Climate change and infectious disease surveillance in Nepal: qualitative study exploring social, cultural, political and institutional factors influencing disease surveillance.
Background To explore the impacts of contextual issues encompassing social, cultural, political and institutional elements, on the operation of public health surveillance systems in Nepal concerning the monitoring of infectious diseases in the face of a changing climate. Methods Semi-structured inte...
| Publicado en: | Journal of Public Health Vol. 46; no. 1; pp. 30 - 41 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Mar2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=176131423&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 176131423 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17413842 1CA0 jtl: Journal of Public Health issn: 17413842 maglogo: N pubinfo: dt: Mar2024 vid: 46 iid: 1 pid: 622 pub: Oxford University Press / USA artinfo: ui: 176131423 176131423 176131423 10.1093/pubmed/fdad211 176131423 ppf: 30 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Climate change and infectious disease surveillance in Nepal: qualitative study exploring social, cultural, political and institutional factors influencing disease surveillance. aug: au: Bhandari, Dinesh Bi, Peng Sherchand, Jeevan Bahadur Ehrenstein, Ondine S von Lokmic-Tomkins, Zerina Dhimal, Meghnath Hanson-Easey, Scott affil: Faculty of Health and Medical Sciences , School of Public Health, University of Adelaide , Adelaide, SA 5000 , Australia sug: subj: Communicable Diseases Epidemiology Communicable Diseases Risk Factors Climate Change Disease Surveillance Risk Assessment Patient Attitudes Evaluation Human Male Female Adult Middle Age Nepal Qualitative Studies Semi-Structured Interview Thematic Analysis Purposive Sample Conceptual Framework Data Analysis Software Descriptive Statistics Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Background To explore the impacts of contextual issues encompassing social, cultural, political and institutional elements, on the operation of public health surveillance systems in Nepal concerning the monitoring of infectious diseases in the face of a changing climate. Methods Semi-structured interviews (n = 16) were conducted amongst key informants from the Department of Health Services, Health Information Management System, Department of Hydrology and Meteorology, World Health Organization, and experts working on infectious disease and climate change in Nepal, and data were analysed using thematic analysis technique. Results Analysis explicates how climate change is constructed as a contingent risk for infectious diseases transmission and public health systems, and treated less seriously than other 'salient' public health risks, having implications for how resources are allocated. Further, analysis suggests a weak alliance among different stakeholders, particularly policy makers and evidence generators, resulting in the continuation of traditional practices of infectious diseases surveillance without consideration of the impacts of climate change. Conclusions We argue that along with strengthening systemic issues (epidemiological capacity, data quality and inter-sectoral collaboration), it is necessary to build a stronger political commitment to urgently address the influence of climate change as a present and exponential risk factor in the spread of infectious disease in Nepal. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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