14 Accounting for Health Impacts of Climate Change
Box 2
Health in Nepal’s National Adaptation Programme of Action Process
In 2009, the Government of Nepal adopted climate change–related policies and adaptation programs in the context
of its National Adaptation Programme of Action (NAPA). The NAPA is supported by six multi-stakeholder thematic
working groups (TWGs), each led by a line ministry: agriculture and food security (Ministry of Agriculture); forestry
and biodiversity (Ministry of Forests and Soil Conservation); water and energy (Ministry of Energy); public health
(Ministry of Health and Population); climate induced disasters (Ministry of Home Affairs); and human settlements and
infrastructure (Ministry of Physical Planning and Works).
Each thematic group has been requested to submit their priority proposals (projects) to the NAPA working
committee. From this list, the NAPA working committee selected immediate priority projects for funding under
the Least Developed Countries Fund. The public health TWG submitted a list comprising the following priorities:
(i) investigating and responding to disease outbreak emergencies in all 75 districts; (ii) reducing public health impacts
of climate through evidence based research and piloting; and (iii) strengthening forecasting and early warning
and surveillance systems on climate change and health in six pilot districts (Dhankuta, Doti, Kaski, Kathmandu,
Makawanpur, and Surkhet).
Upon prioritizing their sector-specific list of projects, criteria used by other TWGs did not include the potential
impacts on health of their recommended projects. Each TWG worked independently from one another and did not
seek possible intersectoral adaptation investments.
Source: Pradhan, B. 2010. Key Sector Analysis: Health Adaptation in Nepal. Mimeo. Kathmandu.
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