Examining health equity in Nepal’s climate change and health policies through the lens of environmental justice: insights from a content analysis

Background Climate change presents a multifaceted challenge with unequal health implications, particularly for vulnerable populations with limited adaptive capacity. Socioeconomic factors are intricately linked with environmental health outcomes and environmental factors significantly exacerbate exi...

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Main Authors: Sudeepa Khanal, Rehana Shrestha, Melanie Boeckmann
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Global Health Action
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Online Access:http://dx.doi.org/10.1080/16549716.2024.2432069
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author Sudeepa Khanal
Rehana Shrestha
Melanie Boeckmann
author_facet Sudeepa Khanal
Rehana Shrestha
Melanie Boeckmann
author_sort Sudeepa Khanal
collection DOAJ
description Background Climate change presents a multifaceted challenge with unequal health implications, particularly for vulnerable populations with limited adaptive capacity. Socioeconomic factors are intricately linked with environmental health outcomes and environmental factors significantly exacerbate existing health inequities. Health equity as a goal of environmental justice can address these issues. Objective To examine the integration of health equity within climate change and health policy documents in Nepal. Methods Using a qualitative content analysis approach based on Schlosberg’s framework of environmental justice, we analyzed the coverage of health equity considerations in climate and health policies, assessing aspects of distribution, recognition, and participation. Results Twenty-one national-level policies, strategies, and plans/guidelines on climate change and health were analyzed. Nepal’s policy documents lack clear definitions of health equity in relation to climate change, and related terms are used inconsistently. Health vulnerability is often addressed broadly rather than specifically. Health equity-related statements from environmental justice viewpoint vary across sectors. Many documents emphasize equitable distribution of resources and benefits, with participation in decision-making processes being the least discussed. Conclusions In Nepal, lack of shared understanding of health equity across sectors hinders coordinated policy efforts. There is an urgent need to expand climate change responses to consider specific health vulnerabilities. By positioning health equity as a key element of environmental justice, this study provides a broader perspective on climate change-related health equity that could encourage collaborative action between the environment and health sectors.
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spelling doaj-art-a8afeae5bff442809b6bc2d5b57f9ebd2025-02-05T12:46:14ZengTaylor & Francis GroupGlobal Health Action1654-98802024-12-0117110.1080/16549716.2024.24320692432069Examining health equity in Nepal’s climate change and health policies through the lens of environmental justice: insights from a content analysisSudeepa Khanal0Rehana Shrestha1Melanie Boeckmann2University of BielefeldUniversity of BremenUniversity of BremenBackground Climate change presents a multifaceted challenge with unequal health implications, particularly for vulnerable populations with limited adaptive capacity. Socioeconomic factors are intricately linked with environmental health outcomes and environmental factors significantly exacerbate existing health inequities. Health equity as a goal of environmental justice can address these issues. Objective To examine the integration of health equity within climate change and health policy documents in Nepal. Methods Using a qualitative content analysis approach based on Schlosberg’s framework of environmental justice, we analyzed the coverage of health equity considerations in climate and health policies, assessing aspects of distribution, recognition, and participation. Results Twenty-one national-level policies, strategies, and plans/guidelines on climate change and health were analyzed. Nepal’s policy documents lack clear definitions of health equity in relation to climate change, and related terms are used inconsistently. Health vulnerability is often addressed broadly rather than specifically. Health equity-related statements from environmental justice viewpoint vary across sectors. Many documents emphasize equitable distribution of resources and benefits, with participation in decision-making processes being the least discussed. Conclusions In Nepal, lack of shared understanding of health equity across sectors hinders coordinated policy efforts. There is an urgent need to expand climate change responses to consider specific health vulnerabilities. By positioning health equity as a key element of environmental justice, this study provides a broader perspective on climate change-related health equity that could encourage collaborative action between the environment and health sectors.http://dx.doi.org/10.1080/16549716.2024.2432069environmental health equityclimate change policy, public health policy, policy researchenvironment justicecontent analysisnepal
spellingShingle Sudeepa Khanal
Rehana Shrestha
Melanie Boeckmann
Examining health equity in Nepal’s climate change and health policies through the lens of environmental justice: insights from a content analysis
Global Health Action
environmental health equity
climate change policy, public health policy, policy research
environment justice
content analysis
nepal
title Examining health equity in Nepal’s climate change and health policies through the lens of environmental justice: insights from a content analysis
title_full Examining health equity in Nepal’s climate change and health policies through the lens of environmental justice: insights from a content analysis
title_fullStr Examining health equity in Nepal’s climate change and health policies through the lens of environmental justice: insights from a content analysis
title_full_unstemmed Examining health equity in Nepal’s climate change and health policies through the lens of environmental justice: insights from a content analysis
title_short Examining health equity in Nepal’s climate change and health policies through the lens of environmental justice: insights from a content analysis
title_sort examining health equity in nepal s climate change and health policies through the lens of environmental justice insights from a content analysis
topic environmental health equity
climate change policy, public health policy, policy research
environment justice
content analysis
nepal
url http://dx.doi.org/10.1080/16549716.2024.2432069
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