Health sector preparedness for adaptation planning in India

Developing countries face substantial vulnerabilities to the current and projected health risks of climate change. The paper explores some key elements for health care system preparedness and adaptation planning for heatwaves, flooding and cyclones, illustrating the constraints faced in the Indian context, by analyzing data from a field study. The barriers are not insurmountable and many opportunities exist in building climate resilient infrastructure, improving intersectoral organization, resource planning, and framing health policies and programmes that mainstream climate risks. This is the first comprehensive attempt to collect and analyse data on morbidity, mortality, and extreme events, supported by intensive primary survey based data on the preparedness of the health care system to manage risks in India. Recognizing the importance of specific climatic events such as heatwaves, systematic documentation and assessment of risks with associated morbidity and mortality, and collaboration across relevant departments are instrumental in framing an appropriate adaptation plan.