Table 2 Public health capacity, institutional structures, and climate-health policy implementation.
From: Climate adaptation policies in Central Asia overlook mental health
Dimension | Kazakhstan | Kyrgyzstan | Tajikistan | Uzbekistan |
|---|---|---|---|---|
Integration of health in adaptation | Strong – Ministry of Health involved; Environmental Code includes health safeguards. | Strong – non-communicable diseases includes health infrastructure targets. | Strong – NSACC and Medium-Term Development Program (MDP) integrate health, with gender indicators. | Moderate – Ministry part of UNDP-GCF coordination. |
Capacity of mental health services | Not detailed – strain implied via exposure to climate stressors. | Not specified – supported indirectly via system strengthening. | Not detailed – captured in broader social protection strategies. | Not addressed. |
Institutional barriers | Implementation gaps remain despite strong legal frameworks. | Developing capacity; external support critical. | Weak coordination, low technical/institutional capacity. | Capacity/coordination gaps; early-stage policy development. |
Funding for climate-health nexus | Public health included in policy; monitoring of water, housing, food. | $141M+ in adaptation funding; sustainable health strategy in progress. | Requires $1B+ annually for mitigation/adaptation by 2030; United Nations Development Programme (UNDP)/Pilot Program for Climate Resilience (PPCR) support. | Health included via GCF/UNDP projects, but no focus on mental health. |
