Open AccessIndicators to Guide and Monitor Climate Change Adaptation in the US Pacific Northwest
Author(s) -
Annie Doubleday,
Nicole A. Errett,
Kristie L. Ebi,
Jeremy Hess
Publication year - 2020
Publication title -
american journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.284
H-Index - 264
eISSN - 1541-0048
pISSN - 0090-0036
DOI - 10.2105/ajph.2019.305403
Subject(s) - climate change , generalizability theory , clarity , psychological resilience , public health , environmental resource management , adaptation (eye) , context (archaeology) , environmental planning , political science , geography , medicine , psychology , environmental science , nursing , ecology , developmental psychology , biochemistry , chemistry , archaeology , neuroscience , psychotherapist , biology
Objectives. To develop a set of indicators to guide and monitor climate change adaptation in US state and local health departments. Methods. We performed a narrative review of literature on indicators of climate change adaptation and public health service capacity, mapped the findings onto activities grouped by the Centers for Disease Control and Prevention's Ten Essential Services, and drafted potential indicators to discuss with practitioners. We then refined the indicators after key informant interviews with 17 health department officials in the US Pacific Northwest in fall 2018. Results. Informants identified a need for clarity regarding state and local public health's role in climate change adaptation, integration of adaptation into existing programs, and strengthening of communication, partnerships, and response capacity to increase resilience. We propose a set of climate change indicators applicable for state and local health departments. Conclusions. With additional context-specific refinement, the proposed indicators can aid agencies in tracking adaptation efforts. The generalizability, robustness, and relevance of the proposed indicators should be explored in other settings with a broader set of stakeholders.