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Combating Climate Injustices: An Informal Science and Popular Education Approach to Addressing Environmental Health Disparities.

ABSTRACT: As global warming worsens, addressing environmental health disparities and justice is increasingly important. This necessity is evident in southern metropolitan Tucson, Arizona, an area underserved and disproportionately experiencing the effects of climate change. Including underserved groups in problem solving can spur knowledge generation and the building of community capacity to address and mitigate environmental health challenges posed by climate justice. This article describes a community-based project that utilized a peer education framework coupled with citizen science design. Community health workers (promotoras) were trained in environmental health, climate change, and environmental monitoring protocols to then educate and train families about these same subjects. The study goal was to evaluate science and environmental health learning, awareness, and self-efficacy at the promotora and residential levels resulting from intensive 40-hour trainings, peer education via home visits, and environmental monitoring. Pre- and postsurveys were completed by the promotoras and the families they visited. Motivations for participation as well as changes in self-efficacy and knowledge were analyzed. Results revealed that the promotora's motivations were primarily internal and they were concerned with health. Using the Wilcoxon signed-rank test (p =.05), it was observed that for both study groups, knowledge of water and energy conservation statistically increased, as well as self-efficacy for environmental action and scientific learning. This article demonstrates that promotoras are critical in environmental health and climate science peer education. These findings can be used to further develop peer education citizen science projects in underserved communities, ensuring that efforts increase participants' learning, self-efficacy, and enhance social-ecological outcomes.

SUBMITTER: Sandhaus S

PROVIDER: S-EPMC8443210 | biostudies-literature |

REPOSITORIES: biostudies-literature

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Project description:IntroductionAntimicrobial resistance (AMR) is a growing problem globally especially in Sub-Saharan Africa including Kenya. Without any intervention, lower/middle-income countries (LMICs) will be most affected due to already higher AMR levels compared with higher income countries and due to the far higher burden of diseases in the LMICs. Studies have consistently shown that inappropriate use of antimicrobials is the major driver of AMR. To address this challenge, hospitals are now implementing antibiotic stewardship programmes (ASPs), which have been shown to achieve reduced antibiotic usage, to decrease the prevalence of resistance and lead to significant economic benefits. However, the implementation of the guideline is highly dependent on the settings in which they are rolled out. This study, employing an implementation science approach, aims to address the knowledge gap in this area and provide critical data as well as practical experiences when using antibiotic guidelines and stewardship programmes in the public health sector. This will provide evidence of ASP performance and potentially contribute to the county, national and regional policies on antibiotics use.Methods and analysisThe study will be conducted in three geographically diverse regions, each represented by two hospitals. A baseline study on antibiotic usage, resistance and de-escalation, duration of hospital stay, rates of readmission and costs will be carried out in the preimplementation phase. The intervention, that is, the use of antibiotic guidelines and ASPs will be instituted for 18 months using a stepwise implementation strategy that will facilitate learning and continuous improvement of stewardship activities and updating of guidelines to reflect the evolving antibiotic needs.Ethics and disseminationApprovals to carry out the study have been obtained from the National Commission for Science, Technology and Innovation and the Mount Kenya University Ethics Review Committee. The approvals from the two institutions were used to obtain permission to conduct the study at each of the participating hospitals. Study findings will be presented to policy stakeholders and published in peer-reviewed scientific journals. It is anticipated that the findings will inform the appropriate antibiotic use guidelines within our local context.

Project description:Climate change triggered by global warming poses a major threat to agricultural systems globally. This phenomenon is characterized by emergence of pests and diseases, extreme weather events, such as prolonged drought, high intensity rains, hailstones and frosts, which are becoming more frequent ultimately impacting negatively to agricultural production including rain-fed tea cultivation. Kenya is predominantly an agricultural based economy, with the tea sector generating about 26% of the total export earnings and about 4% gross domestic product (GDP). In the recent years, however, the country has witnessed unstable trends in tea production associated with climate driven stresses. Toward mitigation and adaptation of climate change, multiple approaches for impact assessment, intensity prediction and adaptation have been advanced in the Kenyan tea sub-sector. Further, pressure on tea breeders to release improved climate-compatible cultivars for the rapidly deteriorating environment has resulted in the adoption of a multi-targeted approach seeking to understand the complex molecular regulatory networks associated with biotic and abiotic stresses adaptation and tolerance in tea. Genetic modeling, a powerful tool that assists in breeding process, has also been adopted for selection of tea cultivars for optimal performance under varying climatic conditions. A range of physiological and biochemical responses known to counteract the effects of environmental stresses in most plants that include lowering the rates of cellular growth and net photosynthesis, stomatal closure, and the accumulation of organic solutes such as sugar alcohols, or osmolytes have been used to support breeding programs through screening of new tea cultivars suitable for changing environment. This review describes simulation models combined with high resolution climate change scenarios required to quantify the relative importance of climate change on tea production. In addition, both biodiversity and ecosystem based approaches are described as a part of an overall adaptation strategy to mitigate adverse effects of climate change on tea in Kenya and gaps highlighted for urgent investigations.

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Combating Climate Injustices: An Informal Science and Popular Education Approach to Addressing Environmental Health Disparities.

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