Health and environmental risk communication in Thailand: an analysis of agency staff 's perspectives on risk communication with external stakeholders

"Health and environmental agencies are routinely called upon to provide risk-related information to the public-at-large and to more narrowly defined audiences, such as children, pregnant women, or labourers. While a large body of guidance is available, it is often general and transferability to new contexts is not well understood. In particular, the relevance of this guidance for South-East Asia is not clear. This paper reports the results of a study, using Q method, that aimed to develop a better understanding of officers' and staff's perspectives on health and environmental risk communication within a single regulatory agency in Thailand, the Pollution Control Department. The results demonstrate that there are multiple perspectives, and they are unrelated to roles or experience. This study contributes to a deeper understanding of the ways that officers and staff within a national agency with important responsibilities for health and environmental risk communication in Thailand think about these responsibilities and how to achieve them." (author's abstract)"Gesundheits- und Umweltbehörden erfüllen üblicherweise die Rolle der allgemeinen Öffentlichkeit, aber auch speziellen Zielgruppen wie Kindern, Schwangeren oder ArbeiterInnen, risikobasierte Informationen zur Verfügung zu stellen. Trotz vorhandener Beratung ist diese oft sehr allgemein gehalten und eine Übertragbarkeit auf neue Kontexte ist schwierig. Besonders die Relevanz der Beratung in Bezug auf Südostasien ist oft unklar. Dieser Artikel berichtet über die Ergebnisse einer auf der Q-Methode basierenden Studie, die versucht, ein besseres Verständnis über die Perspektiven von Führungskräften und MitarbeiterInnen in Bezug auf Gesundheits- und Umweltrisikokommunikation innerhalb der thailändischen Behörde für Umweltschutz zu gewinnen. Die Ergebnisse zeigen, dass es, unabhängig von den Rollen und Erfahrungen der Befragten, sehr unterschiedliche Perspektiven über Verantwortlichkeiten gibt. Die Studie gibt einen Einblick in diese Perspektiven und die Möglichkeiten der Umsetzung in einer verantwortungsvollen nationalen Behörde im Bereich Gesundheits- und Umweltrisikokommunikation." (Autorenreferat

Socio-Economic Resilience to Floods in Coastal Areas of Thailand

Krabi and Nakhon Si Thammarat are two coastal provinces in Thailand facing substantial threats from climate change induced hydrometeorological hazards, including enhanced coastal erosion and flooding. Human populations and livelihoods in these coastal provinces are at greater risk than those in inland provinces. However, little is known about the communities’ resilience and coping capacities regarding hydrometeorological hazards of varying magnitudes. The study conducted a quantitative socio-economic assessment of how people in Krabi and Nakhon Si Thammarat provinces manage and respond to hydrometeorological hazards, examining their resilience and coping capacities. This was a cross-sectional study based on secondary data collection on the social and economic dimensions of resilience, and a review of literature on coping mechanisms to hydrometeorological hazards within the study area. Measuring and mapping socio-economic resilience was based on the available data gathered from the social and economic dimensions, with existing or standard indicators on exposure and vulnerability applied uniformly across subdistricts. A combination of social and economic dimensions produced novel socio-economic resilience index scores by subdistrict, which were mapped accordingly for the two coastal provinces. The study also derived a coping capacity index scores by combining availability of skills or soft capacity and availability of structural resources or hard coping capacity. Socio-economic resilience index scores varied greatly amongst subdistricts. Combining the soft and hard coping capacities, the average score across districts in both provinces was 3 out of a possible 4, meaning that most of the districts were largely resilient. However, variations also existed by subdistrict. Few subdistricts in both Krabi and Nakhon Si Thammarat provinces had low coping capacity index scores between 1 and 2 out of 4. District averages of socio-economic resilience scores mask the variations at subdistrict level. More studies with rigorous methodologies at village or neighborhood level is needed to obtain a nuanced understanding of community resilience to hydrometeorological hazards

Assessing Coastal Vulnerability to Climate Change: A Case Study of Nakhon Si Thammarat and Krabi

Climate change is increasingly impacting both environments and human communities. Coastal regions in Thailand are experiencing more severe impacts, which vary based on the unique physical and socio-economic characteristics of each area. To assess the vulnerability of coastal regions in Thailand, this study focused on two provinces, Nakhon Si Thammarat (NST) and Krabi, each representing distinct coastal environments. NST, situated on the Gulf of Thailand’s east coast, has an agriculture-based economy, while Krabi, on the Andaman Sea’s west coast, relies heavily on tourism. The study utilized a multi-criteria decision analysis approach (MCDA) and GIS to analyze the Coastal Vulnerability Index at the sub-district level. The results revealed that, although NST was more vulnerable than Krabi to socio-economic factors such as the poverty rate and the number of fishery households, Krabi was much more vulnerable in the physical environment, including wave height, tidal level, coastal erosion, and slope. However, overall, Krabi exhibited high to the highest levels of coastal vulnerability, while NST displayed moderate to high levels. These findings provide valuable insights for policymakers and government agencies, aiding in the development of strategies to mitigate vulnerability and enhance the quality of life for local residents in both province

Coastal Erosion and Flood Coping Mechanisms in Southern Thailand: A Qualitative Study

Communities in coastal regions are affected by the impacts of extreme climatic events causing flooding and erosion. Reducing the impacts of flood and erosion in these areas by adopting coping strategies that fortify the resilience of individuals and their localities is desirable. This study used summative content analysis to explore the coping mechanisms of coastal communities before, during, and after various dangers relating to flooding and erosion. The findings from the study show that effective surveillance systems, disaster preparedness, risk mapping, early warning systems, availability of databases and functional command systems, as well as reliable funding are essential to efficiently cope with hazards of coastal flooding and erosion. As flooding and erosion have been predicted to be more severe due to climate change in the coming years, the adoption of effective natural and artificial mechanisms with modern technologies could help coastal regions to be more resilient in coping with the dangers associated with flooding and erosion. Pragmatic policies and programs to this end by actors are critical to averting crises induced by flooding and erosion in coastal areas

The Implications of Climate Change on Health among Vulnerable Populations in South Africa: A Systematic Review

Climate change poses numerous threats to human life, including physical and mental health, the environment, housing, food security, and economic growth. People who already experience multidimensional poverty with the disparity in social, political, economic, historical, and environmental contexts are more vulnerable to these impacts. The study aims to identify the role of climate change in increasing multidimensional inequalities among vulnerable populations and analyze the strengths and limitations of South Africa’s National Climate Change Adaptation Strategy. A systematic review was applied, and literature from Google, Google Scholar, and PubMed, as well as relevant gray literature from 2014–2022 were reviewed. Out of 854 identified sources, 24 were included in the review. Climate change has exacerbated multidimensional inequalities among vulnerable populations in South Africa. Though the National Climate Change Adaptation Strategy has paid attention to health issues and the needs of vulnerable groups, the adaptation measures appear to focus less on mental and occupational health. Climate change may play a significant role in increasing multidimensional inequalities and exacerbating health consequences among vulnerable populations. For an inclusive and sustainable reduction in inequalities and vulnerabilities to the impact of climate change, community-based health and social services should be enhanced among vulnerable populations

Factors Influencing Undernutrition among Female Adolescent Students in Darchula District, Nepal

Failure to understand and address the problem of malnutrition and its associated factors among female adolescents could lead to a vicious cycle of intergenerational malnutrition. A cross-sectional study was conducted in six secondary schools of four rural municipalities in Darchula District, Nepal. Data collection for the study was conducted from November 2021 to February 2022. Four hundred female adolescent students aged 15 to 19 years old were selected using quota sampling. The study aims to examine the prevalence of malnutrition by assessing different levels of body mass index (BMI) that is thinness (BMI less than 18.5 kg/m2), normal (18.5 kg/m2 to 24.9 kg/m2), overweight (25 kg/m2 to 29.9 kg/m2) and obese (BMI more than or equal to 30 kg/m2). Along with BMI, factors associated with undernutrition, here identified as thinness, are assessed using a structured questionnaire. Additionally, key informant interviews and review of interventions was performed to understand the gaps in nutrition-related policies and programs of school going adolescents in the study district. Quantitative data analysis included a prevalence study and chi-square test along with simple and multiple logistic regression to obtain crude and adjusted odds ratio at 95% confidence interval for the significant factors with p p p p p p < 0.034) were found to be significantly associated with thinness. Information from the qualitative part identified gaps in existing interventions for an improved nutritional outcome among school going adolescent females. Further studies to understand the nutritional practices and its contributory factors in relation to thinness is encouraged. Stakeholders are urged to effectively address the shortcomings in existing interventions and adopt a more adolescent-centered approach to enhance the nutritional status of female adolescents

Health and Environmental Risk Communication in Thailand: An Analysis of Agency Staff’ Perspectives on Risk Communication With External Stakeholders

Health and environmental agencies are routinely called upon to provide risk-related information to the public-at-large and to more narrowly defi ned audiences, such as children, pregnant women, or labourers. While a large body of guidance is available, it is often general and transferability to new contexts is not well understood. In particular, the relevance of this guidance for South-East Asia is not clear. This paper reports the results of a study, using Q method, that aimed to develop a better understanding of offi cers’ and staff ’s perspectives on health and environmental risk communication within a single regulatory agency in Thailand, the Pollution Control Department. The results demonstrate that there are multiple perspectives, and they are unrelated to roles or experience. This study contributes to a deeper understanding of the ways that offi cers and staff within a national agency with important responsibilities for health and environmental risk communication in Thailand think about these responsibilities and how to achieve them