Public Health Policy in the Age of Climate Change: Developing Sustainable Healthcare Systems for Future Generations
Downloads
Background. Public health systems worldwide are increasingly challenged by the accelerating impacts of climate change, including extreme weather events, shifting disease patterns, and growing health inequities. These challenges expose structural vulnerabilities in existing healthcare systems and highlight the urgent need for policy frameworks that integrate sustainability, resilience, and long-term population health considerations.
Purpose. This study aims to examine how public health policy can be reoriented to support the development of sustainable healthcare systems capable of protecting future generations in the context of climate change.
Method. The research employed a qualitative–analytical approach based on a systematic review of international policy documents, peer-reviewed journal articles, and reports from global health and environmental organizations published between 2015 and 2024. The analysis focused on policy strategies linking climate adaptation, health system strengthening, and sustainability principles.
Results. The findings indicate that effective public health policies increasingly emphasize cross-sector collaboration, climate-resilient health infrastructure, low-carbon healthcare delivery, and preventive, community-based interventions. Countries that integrate environmental considerations into health governance demonstrate greater capacity to manage climate-related health risks and reduce long-term system costs.
Conclusion. The study concludes that sustainable healthcare systems require transformative public health policies that move beyond short-term crisis responses toward integrated, forward-looking strategies. Embedding climate resilience and sustainability into public health policy is essential for safeguarding health equity and ensuring the viability of healthcare systems for future generations.
Abbasi, E. (2026). Climate Change and Vector Ecology: A Comprehensive Review of Environmental Drivers of Insect-Borne Disease Dynamics and Public Health Implications. Experimental Parasitology, 109115. https://doi.org/10.1016/j.exppara.2026.109115
Abugnaba-Abanga, R., Adzo Doke, D., Kolbe Domapielle, M., Alemna Adogboba, D., & Ostuki, K. (2026). Facilitators and barriers to mainstreaming climate change adaptation and mitigation into sub-national health systems: Perspectives from primary health care managers in low-resourced settings of Ghana. Public Health, 252, 106135. https://doi.org/10.1016/j.puhe.2026.106135
Alum, E. U., Ejemot-Nwadiaro, R. I., Betiang, P. A., Basajja, M., & Uti, D. E. (2025). Obesity and Climate Change: A Two-way Street with Global Health Implications. Obesity Medicine, 56, 100623. https://doi.org/10.1016/j.obmed.2025.100623
Aremu, V. T., Adedeji, B. O., Ojediran, T. K., & Ajayi, A. F. (2026). Climate-induced migration: A growing concern for global food security and nutrition. Food and Humanity, 6, 100954. https://doi.org/10.1016/j.foohum.2025.100954
Babon-Ayeng, P., & Jung, W. (2026). Personalized building thermal resilience assessment under future climate scenarios. Building and Environment, 290, 114165. https://doi.org/10.1016/j.buildenv.2025.114165
Banuet-Martinez, M., Hernandez-Velasco, A. J., Dominguez-Sanchez, C. A., Espinosa-Romero, M. J., Vera-Velazquez, F., Sandoval-Arauz, S. A., Vazquez-Murillo, S. C., Ensenada, S. C. P. P., Buzos y Pescadores de la Baja California, S. C. P. P., Yamamoto, S. S., & Harper, S. L. (2025). “It seems that climate change is already harming us all”: Complex climate change, health, and socio-ecological risks for Mexican fishing communities. Social Science & Medicine, 384, 118548. https://doi.org/10.1016/j.socscimed.2025.118548
Baumbusch, J., Sloan Yip, I., & Bandara, N. A. (2025). Always on duty—Fostering climate resilience in the nursing profession: A discussion paper. International Journal of Nursing Studies, 172, 105227. https://doi.org/10.1016/j.ijnurstu.2025.105227
Berdida, D. J. E., Fernandez, A. J., Albacea, L. J. A., Borja, L. M. C., Funtanares, C. I. J., Grecia, Ma. C. V., Torion, J. J. S., & Ramirez, S. H. (2026). The mediating role of nursing students’ eco-anxiety between climate change risk perception on human health and sustainability attitudes and awareness: A structural equation model. Nurse Education Today, 162, 107061. https://doi.org/10.1016/j.nedt.2026.107061
Broadis, E., & Fisher, E. (2026). Climate change and child health: The importance of global citizenship. Paediatrics and Child Health, 36(2), 50–54. https://doi.org/10.1016/j.paed.2025.11.008
Bustamante, M. M. da C. (2025). Climate change and children’s health: Resilience challenges for Brazil. Climate Change and Childhood Health, 101, S3–S9. https://doi.org/10.1016/j.jped.2024.11.002
Byaro, M. (2025). Impacts of climate change and non-renewable energy consumption on health in sub-Saharan Africa: Transmission channels and policy response. Next Research, 2(2), 100385. https://doi.org/10.1016/j.nexres.2025.100385
Catling, C., Crevacore, C., Young, M., Varndell, W., Cornish, J., Sheppard-Law, S., & Correia Moll, E. (2026). Sustainable healthcare in action: Six practice changes that make a difference. Collegian, 33(2), 154–159. https://doi.org/10.1016/j.colegn.2026.02.003
Catling, C., McIntyre, E., Hastie, C., & Levett-Jones, T. (2025). Enhancing midwifery course curricula: Validating knowledge and skills in climate change and planetary health. Midwifery, 149, 104573. https://doi.org/10.1016/j.midw.2025.104573
Cheah, I., Shimul, A. S., Rahman, M., & Zlatevska, N. (2026). The effects of climate change on food intake, appetite and dietary choices: From current challenges to future practices. Appetite, 217, 108328. https://doi.org/10.1016/j.appet.2025.108328
Chen, L., Liu, Z., Liu, Y., Chen, Z., Huang, L., Dong, L., Li, X., Xie, Z., Hua, J., & Shi, J. (2026). Green construction strategies to combat climate change and public-health issues. Cell Reports Physical Science, 7(1), 103044. https://doi.org/10.1016/j.xcrp.2025.103044
Das, P., Thakur, M., Sobti, R. C., & Kaur, T. (2026). Chapter 9—Governance and policy in global health: Challenges and future directions. Dalam R. C. Sobti, T. Kaur, H. Walia, P. Rattan, & A. Narula (Ed.), One Planet, One Health, One Future (hlm. 119–126). Academic Press. https://doi.org/10.1016/B978-0-443-38325-0.00010-1
Davé, H. (2025). Building resiliency and mitigating climate change – The case of the Unjani Clinic network. The Journal of Climate Change and Health, 24, 100454. https://doi.org/10.1016/j.joclim.2025.100454
De Freitas, L., Basdeo, D., Seepersad, A., Francis, A., & Wang, H.-I. (2025). Health professional and public perspectives on environmentally sustainable healthcare in Trinidad and Tobago. The Journal of Climate Change and Health, 26, 100587. https://doi.org/10.1016/j.joclim.2025.100587
Dumitra?cu, M., Roznovie?chi, I., Sima, M., Grigorescu, I., Mitric?, B., Micu, D., F?lcescu, V., Bulai, A., & Cheval, S. (2026). Public perception of climate change impacts and sectoral adaptation in Romania. Environmental Development, 57, 101346. https://doi.org/10.1016/j.envdev.2025.101346
Ghimire, A., & Ghimire, P. (2025). Building climate resilience: A qualitative exploration of disaster preparedness in nursing education. Nurse Education Today, 153, 106791. https://doi.org/10.1016/j.nedt.2025.106791
Goniewicz, K., Burkle, F. M., & Khorram-Manesh, A. (2025). Transforming global public health: Climate collaboration, political challenges, and systemic change. Journal of Infection and Public Health, 18(1), 102615. https://doi.org/10.1016/j.jiph.2024.102615
Heart, D., Anderson, C., Lokuge, S., & Soar, J. (2026). Plant-based foods in healthcare sustainability policy: A scoping review of policy tools, gaps, and implementation challenges. Health Policy, 105580. https://doi.org/10.1016/j.healthpol.2026.105580
Hossain, B. (2025). A systematic review of adaptation practices to promote health resilience in response to climate change. Environmental Development, 54, 101166. https://doi.org/10.1016/j.envdev.2025.101166
Hunt, D., & Matthes, B. K. (2026). Safeguarding governance and advancing policy at the nexus of climate and health: A commercial determinants of health perspective. The Journal of Climate Change and Health, 100610. https://doi.org/10.1016/j.joclim.2025.100610
Ip, V. H. Y., Gohel, B., & Sondekoppam, R. V. (2026). Climate resilience as a strategic lever for long-term healthcare sustainability: A narrative review. British Journal of Anaesthesia, 136(1), 228–236. https://doi.org/10.1016/j.bja.2025.08.040
Kent, S., Jordan, A., Ingram-Martin, P., Stewart, D., & Filise, M. I. (2025). Unheard voices: The critical role of nurses and midwives in climate resilience and disaster preparedness in Small Island Developing States. Nursing Outlook, 73(5), 102530. https://doi.org/10.1016/j.outlook.2025.102530
Maleki, M., Esmailzadeh, A., Ranjbar, M. E., Derakhshesh, P., Hosseini, J., Rahmati, M., Wang, J., Khanmohammadidoustani, S., & Rustum, R. (2026). Urban Resilience to Urbanisation, Climate Change and Natural Risk in Urban Historic Areas of Developing Countries: A Systematic Review. Advances in Space Research. https://doi.org/10.1016/j.asr.2026.03.008
Mallick, M., Singh, P. K., & Pandey, R. (2024). Harvesting resilience: Tribal home-gardens as socio-ecological solutions for climate change adaptation and sustainable development in a protected area. Journal of Cleaner Production, 445, 141174. https://doi.org/10.1016/j.jclepro.2024.141174
Obasa, A. E. (2025). Navigating the storm: Ethical consideration to climate justice and sustainable health equity in Africa. The Journal of Climate Change and Health, 25, 100465. https://doi.org/10.1016/j.joclim.2025.100465
Olawade, D. B., Popoola, T. T., Egbon, E., & David-Olawade, A. C. (2025). Sustainable healthcare practices: Pathways to a carbon-neutral future for the medical industry. Sustainable Futures, 9, 100783. https://doi.org/10.1016/j.sftr.2025.100783
Patrick, R., Noy, S., McKew, M., Lee, S., Kanda, M., Edwards, S. J., Ali, A., & Bowen, K. (2025). Rapid review on healthy ageing interventions that incorporate action on climate change and sustainability in cities and communities. Health & Place, 93, 103435. https://doi.org/10.1016/j.healthplace.2025.103435
Periyasamy, S., Maheswari, S., & Sivaraman, A. (2026). 7—Principles of sustainable healthcare: Protect and improve public health. Dalam A. Velu, P. Aruchamy, R. Ramamoorthy, R. K. Dhanaraj, & M. S.M. (Ed.), Green Flexible Electronics for Sustainable Healthcare (hlm. 115–131). Elsevier. https://doi.org/10.1016/B978-0-443-27554-8.00010-1
Qader, M. Q., Ayanlade, O. ’Seun, Ali, A. N., Stuhlhofer, E. W., Blbas, H. T. A., Saber, A. F., & Ayanlade, A. (2025). Climate change anxiety and its effect on emotional and functional health: Regional analysis. Acta Psychologica, 260, 105724. https://doi.org/10.1016/j.actpsy.2025.105724
Rahman, T., Hossain Lipu, M. S., Alom Shovon, M. M., Alsaduni, I., Karim, T. F., & Ansari, S. (2025). Unveiling the impacts of climate change on the resilience of renewable energy and power systems: Factors, technological advancements, policies, challenges, and solutions. Journal of Cleaner Production, 493, 144933. https://doi.org/10.1016/j.jclepro.2025.144933
Said, Z., Vigneshwaran, P., Shaik, S., Rauf, A., & Ahmad, Z. (2025). Climate and carbon policy pathways for sustainable food systems. Environmental and Sustainability Indicators, 27, 100730. https://doi.org/10.1016/j.indic.2025.100730
Serdar, M. Z., Lahlou, F.-Z., Namany, S., Ayyub, B. M., Al-Ghamdi, S. G., & Al-Ansari, T. (2025). Assessing sustainability, resilience, and security triad of urban systems under climate change risks: A wholistic perspective. Current Research in Environmental Sustainability, 10, 100319. https://doi.org/10.1016/j.crsust.2025.100319
Sohn, W., Xu, Z., Lu, G., & Kim, J.-H. (2026). An integrated vulnerability-resilience framework for climate risk assessment in depopulating urban landscapes. Landscape and Urban Planning, 271, 105620. https://doi.org/10.1016/j.landurbplan.2026.105620
Copyright (c) 2026 Trisnawati Trisnawati, Chen Mei, Yang Xiang

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.


















a