Social cohesion and passive adaptation in relation to climate change and disease

The Effects of Social Protection and Social Cohesion on the Acceptability of Climate Change Mitigation Policies: What Do We (Not) Know in the Context of Low- and Middle-Income Countries?

Significant climate change mitigation policies are urgently needed to achieve emissions reduction targets. This paper shows that social protection and social cohesion play a critical role in making climate policies more acceptable to citizens by summarizing existing streams of research focusing on industrialized countries. Further, the empirical analysis explores whether these relationships also hold for low- and middle-income countries (LMICs), which are increasingly implementing climate change mitigation policies. The results show that vertical and horizontal trust increase acceptability in all countries. However, preferences for social protection have a positive effect only in industrialized ones. This may suggest a contrast between social and environmental goals in LMICs, where social goals are prioritized. The analysis also revealed a significant interaction between social cohesion and social protection. The paper concludes by discussing the existing research gap as to LMICs and outlines policy options to overcome the conflict between social and environmental goals.

Systems Science Approaches for Global Environmental Health Research: Enhancing Intervention Design and Implementation for Household Air Pollution (HAP) and Water, Sanitation, and Hygiene (WASH) Programs

BACKGROUND

Two of the most important causes of global disease fall in the realm of environmental health: household air pollution (HAP) and poor water, sanitation, and hygiene (WASH) conditions. Interventions, such as clean cookstoves, household water treatment, and improved sanitation facilities, have great potential to yield reductions in disease burden. However, in recent trials and implementation efforts, interventions to improve HAP and WASH conditions have shown few of the desired health gains, raising fundamental questions about current approaches.

OBJECTIVES

We describe how the failure to consider the complex systems that characterize diverse real-world conditions may doom promising new approaches prematurely. We provide examples of the application of systems approaches, including system dynamics, network analysis, and agent-based modeling, to the global environmental health priorities of HAP and WASH research and programs. Finally, we offer suggestions on how to approach systems science.

METHODS

Systems science applied to environmental health can address major challenges by a) enhancing understanding of existing system structures and behaviors that accelerate or impede aims; b) developing understanding and agreement on a problem among stakeholders; and c) guiding intervention and policy formulation. When employed in participatory processes that engage study populations, policy makers, and implementers, systems science helps ensure that research is responsive to local priorities and reflect real-world conditions. Systems approaches also help interpret unexpected outcomes by revealing emergent properties of the system due to interactions among variables, yielding complex behaviors and sometimes counterintuitive results.

DISCUSSION

Systems science offers powerful and underused tools to accelerate our ability to identify barriers and facilitators to success in environmental health interventions. This approach is especially useful in the context of implementation research because it explicitly accounts for the interaction of processes occurring at multiple scales, across social and environmental dimensions, with a particular emphasis on linkages and feedback among these processes. https://doi.org/10.1289/EHP7010.