ADAPTATION STRATEGIES FOR PRIMARY HEALTHCARE SERVICES IN DISASTER-PRONE AREAS DUE TO GLOBAL WARMING
Abstract
Global warming has intensified climate-related disasters that threaten the continuity and accessibility of primary healthcare services, particularly in vulnerable regions exposed to floods, heatwaves, storms, and other environmental hazards. This study aims to analyze adaptation strategies that strengthen the resilience of primary healthcare systems in disaster-prone areas and identify key factors supporting sustainable healthcare delivery under climate pressures. The research employed a qualitative systematic literature review approach by analyzing scientific publications, policy documents, and conceptual studies related to climate adaptation, healthcare resilience, and disaster preparedness. The findings reveal that effective adaptation strategies involve five interconnected dimensions: climate-resilient infrastructure, healthcare workforce preparedness, climate-sensitive disease surveillance, digital health integration, and community-based adaptation initiatives. The analysis demonstrates that integrated adaptation frameworks provide greater capacity for maintaining healthcare continuity compared with isolated interventions. The study concludes that primary healthcare services require transformative adaptation approaches that combine technological innovation, institutional readiness, and community participation to address the growing impacts of global warming.
Full text article
References
Abdrabo, K. I. (2023). An integrated indicator-based approach for constructing an urban flood vulnerability index as an urban decision-making tool using the PCA and AHP techniques: A case study of Alexandria, Egypt. Urban Climate, 48(Query date: 2026-09-03 20:06:59). https://doi.org/10.1016/j.uclim.2023.101426
Adom, R. K. (2024). Assessing the Implications of Deforestation and Climate Change on Rural Livelihood in Ghana: A Multidimensional Analysis and Solution-Based Approach. Environmental Management, 74(6), 1124–1144. https://doi.org/10.1007/s00267-024-02053-6
Asadzadeh, A. (2023). Capacitating urban governance and planning systems to drive transformative resilience. Sustainable Cities and Society, 96(Query date: 2026-09-03 20:06:59). https://doi.org/10.1016/j.scs.2023.104637
Asariotis, R. (2024). Climate change and seaports: Hazards, impacts and policies and legislation for adaptation. Anthropocene Coasts, 7(1). https://doi.org/10.1007/s44218-024-00047-9
Aslam, A. B. (2022). Climate change and glacial lake outburst flood (GLOF) risk perceptions: An empirical study of Ghizer District, Gilgit-Baltistan Pakistan. International Journal of Disaster Risk Reduction, 83(Query date: 2026-09-03 20:06:59). https://doi.org/10.1016/j.ijdrr.2022.103392
Bailie, R. (2023). Climate-Related Natural Disasters: Reflections on an Agenda for Rural Health Research. International Journal of Environmental Research and Public Health, 20(8). https://doi.org/10.3390/ijerph20085553
Bhanye, J. (2025). A review study on community-based flood adaptation in informal settlements in the Global South. Discover Sustainability, 6(1). https://doi.org/10.1007/s43621-025-01449-6
Calliari, E. (2022). Building climate resilience through nature-based solutions in Europe: A review of enabling knowledge, finance and governance frameworks. Climate Risk Management, 37(Query date: 2026-09-03 20:06:59). https://doi.org/10.1016/j.crm.2022.100450
D?browska, J. (2023). Between flood and drought: How cities are facing water surplus and scarcity. Journal of Environmental Management, 345(Query date: 2026-09-03 20:06:59). https://doi.org/10.1016/j.jenvman.2023.118557
Dhyani, S. (2022). Blue-green infrastructure across asian countries: Improving urban resilience and sustainability. In Blue Green Infrastructure Across Asian Countries Improving Urban Resilience and Sustainability (p. 518). https://doi.org/10.1007/978-981-16-7128-9
Fan, W. (2023). Climate Change and Pregnancy: Risks, Mitigation, Adaptation, and Resilience. Obstetrical and Gynecological Survey, 78(4), 223–236. https://doi.org/10.1097/OGX.0000000000001116
Fang, Z. (2025). Climate change has increased rainfall-induced landslide damages in central China. International Journal of Disaster Risk Reduction, 119(Query date: 2026-09-03 20:06:59). https://doi.org/10.1016/j.ijdrr.2025.105320
Gaborit, P. (2022). Climate adaptation to Multi-Hazard climate related risks in ten Indonesian Cities: Ambitions and challenges. Climate Risk Management, 37(Query date: 2026-09-03 20:06:59). https://doi.org/10.1016/j.crm.2022.100453
Gawrych, M. (2022). Climate change and mental health: A review of current literature. Psychiatria Polska, 56(4), 903–915. https://doi.org/10.12740/PP/OnlineFirst/131991
Ghosh, R. C. (2022). A systematic review of climate migration research: Gaps in existing literature. SN Social Sciences, 2(5). https://doi.org/10.1007/s43545-022-00341-8
Gkika, A. V. (2023). Battling the extreme: Lessons learned from weather-induced disasters on electricity distribution networks and climate change adaptation strategies. Hydrology Research, 54(10), 1196–1226. https://doi.org/10.2166/nh.2023.067
Henriksen, H. J. (2023). A New Digital Twin for Climate Change Adaptation, Water Management, and Disaster Risk Reduction (HIP Digital Twin). Water Switzerland, 15(1). https://doi.org/10.3390/w15010025
Hussain, M. A. (2023). A Review of Spatial Variations of Multiple Natural Hazards and Risk Management Strategies in Pakistan. Water Switzerland, 15(3). https://doi.org/10.3390/w15030407
Li, C. (2025). Adaptive capacity for multimodal transport network resilience to extreme floods. Nature Sustainability, 8(7), 741–752. https://doi.org/10.1038/s41893-025-01575-z
Mani, Z. A. (2023). Adapting Disaster Preparedness Strategies to Changing Climate Patterns in Saudi Arabia: A Rapid Review. Sustainability Switzerland, 15(19). https://doi.org/10.3390/su151914279
Motlagh, F. (2024). Bonds for disaster resilience: A review of literature and practice. International Journal of Disaster Risk Reduction, 104(Query date: 2026-09-03 20:06:59). https://doi.org/10.1016/j.ijdrr.2024.104318
Muccione, V. (2025). A scoping review on climate change education. Plos Climate, 4(1). https://doi.org/10.1371/journal.pclm.0000356
Münzel, T. (2024). Challenges posed by climate hazards to cardiovascular health and cardiac intensive care: Implications for mitigation and adaptation. European Heart Journal Acute Cardiovascular Care, 13(10), 731–744. https://doi.org/10.1093/ehjacc/zuae113
Peiris, M. T. O. V. (2024). Assessment of Urban Resilience to Floods: A Spatial Planning Framework for Cities. Sustainability Switzerland, 16(20). https://doi.org/10.3390/su16209117
Ramya, A. (2023). Climate-Induced and Geophysical Disasters and Risk Reduction Management in Mountains Regions. Climate Change Adaptation Risk Management and Sustainable Practices in the Himalaya, (Query date: 2026-09-03 20:06:59), 361–405. https://doi.org/10.1007/978-3-031-24659-3_16
Rana, I. A. (2022). A localized index-based approach to assess heatwave vulnerability and climate change adaptation strategies: A case study of formal and informal settlements of Lahore, Pakistan. Environmental Impact Assessment Review, 96(Query date: 2026-09-03 20:06:59). https://doi.org/10.1016/j.eiar.2022.106820
Roa, O. H. (2025). Challenges and opportunities in climate risk assessment: Future directions for assessing complex climate risks. Environmental Research Letters, 20(5). https://doi.org/10.1088/1748-9326/adc756
Saikia, M. (2024). Can institutions reduce the vulnerability to climate change? A study on the char lands of Assam, India. Geojournal, 89(1). https://doi.org/10.1007/s10708-024-11015-8
Setiawati, M. D. (2023). Climate change and anthropogenic pressure on Bintan Islands, Indonesia: An assessment of the policies proposed by local authorities. Regional Studies in Marine Science, 66(Query date: 2026-09-03 20:06:59). https://doi.org/10.1016/j.rsma.2023.103123
Suárez, M. (2024). A holistic index-based framework to assess urban resilience: Application to the Madrid Region, Spain. Ecological Indicators, 166(Query date: 2026-09-03 20:06:59). https://doi.org/10.1016/j.ecolind.2024.112293
Theron, E. (2022). Climate change and emergency care in Africa: A scoping review. African Journal of Emergency Medicine, 12(2), 121–128. https://doi.org/10.1016/j.afjem.2022.02.003
Tiwari, A. (2022). Building Climate Resilience in Coastal City Living Labs Using Ecosystem-Based Adaptation: A Systematic Review. Sustainability Switzerland, 14(17). https://doi.org/10.3390/su141710863
Villani, M. L. (2023). Co-Creating GIS-Based Dashboards to Democratize Knowledge on Urban Resilience Strategies: Experience with Camerino Municipality. ISPRS International Journal of Geo Information, 12(2). https://doi.org/10.3390/ijgi12020065
Visconti, C. (2023). Co-production of knowledge for climate-resilient design and planning in Naples, Italy. Habitat International, 135(Query date: 2026-09-03 20:06:59). https://doi.org/10.1016/j.habitatint.2023.102748
Wang, L. (2022). A review of the flood management: From flood control to flood resilience. Heliyon, 8(11). https://doi.org/10.1016/j.heliyon.2022.e11763
Weng, C. (2023). Assessing the vulnerability to climate change of a semi-arid pastoral social–ecological system: A case study in Hulunbuir, China. Ecological Informatics, 76(Query date: 2026-09-03 20:06:59). https://doi.org/10.1016/j.ecoinf.2023.102139
Xu, Z. (2025). AI-Powered Plant Science: Transforming Forestry Monitoring, Disease Prediction, and Climate Adaptation. Plants, 14(11). https://doi.org/10.3390/plants14111626