Warning system for extreme weather events, awareness technology for healthcare, equitable delivery, and resilience (WEATHER) project: a mixed methods research study protocol

Mary Lynch*, Fiona Harris, Michelle Ierna, Ozayr Mahomed, Fiona Henriquez-Mui, Michael Gebreslasie, David Ndzi, Serestina Viriri, Muhammad Zeeshan Shakir, Natalie Dickinson, Caroline Miller, Andrew Hursthouse, Nisha Nadesan-Reddy, Fikile Nkwanyana, Llinos Haf Spencer, Saloshni Naidoo

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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Abstract

This study aims to develop, implement, and evaluate an Early Warning System (EWS) to alert communities and government agencies in KwaZulu-Natal, South Africa, about extreme weather events (EWEs) and related disease outbreaks. The project focuses on eThekwini and Ugu municipalities, using a participatory, co-creation approach with communities and health providers. A systematic review will be undertaken to understand the impact of climate change on disease outbreaks and design an EWS that integrates data from rural and urban healthcare and environmental contexts. It will assess disease burden at primary healthcare clinics, examine health needs and community experiences during EWEs, and evaluate health system resilience. The project will also evaluate the design, development, and performance of the EWS intervention, including its implementation costs. Ethical approval will be sought, and informed consent obtained from participants. Based on the findings, recommendations will be made to the Department of Health to enhance early warning systems and health system resilience in response to EWEs and disease outbreaks.
Original languageEnglish
Article number170
Number of pages16
JournalClimate
Volume13
Issue number8
DOIs
Publication statusPublished - 21 Aug 2025

Keywords

  • early warning system
  • extreme weather events
  • South Africa
  • floods
  • health system resilience
  • community health

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