Submission ID 129888
| Issue/Objective | In a fragmented global landscape, climate change disproportionately erodes health equity in marginalized communities. Traditional top-down monitoring systems often fail to capture local realities, hindering the translation of evidence into action. There is an urgent need for practical accountability tools that bridge the gap between climate adaptation research and on-the-ground implementation. |
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| Methodology/Approach | Using a participatory action research framework, we co-designed a digital-community accountability tool with health stakeholders in three climate-vulnerable regions (Sub-Saharan Africa and Southeast Asia). The study employed mixed methods, combining real-time resource tracking data with qualitative feedback loops from community health workers (CHWs) and patients over 18 months. The tool was designed to monitor health system responsiveness during climate-induced shocks. |
| Results | Implementation of the tool resulted in a 30% increase in timely resource allocation during extreme weather events and a significant improvement in community trust scores (p<0.05). Qualitative data revealed that empowering local actors with accountability mechanisms strengthened health system preparedness and ensured decision-making was guided by equity rather than efficiency alone. |
| Discussion/Conclusion | This study demonstrates that community-led accountability tools are viable, practical approaches for translating climate-health evidence into impact. By decentralizing monitoring, we can reclaim equity in a fragmented world, ensuring health systems remain accountable to the people they serve amidst uncertainty. |
| Presenters and Affiliations | Willard Tatenda Duri University of Zimbabwe Willard Tatenda Duri University of Zimbabwe Willard Tatenda Duri University of Zimbabwe |
