@article{fdi:010094221,
  title = {{I}mproving an integrative framework of health system resilience and climate change : lessons from {B}angladesh and {H}aiti},
  author = {{R}idde, {V}al{\'e}ry and {B}arua, {M}. and {B}onnet, {E}mmanuel and {C}asseus, {A}. and {C}lech, {L}ucie and {D}e {A}llegri, {M}. and {K}abir, {S}. and {G}oudet, {J}ean-marc and {H}enrys, {D}. and {I}slam, {M}. {N}. and {L}'{H}eureux, {Y}. and {M}asselot, {C}. and {M}athon, {D}. and {M}eister, {S}ofia and {S}arker, {M}.},
  editor = {},
  language = {{ENG}},
  abstract = {{T}he analysis of health system resilience has advanced considerably, yet a wide range of conceptual frameworks continues to be employed. {T}he {C}lim{HB} conceptual framework, developed in 2019, combines two influential models: the {L}evesque model of healthcare access and the {DFID}'s resilience framework. {I}t is designed to examine health system resilience in response to climate-induced events. {W}hat sets the {C}lim{HB} framework apart is its emphasis on the population as an active participant on the demand side, complementing the supply side represented by healthcare services and providers. {T}he framework is defined by three key dimensions - exposure, sensitivity, adaptive capacity. {I}ts dual focus on demand and supply highlights their dynamic interaction in shaping health system resilience. {A} workshop and the {W}orld {C}af & eacute; method refined the {C}lim{HB} framework by incorporating empirical data from {H}aiti and {B}angladesh with findings from a literature review. {T}he updated framework offers a dynamic perspective on resilience, focusing on the interconnected nature of its elements to guide decision-making across all levels of health systems. {K}ey enhancements include greater emphasis on contextual factors, highlighting the influence of socio-economic and ecological conditions. {I}t also features strengthened connections between resilience outcomes and contextual variables, improving the understanding of how context affects results. {G}overnance and professional awareness were highlighted as critical elements for improving health system responses, and feedback loops were integrated in the supply side to enhance adaptability and decision-making processes. {E}mpirical studies have demonstrated the {C}lim{HB} framework's adaptability and capacity to create synergy between theoretical concepts and practical implementation. {H}owever, challenges remain in operationalising the framework for policymakers. {T}hese challenges highlight the need for further validation of the framework, the development of standardised measures, and a deeper understanding of resilience dynamics. {F}uture research should prioritise the framework's implications for structural management, workforce training, and resource allocation, addressing critical gaps in resilience research.},
  keywords = {{BANGLADESH} ; {HAITI}},
  booktitle = {},
  journal = {{PL}o{S} {C}limate},
  volume = {4},
  numero = {6},
  pages = {e0000512 [23 p.]},
  year = {2025},
  DOI = {10.1371/journal.pclm.0000512},
  URL = {https://www.documentation.ird.fr/hor/fdi:010094221},
}