Process and outputs from a community codesign workshop on reducing impact of heat exposure on pregnant and postpartum women and newborns in Kilifi, Kenya

Frontiers in Public Health

Public Health

Nathalie Roos¹  Britt Nakstad²  Jeremy Hess³  Adelaide Lusambili⁴  Stanley Luchters⁵  Felix Agoi⁵  Peter Khaemba⁵  Martha Oguna⁶  Veronique Filippi⁷  Sari Kovats⁸  Mathew Chersich⁹  Fiona Scorgie⁹ 

[1] Department of Medicine, Clinical Epidemiology Division, Karolinska Institute, Stockholm, Sweden;Division of Pediatric and Adolescent Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway;Department of Pediatric and Adolescent Health, University of Botswana, Gaborone, Botswana;Emergency Medicine, Environmental and Occupational Health Sciences, Global Health, University of Washington, Seattle, WA, United States;Environmental Health and Governance Center, Leadership and Governance HUB - School of Business, Africa International University, Nairobi, Kenya;Institute for Human Development, Aga Khan University, Nairobi, Kenya;Institute for Human Development, Aga Khan University, Nairobi, Kenya;Institute for Human Development, Aga Khan University, Nairobi, Kenya;Emergency Medicine, Environmental and Occupational Health Sciences, Global Health, University of Washington, Seattle, WA, United States;MARCH, London School of Hygiene & Tropical Medicine, London, United Kingdom;MARCH, London School of Hygiene & Tropical Medicine, London, United Kingdom;Centre on Climate Change and Planetary Health, London School of Hygiene & Tropical Medicine, London, United Kingdom;Wits Reproductive Health Institute (WRHI), University of the Witwatersrand, Johannesburg, South Africa;

关键词: codesign;    climate change;    heat exposure;    pregnant and postpartum women;    newborns;   

DOI  :  10.3389/fpubh.2023.1146048

 received in 2023-01-31, accepted in 2023-08-17,  发布年份 2023

来源: Frontiers

【 摘 要 】

BackgroundAmbient heat exposure is increasing due to climate change and is known to affect the health of pregnant and postpartum women, and their newborns. Evidence for the effectiveness of interventions to prevent heat health outcomes in east Africa is limited. Codesigning and integrating local-indigenous and conventional knowledge is essential to develop effective adaptation to climate change.MethodsFollowing qualitative research on heat impacts in a community in Kilifi, Kenya, we conducted a two-day codesign workshop to inform a set of interventions to reduce the impact of heat exposure on maternal and neonatal health. Participants were drawn from a diverse group of purposively selected influencers, implementers, policy makers, service providers and community members. The key domains of focus for the discussion were: behavioral practices, health facilities and health system factors, home environment, water scarcity, and education and awareness. Following the discussions and group reflections, data was transcribed, coded and emerging intervention priorities ranked based on the likelihood of success, cost effectiveness, implementation feasibility, and sustainability.ResultsTwenty one participants participated in the codesign discussions. Accessibility to water supplies, social behavior-change campaigns, and education were ranked as the top three most sustainable and effective interventions with the highest likelihood of success. Prior planning and contextualizing local set-up, cross-cultural and religious practices and budget considerations are important in increasing the chances of a successful outcome in codesign.ConclusionCodesign of interventions on heat exposure with diverse groups of participants is feasible to identify and prioritize adaptation interventions. The codesign workshop was used as an opportunity to build capacity among facilitators and participants as well as to explore interventions to address the impact of heat exposure on pregnant and postpartum women, and newborns. We successfully used the codesign model in co-creating contextualized socio-culturally acceptable interventions to reduce the risk of heat on maternal and neonatal health in the context of climate change. Our interventions can be replicated in other similar areas of Africa and serve as a model for co-designing heat-health adaptation.

【 授权许可】

Unknown   
Copyright © 2023 Lusambili, Khaemba, Agoi, Oguna, Nakstad, Scorgie, Filippi, Hess, Roos, Chersich, Kovats and Luchters.