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気候変動と保健システムのレジリエンス：低資源環境における気候関連健康影響の緩和に関するステークホルダーの視点

Climate Change and Healthcare System Resilience: Stakeholder Perspectives on Mitigating Climate-Related Health Impacts in Low-Resource Settings (原題)

Pia Schrage, Gbadebo Collins Adeyanju

Sustainability📚 査読済 / ジャーナル2026-10-07#気候リスクOrigin: Global
DOI: 10.3390/su181910185
原典: https://doi.org/10.3390/su181910185

🤖 gxceed AI 要約

日本語

ナイジェリアの保健システムにおける気候変動影響とレジリエンス能力を、政府・市民社会・学界のキーインフォーマントインタビューで質的に分析した研究。気候戦略やサーベイランス機構、健康影響への知識といった基礎的能力はあるものの、気候リスクの政策統合不足、資金・人材不足、科学と政策の連携薄弱、政治的優先度の低さが明らかになった。気候変動は既存の保健システム負荷を増幅させるため、多部門連携・持続的投資・国際支援が急務だと結論づける。

English

A qualitative study using key informant interviews with government, civil society and academic stakeholders in Nigeria, examining climate-health impacts and healthcare system resilience. It finds enabling elements such as a climate strategy and surveillance mechanisms, but also weak policy integration of climate risk, insufficient funding, undertrained workers and low political prioritisation. The authors argue climate change multiplies existing stressors and call for multisectoral collaboration, sustained investment and international support.

Unofficial AI-generated summary based on the public title and abstract. Not an official translation.

📝 gxceed 編集解説 — Why this matters

日本のGX文脈において

日本企業のGX文脈への直接の接続は薄いが、気候変動を健康・労働安全・事業継続リスクとして捉える適応策の視点は、TCFD/SSBJの物理的リスク評価や人的資本開示を検討する日本企業にとって参考になる。

In the global GX context

Adds a low-resource, adaptation-focused perspective to global climate-risk scholarship, complementing TCFD/ISSB physical-risk framing by showing how health-system resilience gaps amplify climate vulnerability in emerging markets—relevant to transition-finance and adaptation-finance debates.

👥 読者別の含意

🔬研究者:低資源国における気候-保健レジリエンスの質的エビデンスと、適応ガバナンスのボトルネック分析の枠組みを提供する。

🏢実務担当者:新興国サプライチェーンや拠点を持つ企業が、地域の保健・気候適応リスクを物理的リスク評価に組み込む際の示唆となる。

🏛政策担当者:気候リスクの保健政策への統合、科学-政策連携の強化、適応投資の優先順位づけの必要性を示す。

📄 Abstract（原文）

Climate change increasingly threatens human health and healthcare system effectiveness by intensifying existing vulnerabilities and pressures. In sub-Saharan Africa, Nigeria is particularly vulnerable to climate-related hazards, including food insecurity, extreme weather events and climate-sensitive diseases. This study explored the healthcare impacts of climate change and the resilience capability of Nigeria’s healthcare system. A qualitative design was employed using Key Informant Interviews with purposively selected stakeholders from government, civil society and academia through criterion-based snowball sampling. Data were collected using a semi-structured interview guide, and analysed deductively and inductively using MAXQDA. The findings indicated the presence of some enabling capabilities. These include a climate-related agenda conditioned by international development partners, a climate change strategy and surveillance mechanisms, and an adequate knowledge of the health impacts of climate change, such as heatwaves, droughts, floods, erratic rainfall, and increased disease transmission. However, there is inadequate understanding and capacity to support climate-resilient healthcare systems, inadequate integration of climate risks into healthcare policies and programmes, insufficient funding, inadequately trained healthcare workers, overburdened systems, weak links between scientific and policy communities, and low political prioritisation. Climate change is a multiplier of current stressors on the healthcare systems. Therefore, building climate-resilient healthcare systems requires urgent multisectoral collaboration, sustained investment, stronger policy integration and international support to address both current and emerging climate-related health threats. A climate-resilient healthcare system is cost-effective; however, up-front investment is required now.

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