亚开行-利用传统生态知识进行气候适应性初级卫生保健（英）

OCTOBER 2025PROJECT BRIEF NO. 3COMMUNITY RESILIENCE PARTNERSHIP PROGRAMSupporting Investments that Reach Scale While Ensuring No One Is Left BehindUsing Traditional Ecological Knowledge for Climate-Resilient Primary Health CarePROJECT NAMEPreparing the Green Primary Care ProjectPROJECT OFFICER Alexo Esperato Martinez Senior Health Specialist, Human and Social Development Sector Office, Sectors Department 3, Asian Development BankCOUNTRYLao People’s Democratic RepublicSECTORHealth IMPLEMENTATION PERIOD10 September 2025 to 31 December 2030Photo: Children and parents attending the monthly Mother and Child Health Check program conducted in one of the resettlement villages near the Nakai Reservoir in the Lao People’s Democratic Republic (photo by ADB).2 Community Resilience Partnership Program Project Brief No. 3CLIMATE RISK AND RESILIENCE PROFILEThe Lao People’s Democratic Republic (Lao PDR) ranks 92nd in the 2022 Climate Risk Indexa and 140th in the ND-GAIN Country Index.bThe country is increasingly exposed to climate change as incidence of extreme heat poses a major threat to human health while floods and landslides often hamper access to and cause damages to critical infrastructure like health centers and schools.cClimate change has increased the prevalence of malaria, dengue, and diarrheal diseases and through its impacts on livelihoods and agriculture, it has increased the rates of malnutrition.The country’s health system shows critical gaps in climate preparedness. The health workforce is poorly trained in managing climate-related diseases, 25% of the 1,232 health facilities lack essential water and/or electricity, and early warning systems remain absent or underfunded.da Climate Risk Index: The annual Climate Risk Index analyzes to what extent countries have been affected by the impacts of weather-related loss events (storms, floods, heat waves, etc.). b The ND-GAIN Country Index (accessed 16 July 2025) summarizes a country’s vulnerability to climate change and other global challenges in combination with its readiness to improve resilience, with higher rankings signifying greater vulnerabilities (i.e., 192 is the most vulnerable and 1 least vulnerable). A total of 192 countries are ranked from low vulnerability and high readiness to high vulnerability and low readiness. c ADB and World Bank. 2021. Climate Risk Country Profile: Lao PDR. d J. Peabody et al. 2019. Quality of Health Care in the Lao People’s Democratic Republic. ADBI Working Paper Series. No. 981. Asian Development Bank Institute.CHALLENGES IN THE HEALTH SYSTEM The Lao PDR is among the high risk countries from climate-related hazards such as flooding, droughts, storms, and landslides, leading to frequent disruptions of health services and infrastructure. Climate change has led to higher prevalence and outbreaks of malaria, dengue, and diarrheal diseases, especially in rural and ethnic minority communities. Climate-related disruptions to agriculture and water supply contribute t