气候健康实施手册

Practical Tools and Guidance forClimate-Smart Health SystemsPublic Disclosure Authorized © 2026 International Bank for Reconstruction and Development / The World Bank1818 H Street NW, Washington DC 20433Telephone: 202-473-1000Internet: www.worldbank.org This work is a product of the staff of The World Bank with external contributions. Thefindings, interpretations, and conclusions expressed in this work do not necessarilyreflect the views of The World Bank, its Board of Executive Directors, or thegovernments they represent. The World Bank does not guarantee the accuracy, completeness, or currency ofthe data included in this work and does not assume responsibility for any errors,omissions, or discrepancies in the information, or liability with respect to the use ofor failure to use the information, methods, processes, or conclusions set forth. Theboundaries, colors, denominations, links/footnotes and other information shown inthis work do not imply any judgment on the part of The World Bank concerning thelegal status of any territory or the endorsement or acceptance of such boundaries.The citation of works authored by others does not mean the World Bank endorsesthe views expressed by those authors or the content of their works. Nothing herein shall constitute or be construed or considered to be a limitationupon or waiver of the privileges and immunities of The World Bank, all of which arespecifically reserved. Rights and Permissions The material in this work is subject to copyright. Because The World Bankencourages dissemination of its knowledge, this work may be reproduced, in wholeor in part, for noncommercial purposes as long as full attribution to this work is given. Any queries on rights and licenses, including subsidiary rights, should be addressedto World Bank Publications, The World Bank Group, 1818 H Street NW, Washington,DC 20433, USA; fax: 202-522-2625; e-mail: pubrights@worldbank.org. How to Use This Document Introduction:What is the Climate HealthImplementation Manual? The Climate Health Implementation Manual (CHIM) isa practical guide that helps project teams, governmentcounterparts, and development partners—includingRegional Multilateral and National Development Banksintegrate climate considerations into health systems, notas an add-on, but as a core component of health systemsstrengthening. Building climate-resilient health systemsis essential to achieving universal health coverage andsupporting human capital development. 47% 1.5B Healthcommitmentssupportingclimate action Peopletargetedwith quality healthservices by 2030 The CHIM brings together the best available guidance,strategies, and tools so countries do not have to startfrom scratch. They can learn from what is already workingelsewhere and adapt it to their context as the CHIM is aroadmap that shows both what to do and how to do it,moving from design to operations, implementation, andresults. Because climate and health challenges cut acrosssectors, including environment, water, digital, agriculture,energy, transport, planning, education and social protection,the CHIM is designed for teams working across institutionalboundaries with other line ministries. 20 250+ Keyimplementationtakeaways Curatedtoolsacross fivetechnical areas Components of the CHIM Why It Matters Health systems that can withstand shocks, operate efficiently, andprotect both people and the environment are not a luxury. Theyare the foundation of universal health coverage. Climate-smartinvestments deliver on all three fronts: facilities that stay operationalduring extreme weather, supply chains that remain reliable despitedisruptions, and lower operating costs that free up resources forpatient care. Health systems are also contributors: the health sectoraccounts for approximately 5 percent of global greenhouse gasemissions each year, according to theLancet Countdown, makingclimate-smart investment both a resilience and a mitigation priority. The Cost of Inaction $21TIn potentialhealth costsin low- andmiddle-income countries by 2050 132MAdditionalpeoplepushed intoextremepovertyby 2030 21MAdditionaldeathsprojected by 2050 inlow- and middle-income countries The World Bank has set an ambitious goal: reach 1.5 billion peoplewith quality, affordable health services by 2030, with climateconsiderations embedded across health investments, and to scaleup and strengthen capacity to prevent, detect, and respond tohealth emergencies. These efforts support broad developmentpriorities, including job creation and private sector investment.Nearly half of its health commitments last fiscal year supportedclimate action, reflecting this integration. ~5%Share ofglobal greenhouse gas emissionsattributable to the health sector Health Moving from Margins to Mainstream The Conference of the Parties (COP) process has steadily elevated health within climate policy: Key Partnerships Driving Action Addressing climate-health challenges requires breaking downinstitutiona