hannah18Department of Environmental Health and Disease Control, Jomo Kenyatta University of Agriculture and Technology, Nairobi, KenyaDepartment of Epidemiology and Biomedical Statistics, School of Public Health, Moi University, Eldoret, KenyaDepartment of Epidemiology and Biomedical Statistics, School of Public Health, Moi University, Eldoret, KenyaDepartment of Public Health and Community Development, Jaramogi Oginga Odinga University of Science and Technology, Kisumu, KenyaSchool of Public Health, Makerere University, Kampala, UgandaSchool of Public Health, Makerere University, Kampala, UgandaSchool of Public Health, Makerere University, Kampala, UgandaSchool of Public Health, Makerere University, Kampala, UgandaDepartment of Internal Medicine, Faculty of Medicine, Gulu University, Gulu, UgandaDepartment of Environmental Science, University of Buea, Buea, CameroonDepartment of Environmental Science, University of Buea, Buea, CameroonDepartment of Public Health and Community Development, Jaramogi Oginga Odinga University of Science and Technology, Kisumu, KenyaDepartment of Public Health and Community Development, Jaramogi Oginga Odinga University of Science and Technology, Kisumu, KenyaDepartment of Economics, University of Antananarivo, Antananarivo, MadagascarDepartment of Geography and Environmental Studies, Stellenbosch University, Stellenbosch, South AfricaDepartment of Geography and Environmental Studies, Stellenbosch University, Stellenbosch, South AfricaArizona Institute for Resilience, The University of Arizona, Tucson, AZ, United StatesDepartment of Environmental Health and Disease Control, Jomo Kenyatta University of Agriculture and Technology, Nairobi, KenyaArizona Institute for Resilience, The University of Arizona, Tucson, AZ, United StatesBackgroundClimate change is the greatest health threat of the 21st century to global health and primary health care. Despite being the least contributor to global greenhouse gas emissions, Africa is disproportionately facing severe impacts of climate change, particularly on its health systems which is already neglected and underfunded. The crisis poses a fundamental threat to human health by undermining healthcare infrastructure, straining workforce capacity, and diminishing global progress toward universal health coverage. It disrupts the physical environment, natural and human systems, and the functionality of healthcare systems, acting as a multiplier threat that jeopardizes and potentially reverses decades of health gains. The Sendai Framework, a roadmap for making vulnerable and marginalized communities safer and more resilient emphasizes the importance of investing in disaster risk prevention and reduction through both structural and non-structural measures, which are vital for enhancing socio-economic, health, and cultural resilience. This narrative review is based on the insights drawn from Climate Adaptation Research Program scholars across Africa. It explores the current and projected burden of climate change on the continent’s healthcare systems. It underscores the urgent need to integrate climate resilience into healthcare planning, fostering cross-sectoral collaboration, and ensures the sustainability of health systems amid escalating climate challenges.ConclusionThe impacts of climate change on health represent a significant global challenge, demanding the establishment of robust and resilient healthcare systems. To mitigate the catastrophic and lasting effects of the climate crisis on healthcare and to prevent millions of climate-related deaths, it is essential to enhance resilience and preparedness.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1559737/fulladaptationclimate changedisaster riskhealthcare systemvulnerabilitypreparedness
spellingShingle Jack Ogony
Jack Ogony
Judith Mangeni
George Ayodo
Esther Amulen
Florenc Scopas
Tusubila Juma
Michael Wagaba
Amos Deogratius Mwaka
Lena Nwanja
Sambila Princewill
Ben Oyugi
Arthy Yongo
Sitraka Rakotosolofo
Alberto Francioli
Eunison Mugamu
Julia Davies
Simon Karanja
Corrie Hannah
The stifling burden of climate change on African public healthcare systems
Frontiers in Public Health
adaptation
climate change
disaster risk
healthcare system
vulnerability
preparedness
title The stifling burden of climate change on African public healthcare systems
title_full The stifling burden of climate change on African public healthcare systems
title_fullStr The stifling burden of climate change on African public healthcare systems
title_full_unstemmed The stifling burden of climate change on African public healthcare systems
title_short The stifling burden of climate change on African public healthcare systems
title_sort stifling burden of climate change on african public healthcare systems
topic adaptation
climate change
disaster risk
healthcare system
vulnerability
preparedness
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1559737/full
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