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Online Program

338768
Role of Health in All Policies in supporting local emergency preparedness and climate adaptation planning: A Community Based Participatory Research (CBPR) approach


Sunday, November 1, 2015

Semra Aytur, PhD, MPH, Health Management and Policy, University of New Hampshire, Durham, NH
Jory Hecht, Environmental and Water Resources Engineering, Tufts University, Medford, MA
Paul Kirshen, PhD, Department of Civil Engineering, University of New Hampshire, Durham, NH
Ian Gaudreau, Civil and Environmental Engineering, University of New Hampshire, Durham, NH
Sarah Jakositz, Civil and Environmental Engineering, University of New Hampshire, Durham
Adelaide Murray, University of New Hampshire, Durham, NH
Nicole Drake, Health Management and Policy, University of New Hampshire, Durham, NH
Pia Marciano, Civil and Environmental Engineering, University of New Hampshire, Durham, NH
  
Climate change adaptation planning requires community engagement and transdisciplinary, cross-sectoral collaboration. Adaptive governance is an approach emerging from the resilience literature that explicitly focuses on collaborative learning, networking, and the promotion of cross-sectoral partnerships. It has been recognized as an integrative approach for analyzing the public health, ecologic, and economic aspects of decision-making to enhance emergency preparedness and climate change adaptation. Health in All Policies (HiAP) and adaptive governance may provide complementary approaches through which to promote partnerships and coordinated decision-making, particularly to connect public health goals (e.g., emergency preparedness, community resilience, disease prevention and management) with those of other sectors. However, there is limited research exploring how Community Based Participatory Research (CBPR) can be used to explore synergies between HiAP, adaptive governance, and emergency preparedness within the context of local climate adaptation planning processes.

Methods: Using mixed methods, we present lessons learned from a climate adaptation planning project in Exeter, New Hampshire. 

Results:  Exeter faces health impacts such as increased flooding and water quality degradation. CBPR was utilized within the climate adaptation planning process through: (1) A structured community engagement process to ensure that the plan reflects Exeter's values and priorities; and (2) Utilization of participatory action research methods, including modeling and photo elicitation, to capture the insights of emergency preparedness personnel and other stakeholders.

Conclusions: We summarize lessons learned about developing successful forums for stakeholder interaction, and making climate change locally relevant through integrative methods that reflect the community’s experiences, cultural memory, values, and upcoming decisions.

Learning Areas:

Other professions or practice related to public health
Planning of health education strategies, interventions, and programs
Public health or related public policy
Public health or related research
Social and behavioral sciences
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Describe the five steps in the Centers for Disease Control and Prevention's 'Building Resilience Against Climate Effects' (BRACE) framework Define Health in All Policies (HiAP) within the context of emergency preparedness and local climate change adaptation planning processes Define adaptive governance and its alignment with HiAP Discuss how Community-Based Participatory Research (CBPR) can be used to promote HiAP, adaptive governance, and emergency preparedness in the context of local climate change adaptation planning processes Identify participatory action research methods that can be used to capture the insights of emergency preparedness personnel and other stakeholders involved in local climate adaptation planning efforts Discuss how emergency preparedness and chronic disease prevention strategies can complement one another to provide co-benefits

Keyword(s): Climate and Health, Community-Based Research (CBPR)

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a Co-Investigator on this study entitled “Collaborative Planning for Health and Climate Change Adaptation: A Case Study in Great Bay National Estuarine Research Reserve.” As the Collaboration and Evaluation Lead for this project, I designed a two-year community-based participatory research process that incorporates participatory action research methods. I am trained in Health Impact Assessment and Health in All Policies; the community engagement process used in this project aligns well with these approaches.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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