Results and discussion: Applying the framework to Maharashtra’s healthcare sector 35 3.1 The state of hazards in Maharashtra (1970–2022) 35 3.2 The state of exposure of Maharashtra’s healthcare facilities 38 3.3 The state of vulnerability of Maharashtra’s healthcare facilities 40 3.4 The state of risk to Maharashtra’s healthcare facilities 46 4. [...] The development of the most critical infrastructure assets such as healthcare, transportation, and water fall under the purview of the states, while disaster risk reduction and climate adaptation largely remain under the purview of the central government. [...] Maharashtra also houses one of the largest economies occurrence of floods and and adaptive capacity of cyclones between 1970 healthcare facilities in healthcare facilities in among the states in India, highlighting a need to protect its current and future infrastructural and 2022 each district India’s each district investments to safeguard the Indian economy as a whole (Government of Maharashtra 2. [...] These include (a) measuring the a data catalogue identifying the distribution of healthcare infrastructure assets in the district, adequacy of healthcare facilities in terms of the number of operational facilities in the district as well as the comprehensiveness of its structural and non-structural strategies for climate- and (b) measuring their accessibility in terms of factors such as road netwo. [...] Further, out of the six administrative divisions in the state, the Konkan division experienced the highest number of extreme floods and cyclones between 1970 and 2023, with floods occurring in the region four times more frequently than in the rest of the state.
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Table of Contents
- Making Indias Healthcare Infrastructure Climate Resilient 1
- A District-level Risk Assessment Framework 1
- Making Indias Healthcare Infrastructure Climate Resilient 2
- About CEEW 3
- Contents 5
- Executive summary 6
- A. Key findings from Maharashtra 8
- B. Key recommendations 9
- 1. Introduction 10
- 1.1 Why should India invest in climate-proofing critical infrastructures 11
- 1.2 Indias journey towards climate-proofing its critical infrastructure 12
- 1.3 Scope of the study 14
- 1.4 Limitations of the study 15
- 1.5 Research questions 15
- 2. Methodology Mapping the climate risk to healthcare facilities across India 15
- 2.1 How to estimate risk 16
- R H E E 16
- S AC 16
- Risk Hazard Exposure Vulnerability 16
- 2.2 Component 1 Hazards Mapping the occurrence of extreme floods and cyclones in India 17
- 2.3 Component 2 Exposure Mapping healthcare facilities across India 17
- 2.4 Component 3 Vulnerability Mapping the predisposition of healthcare facilities 19
- 2.5 Mapping the risk to healthcare facilities in Maharashtra 22
- 3. Results and discussion Applying the framework to Maharashtras healthcare sector 23
- 3.1 The state of hazards in Maharashtra 19702022 23
- 3.2 The state of exposure of Maharashtras healthcare facilities 25
- 3.3 The state of vulnerability of Maharashtras healthcare facilities 26
- 3.4 The state of risk to Maharashtras healthcare facilities 29
- 4. Recommendations for building the resilience of healthcare facilities in India 32
- 4.1 The National Programme on Climate Change and Human Health should identify the characteristics of healthcare infrastructure resilience 32
- 4.2 District health departments must assess on-ground risk and build the resilience of healthcare facilities 33
- 4.3 State health departments should mandate all the districts to assess risks at the asset level 34
- 4.4 The Indian Public Health Standards should monitor the resilience of healthcare facilities 34
- 4.5 The National Health Mission should catalyse climate finance for healthcare infrastructure resilience 35
- 5. Conclusions and way forward 35
- Acronyms 36
- References 37
- About Authors 40
