Dataset Information

Putting trapped populations into place: Climate change and inter-district migration flows in Zambia.

ABSTRACT: Research shows that the association between adverse climate conditions and human migration is heterogeneous. One reason for this heterogeneity is the differential vulnerability of populations to climate change. This includes highly vulnerable, "trapped" populations that are too poor to migrate given deep and persistent poverty, the financial costs of migrating, and the erosion of already fragile economic livelihoods under climate change. Another reason for this heterogeneity is the differential vulnerability of places. However, despite the growing list of studies showing that the climate-migration relationship clearly varies across places, there is surprisingly little research on the characteristics of places themselves that trap, or immobilize, populations. Accordingly, we provide the first account of the "holding power" of places in the association between adverse climate conditions and migration flows among 55 districts in Zambia in 2000 and 2010. Methodologically, we combine high resolution climate information with aggregated census micro data to estimate gravity models of inter-district migration flows. Results reveal that the association between adverse climate conditions and migration is positive only for wealthy migrant-sending districts. In contrast, poor districts are characterized by climate-related immobility. Yet, our findings show that access to migrant networks enables climate related mobility in the poorest districts, suggesting a viable pathway to overcome mobility constraints. Planners and policy makers need to recognize the holding power of places that can trap populations and develop programs to support in situ adaptation and to facilitate migration to avoid humanitarian emergencies.

SUBMITTER: Nawrotzki RJ

PROVIDER: S-EPMC5810408 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature

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Putting trapped populations into place: Climate change and inter-district migration flows in Zambia.

Nawrotzki Raphael J RJ DeWaard Jack J

Regional environmental change 20171003 2

Research shows that the association between adverse climate conditions and human migration is heterogeneous. One reason for this heterogeneity is the differential vulnerability of <i>populations</i> to climate change. This includes highly vulnerable, "trapped" populations that are too poor to migrate given deep and persistent poverty, the financial costs of migrating, and the erosion of already fragile economic livelihoods under climate change. Another reason for this heterogeneity is the differ ...[more]

PMID: 29456454

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Project description:BackgroundIn 2017 the SURG-Africa project set out to institute a surgical, obstetric, trauma and anesthesia (SOTA) care capacity-building intervention focused on non-specialist providers at district hospitals in Zambia, Malawi and Tanzania. The aim was to scale up quality-assured SOTA care for rural populations. This paper reports the process of developing the intervention and our experience of initial implementation, using a participatory approach.MethodsParticipatory Action Research workshops were held in the 3 countries in July-October 2017 and in October 2018-July 2019, involving representatives of key local stakeholder groups: district hospital (DH) surgical teams and administrators, referral hospital SOTA specialists, professional associations and local authorities. Through semi-structured discussions, qualitative data were collected on participants' perceptions and experiences of barriers to the provision of SOTA care at district level, and on the training and supervision needs of district surgical teams. Data were compared for themes across countries and across surgical team cadres.ResultsAll groups reported a lack of in-service training to develop essential skills to manage common SOTA cases; use and care of equipment; essential anesthesia care including resuscitation skills; and infection prevention and control. Very few district surgical teams had access to supervision. SOTA providers at DHs reported a demand for more feedback on referrals. Participants prioritized training needs that could be addressed through regular in-service training and supervision visits from referral hospital specialists to DHs. These data were used by participants in an action-planning cycle to develop site-specific training plans for each research site.ConclusionThe inclusive, participatory approach to stakeholder involvement in SOTA system strengthening employed by this study supported the design of a locally relevant and contextualized intervention. This study provides lessons on how to rebalance power dynamics in Global Surgery, through giving a voice to district surgical teams.

Dataset Information

Putting trapped populations into place: Climate change and inter-district migration flows in Zambia.

Publications

Putting trapped populations into place: Climate change and inter-district migration flows in Zambia.

Similar Datasets

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