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Health National Adaptation Plan (HNAP) (2018-2023)

Health National Adaptation Plan (HNAP) (2018-2023). Presented by Dr. Khalid Massa Assistant Director for Environmental Health Services - MoHCDGEC 04 th April, 2018. Climate change in Tanzania. Tanzania like many parts of the world is already being affected by climate change.

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Health National Adaptation Plan (HNAP) (2018-2023)

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  1. Health National Adaptation Plan (HNAP) (2018-2023) Presented by Dr. Khalid Massa Assistant Director for Environmental Health Services - MoHCDGEC 04th April, 2018

  2. Climate change in Tanzania • Tanzania like many parts of the world is already being affected by climate change. • In the last 30 years, monthly minimum and maximum temperatures have steadily increased, while at the same time, annual rainfall has slightly declined in most of the parts of the country. • Shifts in rainfall patterns have also led to an increase in dry spells. • Changes in temperature and precipitation have impacted the hydro-ecological systems in Tanzania. Records of lake water levels indicate a decline, putting further pressure on limited fresh water resources.

  3. Climate change in Tanzania • Climate change-related extreme weather events, such as droughts and floods, are a key concern for the country. • The many low-lying areas and the river valleys in Tanzania are particularly vulnerable to flooding. • Tanzania has experienced several episodes of flooding in recent years with adverse impacts such as destruction of infrastructure, for example the railway line in Kilosa and Dar es Salaam, and increased outbreaks of water- and vector-borne diseases, such as malaria and diarrheal diseases.

  4. Climate change and health • The increasing impact of the changing climate and hydro-ecological systems on health results in: • Changes the distribution of some disease vectors (Malaria, Dengue) • Increase in morbidity and mortality from heat-stress, floods, and droughts • Increase in the burden from malnutrition, diarrhoea, cardiorespiratory and infectious diseases • 250,000 additional death in 2030 (WHO estimate) • Substantial burden on health services • More action needed Climate changeandhealth

  5. M&E of the NAP process - GIZ's tools and experiences

  6. Health sector response • Considering the above-mentioned impacts on health, the Ministry of Health has developed this sector-specific Health National Adaptation Plan (HNAP). • The strategic objectives and adaptation actions proposed are informed by • Climate change-related health risks and vulnerabilities in Tanzania (Vulnerability and Adaptation (V&A) assessment conducted in 2015-2016) • Existing relevant National policies and programmes, and • Current adaptive capacity of the health system. • It is a five-year strategic adaptation action plan (2018-2023) • The plan’s objectives and adaptation actions are inline with 10 components of the World Health Organization’s operational framework for building a climate-resilient health system (WHO, 2015).

  7. The Operational Framework for building climate resilient health systems, outlines 10 components that can be used as a framework for systematically and effectively address the challenges presented by climate variability and change. The 10 components of the operational framework relate to the six ‘building blocks’ of an effective health system. WHO 2015

  8. HNAP development process • The HNAP was developed by the National HNAP task team, which consisted of technical experts of the MoHCDGEC, the Vice President’s Office Division of Environment (VPO-DoE), Ministry of Water and Irrigation (MoWI), President’s Office, Regional Administration and Local Government (PO-RALG), Tanzania Metereological Agency (TMA), Muhimbili University of Health Applied Sciences (MUHAS), Sokoine University of Agriculture, Ardhi University, WHO and GIZ. • An extensive literature review was conducted to guide the preparation of the strategic objectives, strategies and actions. • The HNAP development was guided by the goal, objectives and strategies outlined in the National Climate Change Strategy (NCCS) and the World Health Organization (WHO) Operational framework for building climate resilient health systems. • The HNAP team led a series of stakeholder consultation meetings and working sessions with government agencies and partners at all levels for input on the HNAP priorities and actions.

  9. HNAP structure • The Tanzania HNAP strategic actions are organized around the 10 components of the operational framework outlining the long-term strategic objectives for each component and the medium to long-term adaptation options specific to Tanzania. • The purpose is to build a climate-resilient health system and aim for mainstreaming of climate change considerations across the strategies, plans and programmes of the health sector. • The HNAP Action Plan 2018 - 2023 then prioritizes these adaptation options and identifies specific short-term actions, and related indicators, that can be implemented in the next five years.

  10. Examples of actions and indicators defined in the HNAP

  11. Next steps towards finalization of the HNAP • Share the draft document with stakeholders for comments • Approval of HNAP by the National Technical and Steering Committees for the Climate Change • Endorsement of the HNAP

  12. Thank you Asante sana

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