Building climate resilient healthcare systems through interventions in Gujarat India

Abstract Introduction Climate change poses significant challenges to healthcare systems, particularly in maintaining service delivery during extreme weather events. Healthcare facilities (HCFs) must become climate-resilient to sustain essential services amidst these disruptions. Aim This study aimed...

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Main Authors: Shrankhala Mishra, Princey Verma, Nageshwar Patidar, J. M. Katira, Narayan Gaonkar, Jayesh Solanki, Ravina Tadvi, Sandul Yasobant, Deepak B. Saxena
Format: Article
Language:English
Published: Springer 2025-05-01
Series:Discover Public Health
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Online Access:https://doi.org/10.1186/s12982-025-00659-7
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author Shrankhala Mishra
Princey Verma
Nageshwar Patidar
J. M. Katira
Narayan Gaonkar
Jayesh Solanki
Ravina Tadvi
Sandul Yasobant
Deepak B. Saxena
author_facet Shrankhala Mishra
Princey Verma
Nageshwar Patidar
J. M. Katira
Narayan Gaonkar
Jayesh Solanki
Ravina Tadvi
Sandul Yasobant
Deepak B. Saxena
author_sort Shrankhala Mishra
collection DOAJ
description Abstract Introduction Climate change poses significant challenges to healthcare systems, particularly in maintaining service delivery during extreme weather events. Healthcare facilities (HCFs) must become climate-resilient to sustain essential services amidst these disruptions. Aim This study aimed to identify existing gaps at the HCFs regarding preparedness for climatic hazards and handholding healthcare facilities in developing an understanding and implementing interventions for building climate resilience in line with various global and national guidelines. Method This study assessed the preparedness of 31 public HCFs across eight districts in Gujarat, India, spanning diverse climatic risk zones. A digital assessment tool was developed, using a mixed-method approach to evaluate key domains: water management, energy conservation, waste management, and infrastructure. Quantitative data captured compliance across 51 indicators, while thematic analysis of interviews provided qualitative insights into facility-level challenges and resilience strategies. Result Findings revealed moderate compliance with energy conservation practices and significant gaps in water management and waste disposal mechanisms. Facility-specific action plans addressed rainwater harvesting, solarization, herbal gardens, and capacity-building measures. Implemented interventions included handholding support for technical upgrades, fostering community collaborations, and demonstrating improved compliance in critical areas. Conclusion This study emphasizes the need for tailored, context-specific strategies to strengthen HCF resilience against extreme events. It emphasizes the role of leadership, multisectoral collaboration, and sustained investment in infrastructure and workforce capacity for long-term climate resilience in healthcare.
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spelling doaj-art-e2c488dd605f4c7da89ad4cd5c20aee52025-08-20T03:48:18ZengSpringerDiscover Public Health3005-07742025-05-0122111610.1186/s12982-025-00659-7Building climate resilient healthcare systems through interventions in Gujarat IndiaShrankhala Mishra0Princey Verma1Nageshwar Patidar2J. M. Katira3Narayan Gaonkar4Jayesh Solanki5Ravina Tadvi6Sandul Yasobant7Deepak B. Saxena8Centre for One Health Education, Research and Development (COHERD), Indian Institute of Public Health GandhinagarUnited Nations Children’s Fund- (UNICEF) IndiaUnited Nations Children’s Fund- (UNICEF) IndiaDepartment of Health and Family Welfare, Governmentof GujaratUnited Nations Children’s Fund- (UNICEF) IndiaDepartment of Health and Family Welfare, Governmentof GujaratCentre for One Health Education, Research and Development (COHERD), Indian Institute of Public Health GandhinagarCentre for One Health Education, Research and Development (COHERD), Indian Institute of Public Health GandhinagarCentre for One Health Education, Research and Development (COHERD), Indian Institute of Public Health GandhinagarAbstract Introduction Climate change poses significant challenges to healthcare systems, particularly in maintaining service delivery during extreme weather events. Healthcare facilities (HCFs) must become climate-resilient to sustain essential services amidst these disruptions. Aim This study aimed to identify existing gaps at the HCFs regarding preparedness for climatic hazards and handholding healthcare facilities in developing an understanding and implementing interventions for building climate resilience in line with various global and national guidelines. Method This study assessed the preparedness of 31 public HCFs across eight districts in Gujarat, India, spanning diverse climatic risk zones. A digital assessment tool was developed, using a mixed-method approach to evaluate key domains: water management, energy conservation, waste management, and infrastructure. Quantitative data captured compliance across 51 indicators, while thematic analysis of interviews provided qualitative insights into facility-level challenges and resilience strategies. Result Findings revealed moderate compliance with energy conservation practices and significant gaps in water management and waste disposal mechanisms. Facility-specific action plans addressed rainwater harvesting, solarization, herbal gardens, and capacity-building measures. Implemented interventions included handholding support for technical upgrades, fostering community collaborations, and demonstrating improved compliance in critical areas. Conclusion This study emphasizes the need for tailored, context-specific strategies to strengthen HCF resilience against extreme events. It emphasizes the role of leadership, multisectoral collaboration, and sustained investment in infrastructure and workforce capacity for long-term climate resilience in healthcare.https://doi.org/10.1186/s12982-025-00659-7Climate changeGCRHCFEnvironmental sustainability
spellingShingle Shrankhala Mishra
Princey Verma
Nageshwar Patidar
J. M. Katira
Narayan Gaonkar
Jayesh Solanki
Ravina Tadvi
Sandul Yasobant
Deepak B. Saxena
Building climate resilient healthcare systems through interventions in Gujarat India
Discover Public Health
Climate change
GCR
HCF
Environmental sustainability
title Building climate resilient healthcare systems through interventions in Gujarat India
title_full Building climate resilient healthcare systems through interventions in Gujarat India
title_fullStr Building climate resilient healthcare systems through interventions in Gujarat India
title_full_unstemmed Building climate resilient healthcare systems through interventions in Gujarat India
title_short Building climate resilient healthcare systems through interventions in Gujarat India
title_sort building climate resilient healthcare systems through interventions in gujarat india
topic Climate change
GCR
HCF
Environmental sustainability
url https://doi.org/10.1186/s12982-025-00659-7
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