Climate change and sexual and reproductive health and rights research in low-income and middle-income countries: a scoping review
BMJ Public Health,
Год журнала:
2024,
Номер
2(2), С. e001090 - e001090
Опубликована: Авг. 1, 2024
Introduction
This
study
aimed
to
provide
an
overview
of
the
research
landscape
and
identify
gaps
linking
climate
change
events
sexual
reproductive
health
rights
(SRHR)
in
low-income
middle-income
countries
(LMICs),
where
negative
impacts
are
most
severe.
Methods
We
conducted
a
scoping
review
map
studies
that
link
or
factors
SRHR
aspects
LMICs.
performed
structured
literature
search
across
six
databases
relevant
peer-reviewed
publications
between
January
1994
6
September
2023.
The
yielded
14
674
articles.
After
screening,
75
articles
were
included,
spanning
99
globe.
Results
Climate
such
as
extreme
temperatures,
drought,
rainfall
shocks,
cyclones
floods
found
be
associated
with
maternal
newborn
outcomes
ranging
from
reduced
low
birth
weight,
preterm
births
Apgar
scores,
lack
pregnancy
care,
complications,
stillbirths,
deaths.
Associations
also
climate-related
increased
gender-based
violence
HIV
prevalence,
well
fertility
decisions
harmful
practices
female
genital
mutilations
early
forced
marriages.
About
two-thirds
(48/75)
African
Western
Pacific
regions.
main
on
change-related
included
abortion,
cancers
contraception
use.
Conclusion
Complementing
existing
evidence
targeted
fill
these
knowledge
could
enhance
mitigation
programmes
policies.
Язык: Английский
Spatiotemporal analysis of agricultural drought variability in the uMkhanyakude District Municipality, KwaZulu-Natal
Environmental Monitoring and Assessment,
Год журнала:
2025,
Номер
197(2)
Опубликована: Янв. 20, 2025
Язык: Английский
Extreme weather events and disruptions to HIV services: a systematic review
The Lancet HIV,
Год журнала:
2024,
Номер
unknown
Опубликована: Окт. 1, 2024
Язык: Английский
Associations of inter-annual rainfall decreases with subsequent HIV outcomes for persons with HIV on antiretroviral therapy in Southern Africa: a collaborative analysis of cohort studies
BMC Infectious Diseases,
Год журнала:
2023,
Номер
23(1)
Опубликована: Дек. 19, 2023
Abstract
Background
Periods
of
droughts
can
lead
to
decreased
food
security,
and
altered
behaviours,
potentially
affecting
outcomes
on
antiretroviral
therapy
(ART)
among
persons
with
HIV
(PWH).
We
investigated
whether
rainfall
is
associated
adverse
PWH
ART
in
Southern
Africa.
Methods
Data
were
combined
from
11
clinical
cohorts
Lesotho,
Malawi,
Mozambique,
South
Africa,
Zambia,
Zimbabwe,
participating
the
International
epidemiology
Databases
Evaluate
AIDS
Africa
(IeDEA-SA)
collaboration.
Adult
who
had
started
prior
01/06/2016
follow-up
year
included.
Two-year
June
2014
May
2016
at
location
each
centre
was
summed
ranked
against
historical
2-year
amounts
(1981–2016)
give
an
empirical
relative
percentile
estimate.
The
IeDEA-SA
data
using
centre’s
latitude/longitude.
In
individual-level
analyses,
multivariable
Cox
or
generalized
estimating
equation
regression
models
(GEEs)
assessed
associations
between
versus
levels
four
separate
(mortality,
CD4
counts
<
200
cells/mm
3
,
viral
loads
>
400
copies/mL,
12-month
gaps
follow-up)
two
years
following
period.
GEEs
used
investigate
association
monthly
numbers
unique
visitors
per
centre.
Results
Among
270,708
across
386
centres
(67%
female,
median
age
39
[IQR:
32–46]),
lower
than
usual
higher
mortality
(adjusted
Hazard
Ratio:
1.18
[95%CI:
1.07–1.32]
10
rank
decrease)
unsuppressed
Odds
1.05
[1.01–1.09]).
Levels
not
strongly
cell/mm
care.
areas
less
visiting
them
Rate
0.80
[0.66–0.98]
decrease).
Conclusions
Decreased
could
negatively
impact
treatment
behaviours
outcomes.
Further
research
needed
explore
reasons
for
these
effects.
Interventions
mitigate
health
severe
weather
events
are
required.
Язык: Английский
HIV in Eswatini: Climate Change Impacts and Adaptation Strategies
Current Tropical Medicine Reports,
Год журнала:
2024,
Номер
11(3), С. 143 - 152
Опубликована: Июль 6, 2024
Abstract
Purpose
of
Review
This
review
assessed
the
impact
climate
change
on
HIV
transmission
and
care
children
adults
in
Eswatini,
what
adaptation
strategies
can
mitigate
these
impacts.
Recent
Findings
The
crisis
Eswatini
persists
alongside
emergency,
increasing
poor
health
outcomes
individuals
living
with
HIV.
Although
there
is
no
clinical
evidence
a
direct
influence
biological
effect
HIV,
changing
weather
patterns
have
an
livelihoods
sustenance
children,
adults,
caregivers,
which
may
consequently
increase
likelihood
disrupt
care.
Summary
Drought
conditions—expected
to
change—coupled
existing
food
insecurity
poverty
are
main
pathways
linking
Eswatini.
Other
climate-driven
concerns
for
treatment
include
heat
waves,
wildfires,
floods,
storms.
Язык: Английский
Does climate change threaten delivery of HIV care in resource-limited settings?
Current Opinion in Infectious Diseases,
Год журнала:
2024,
Номер
unknown
Опубликована: Ноя. 28, 2024
Purpose
of
review
Extreme
weather
events
(EWEs)
pose
a
challenge
to
achieving
UNAIDS
goal
eliminating
HIV
as
public
health
threat
by
2030.
This
summarizes
recent
findings
describing
the
disruption
services
EWEs
and
discusses
strategies
for
resilient
care
programme
in
resource-limited
settings.
Recent
impact
each
component
continuum
–
testing,
linkage
treatment,
viral
suppression
other
prevention
services.
disrupt
healthcare
provision
either
through
impacting
ability
system
deliver
because
infrastructure
damage
increased
workload
or
limiting
people's
seek
access
challenges
forced
displacements.
culminates
disengagement
from
care,
poor
treatment
adherence
increase
disease
progression
with
more
vulnerable
groups
such
women
young
people
being
adversely
impacted.
Summary
Most
affected
at
risk
reside
resource-poor
settings
which
are
region
least
capacity
adapt
climate
change.
Few
studies
very
limited
geographical
coverage
show
that
affect
delivery
this
setting.
Climate
adaptation
mitigation
policies
required
protect
Язык: Английский
Climate change and extreme weather events and linkages with HIV outcomes: recent advances and ways forward
Current Opinion in Infectious Diseases,
Год журнала:
2024,
Номер
unknown
Опубликована: Дек. 2, 2024
Purpose
of
review
Discuss
the
recent
evidence
on
climate
change
and
related
extreme
weather
events
(EWE)
linkages
with
HIV
prevention
care
outcomes.
Recent
findings
We
identified
22
studies
exploring
in
context
EWE.
examined
sexual
practices
that
increase
exposure
(e.g.,
condomless
sex,
transactional
sex),
testing,
infections
prevalence.
care-related
outcomes
among
people
included
clinical
viral
load),
antiretroviral
therapy
adherence
access,
engagement
retention,
mental
physical
wellbeing.
Pathways
from
EWE
to
included:
structural
impacts
health
infrastructure
damage);
resource
insecurities
food
insecurity-related
ART
barriers);
migration
displacement
reduced
access
services);
intrapersonal
interpersonal
challenges,
social
support).
Summary
Studies
recommended
multilevel
strategies
for
EWE,
including
at
structural-level
(e.g.
security
programs),
institution-level
long-lasting
ART),
community-level
collective
water
management),
individual-level
coping
skills).
Climate-informed
research
is
needed.
Integration
emergency
disaster
preparedness
services
offers
new
opportunities
optimizing
care.
Язык: Английский