This community innovation has been accepted at the 2025 DHIS2 Annual Conference
Impact of Climate Hazards on MNCH Service Delivery
In low and middle income countries, climate change poses a serious threat to public health, particularly in regions with resource constrained health systems. In Eastern and Southern Africa, extreme climatic events can disrupt the delivery and utilization of essential maternal, newborn, and child health (MNCH) services. This study explored the association between climate hazards and MNCH service utilization across three countries under the Eastern and Southern Africa Regional Office (ESARO). By integrating routine data from DHIS2 with satellite based climate indicators, the study employed mixed effects regression models to account for variations at the facility level and differences across regions. Preliminary findings indicate that during climate hazard events, there is a statistically significant decline in MNCH service usage. Facilities located in areas with poor road infrastructure experienced particularly severe reductions in service volumes, highlighting the importance of considering geospatial factors when assessing the impact of climate variability. The study’s results emphasize that environmental shocks not only reduce access to crucial health services but also reveal vulnerabilities within health systems that can be addressed through targeted interventions. The promising potential of DHIS2 as a real time surveillance tool for monitoring environmental impacts on health services is underscored by these findings. Future research aims to refine the modeling approach by incorporating additional factors such as facility readiness and seasonal migration patterns. By embedding climate forecasts within routine health information systems, policymakers may proactively allocate resources and implement outreach initiatives in anticipation of hazardous conditions. Ultimately, this study advocates for infrastructure improvements and climate responsive service delivery strategies to enhance health system resilience amid increasing climate variability. They offer crucial direction for adaptive, climate-resilient health systems.
Primary Author: Yoshito Kawakatsu
Keywords:
Climate Change, MNCH, DHIS2, Health Service Utilization, Climate Hazards, Satellite Data, Health System Resilience
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