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  1. Fulltext Multilevel interventions as climate change adaptation response to protect maternal and child health: a scoping review protocol
    Lokmic-Tomkins Z, Bhandari D, Watterson J, Pollock WE, Cochrane L, Robinson E, et al.
    BMJ Open, 2023 Jul 27;13(7):e073960.
    PMID: 37500279 DOI: 10.1136/bmjopen-2023-073960
    INTRODUCTION: Growing evidence suggests that climate change-related extreme weather events adversely impact maternal and child health (MCH) outcomes, which requires effective, sustainable and culturally appropriate interventions at individual, community and policy levels to minimise these impacts. This scoping review proposes to map the evidence available on the type, characteristics and outcomes of multilevel interventions implemented as adaptational strategies to protect MCH from the possible adverse effects of climate change.

    METHODS: The following databases will be searched: Embase, MEDLINE, Emcare, EPPI-Centre database of health promotion research (BiblioMap) EPPI-Centre Database for promoting Health Effectiveness Reviews (DoPHER), Global Health, CINAHL, Joanna Briggs Institute EBP Database, Maternity and Infant Care Database, Education Resource Information Center, PsycINFO, Scopus, Web of Science and Global Index Medicus, which indexes Latin America and the Caribbean, Index Medicus for the South-East Asia Region, African Index Medicus, Western Pacific Region Index Medicus. Cochrane Central Register of Controlled Trials, WHO International Clinical Trials Registry Platform, ClinicalTrials.gov, conference proceedings, thesis and dissertations, policy and guidelines and their reference lists will also be searched. Two reviewers will independently screen titles and abstracts and full text based on predefined eligibility criteria. The Preferred Reporting Items for Systematic Reviews and Meta-analyses Extension for Scoping Reviews using the Population, Concept and Context framework and the Template for Intervention Description and Replication checklist will be used to structure and report the findings.

    ETHICS AND DISSEMINATION: Ethics permission to conduct the scoping review is not required as the information collected is publicly available through databases. Findings will be disseminated through a peer-reviewed publication and conference presentations.

  2. Fulltext Mapping multilevel adaptation response to protect maternal and child health from climate change impacts: A scoping review
    Bhandari D, Robinson E, Pollock W, Watterson J, Su TT, Lokmic-Tomkins Z
    iScience, 2025 Mar 21;28(3):111914.
    PMID: 40092619 DOI: 10.1016/j.isci.2025.111914
    Anthropogenic climate change attributed increases in air pollution, rising temperatures, and extreme weather events are linked to a higher risk of adverse pregnancy and birth outcomes, necessitating interventions to protect maternal and child health. This scoping review mapped multilevel adaptation strategies implemented to protect maternal and child health from climate change effects. Eighteen unique adaptation strategies we identified included educational interventions, risk communication, air purifiers, air cleaning strategies, nutrition supplementation, cash transfer, employment guarantee scheme, community health worker program, chemoprophylaxis, insecticide-treated nests, home and environmental remediation, and bioethanol cooking fuel. Our findings suggest that these adaptation strategies are generally nonspecific and fail to address the specialized needs and unique health risks faced by pregnant women and young children. Prioritizing the involvement of pregnant women, mothers of young children and local healthcare services in developing tailored adaptation interventions is crucial to support climate change adaptation, resilience, and reducing maternal and child health risks.
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