[Health Impact Assessment of Local Governments' Climate Change Adaptation Plans: A Case Study]
- PMID: 41333140
- PMCID: PMC12483082
- DOI: 10.56786/PHWR.2025.18.35.1
[Health Impact Assessment of Local Governments' Climate Change Adaptation Plans: A Case Study]
Abstract
Objectives: This study describes the methodology and evaluation outcomes of a health impact assessment (HIA) pilot project conducted for the health sector under the second phase of the climate change adaptation plan implemented in Siheung City, Gyeonggi-do, and Eunpyeong District, Seoul.
Methods: Based on a literature review and expert consultation, 45 evaluation items were identified for inclusion in the climate change HIA. Thereafter, a rapid HIA was conducted to assess the health-sector projects within the framework of the climate change adaptation plan. In each city, a steering committee comprising eight members from several sectors was formed. Various data, including literature reviews and expert consultations, were collected as evidence of health impacts, and were comprehensively appraised in a final workshop conducted by the steering committee.
Results: Evidence regarding the health impact of the climate change adaptation plan was collected through the HIA. The health impacts of each program were organized using causal pathways and a comprehensive evidence matrix. Several recommendations for the climate change adaptation plan were suggested, including enhancing initiatives for vulnerable populations and improving the conditions of heat wave shelters. The evaluation outcomes of the pilot project indicated high levels of satisfaction and perceived necessity; moreover, an increase in participants' awareness of the health impacts of climate change was also noted.
Conclusions: The climate change HIA confirmed its potential to enhance the effectiveness of health-sector initiatives within the climate change adaptation plan. Future research directions to strengthen the implementation of climate change HIAs were also proposed.
목적: 본 연구의 목적은 경기도 시흥시와 서울시 은평구에서 실시된 제2차 기후변화적응대책 세부시행계획의 건강부문 사업에 대한 건강영향평가 시범사업의 수행 절차와 결과를 제공하는 것이다.
방법: 문헌고찰과 전문가 자문을 통해 45개의 기후변화 건강영향평가의 평가항목을 선정하였다. 기후변화적응대책의 건강부문을 평가하기 위해 간이형 건강영향평가를 실시하였다. 각 도시별로 다부문에서 8명의 위원들로 운영위원회를 구성하여 스코핑을 통해 건강영향평가의 과업지시서를 작성하였다. 문헌고찰, 전문가 자문 등 다양한 자료수집 방법을 통해 건강영향의 근거자료를 수집하였다. 수집된 자료들은 운영위원회의 종합평가 워크숍을 통해 종합적으로 평가되었고 이에 따라 기후변화적응대책의 개선사항이 도출되었다.
결과: 기후변화 건강영향평가를 통해 적응대책 사업들의 건강영향에 관한 근거가 수집되었고, 각 사업의 건강영향을 인과경로와 포괄적 평가매트릭스로 정리하였다. 취약계층을 위한 사업 강화, 무더위 쉼터 환경 개선 등 기후변화적응대책에 대한 다양한 권고사항이 도출되었다. 시범사업의 평가 결과 시범사업에 대한 만족도와 필요성이 높았으며, 참가자들의 기후변화의 건강영향에 대한 인식이 증가함을 확인하였다.
결론: 기후변화 건강영향평가는 기후변화적응대책의 건강부문 사업이 보다 효과적으로 구성될 수 있도록 지원할 수 있음을 확인하였다. 기후변화 건강영향평가의 활용을 높이기 위해 향후 필요한 연구과제들을 제시하였다.
Keywords: Climate change; Health impact assessment; Healthy city; Local government.
Copyright © Korea Disease Control and Prevention Agency.
Conflict of interest statement
Conflict of Interest: The authors have no conflicts of interest to declare.
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References
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- Korea Disease Control and Prevention Agency (KDCA), author [Mid-to-long-term climate health strategy]. KDCA; 2024. Korean.
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- Ministry of Health and Welfare, Korea Health Promotion Institute (KHEPI), author [Guidelines for utilizing healthy city indicators]. KHEPI; 2024. Korean.
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- Hyosan Health and Environment Foundation, Korea Health Promotion Institute (KHEPI), author [Manual for health impact assessment in local governments for health in all policies]. KHEPI; 2022. https://www.khepi.or.kr/kps/publish/view?menuId=MENU00890&page_no=B20170... Korean.
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