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Applying the robust adaptation planning (RAP) framework to Ghana's agricultural climate change adaptation regime.

ABSTRACT: This paper introduces a five-step framework, namely the Robust Adaptation Planning (RAP) framework, to plan and respond to the 'grand challenge' of climate change. RAP combines, under a unified framework, elements from robust action, participatory planning and network theory to capture the different motives, perception, and roles of actors that are important for climate change adaptation. RAP leverages existing structures and networks and involves diverse actors to plan, sequence and time strategies across multiple levels (i.e. from local to national). Actors identify adaptation interventions and important actor relations to develop wide networks, highlighting potential pathways for connecting action from central policy to local implementation (and vice versa). Comparing these proposed participatory structures with existing structures reveals actors deemed important for delivering adaptation, as well as gaps and overlaps in their relations. The end result is a robust plan covering many perspectives and local realities for both relieving immediate and adapting to longer-term consequences of climate change. We applied the RAP framework in Ghana's agricultural climate change adaptation regime to demonstrate its usefulness as a means of planning adaptation interventions in a climate-vulnerable, multi-actor and multi-level setting. The application of the RAP framework in this paper highlights how it can: (1) visualise the adaptation space (and its different components), and reduce the complexity of implementing adaptation responses; (2) offer a shared space to actors from all administrative levels to think and create collective narratives for adaptation without demanding explicit consensus and; (3) identify key actors and actions through a collaborative planning process, and allocate responsibility for the smooth delivery of adaptation interventions.

SUBMITTER: Chaudhury AS

PROVIDER: S-EPMC6086261 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature

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Applying the robust adaptation planning (RAP) framework to Ghana's agricultural climate change adaptation regime.

Chaudhury Abrar S AS Thornton Thomas F TF Helfgott Ariella A Sova Chase C

Sustainability science 20170819 5

This paper introduces a five-step framework, namely the Robust Adaptation Planning (RAP) framework, to plan and respond to the 'grand challenge' of climate change. RAP combines, under a unified framework, elements from robust action, participatory planning and network theory to capture the different motives, perception, and roles of actors that are important for climate change adaptation. RAP leverages existing structures and networks and involves diverse actors to plan, sequence and time strate ...[more]

PMID: 30147760

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Project description:BackgroundeHealth-the proficient application of information and communication technology to support healthcare delivery-has been touted as one of the best solutions to address quality and accessibility challenges in healthcare. Although eHealth could be of more value to health systems in low- and middle-income countries (LMICs) where resources are limited, identification of a competent workforce which can develop and maintain eHealth systems is a key barrier to adoption. Very little is known about the actual or optimal states of the eHealth workforce needs of LMICs. The objective of this study was to develop a framework to characterize and assess the eHealth workforce of hospitals in LMICs.MethodsTo characterize and assess the sufficiency of the workforce, we designed this study in twofold. First, we developed a general framework to categorize the eHealth workforce at any LMIC setting. Second, we combined qualitative data, using semi-structured interviews and the Workload Indicator of Staffing Needs (WISN) to assess the sufficiency of the eHealth workforce in selected hospitals in a LMIC setting like Ghana.ResultsWe surveyed 76 (60%) of the eHealth staff from three hospitals in Ghana-La General Hospital, University of Ghana Hospital, and Greater Accra Regional Hospital. We identified two main eHealth cadres, technical support/information technology (IT) and health information management (HIM). While the HIM cadre presented diversity in expertise, the IT group was dominated by training in Science (42%) and Engineering (55%), and the majority (87%) had at least a bachelor's degree. Health information clerk (32%), health information officer (25%), help desk specialist (20%), and network administrator (11%) were the most dominant roles. Based on the WISN assessment, the eHealth workforce at all the surveyed sites was insufficient. La General and University of Ghana were operating at 10% of required IT staff capacity, while Ridge was short by 42%.ConclusionsWe have developed a framework to characterize and assess the eHealth workforce in LMICs. Applying it to a case study in Ghana has given us a better understanding of potential eHealth staffing needs in LMICs, while providing the quantitative basis for building the requisite human capital to drive eHealth initiatives. Educators can also use our results to explore competency gaps and refine curricula for burgeoning training programs. The findings of this study can serve as a springboard for other LMICs to assess the effects of a well-trained eHealth workforce on the return on eHealth investments.

Dataset Information

Applying the robust adaptation planning (RAP) framework to Ghana's agricultural climate change adaptation regime.

Publications

Applying the robust adaptation planning (RAP) framework to Ghana's agricultural climate change adaptation regime.

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