[Health Impact Assessment of Local Governments' Climate Change Adaptation Plans: A Case Study]

This study describes the methodology and evaluation outcomes of a health impact assessment (HIA) pilot project conducted for the health sector under the second phase of the climate change adaptation plan implemented in Siheung City, Gyeonggi-do, and Eunpyeong District, Seoul.

Based on a literature review and expert consultation, 45 evaluation items were identified for inclusion in the climate change HIA. Thereafter, a rapid HIA was conducted to assess the health-sector projects within the framework of the climate change adaptation plan. In each city, a steering committee comprising eight members from several sectors was formed. Various data, including literature reviews and expert consultations, were collected as evidence of health impacts, and were comprehensively appraised in a final workshop conducted by the steering committee.

Evidence regarding the health impact of the climate change adaptation plan was collected through the HIA. The health impacts of each program were organized using causal pathways and a comprehensive evidence matrix. Several recommendations for the climate change adaptation plan were suggested, including enhancing initiatives for vulnerable populations and improving the conditions of heat wave shelters. The evaluation outcomes of the pilot project indicated high levels of satisfaction and perceived necessity; moreover, an increase in participants' awareness of the health impacts of climate change was also noted.

The climate change HIA confirmed its potential to enhance the effectiveness of health-sector initiatives within the climate change adaptation plan. Future research directions to strengthen the implementation of climate change HIAs were also proposed.