Women’s health and wellbeing prioritisation in climate change national adaptation plans: a cross-sectional policy document analysis across 163 countries
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Publsihed version (pre-proof)
Author(s)
Type
Journal Article
Abstract
Background
Although the gendered impact of climate change is increasingly recognised, its inclusion in national adaptation plans (NAPs) remains unclear. This study investigated how the health, wellbeing and welfare of women are accounted for in climate NAPs published by 163 countries worldwide and identified the key thematic areas where the needs of women have been considered.
Methods
NAPs were analysed across ten domains: health, gender-based violence, education, economy, power, food, environment, Emergency Preparedness, Resilience, and Response, and research and policy and 15 subdomains. Quantitative scoring used a 4-level Likert scale (none, minimal, some and substantial) for a maximum of 75 points. Content analysis was undertaken to identify themes for women’s inclusion.
Findings
Overall, countries in Sub-Saharan Africa and Latin America and the Caribbean achieved the highest total scores (median 7.0 points), whilst Central Asia and East Asia and the Pacific achieved the lowest total scores (median 1.5 and 2.5 points, respectively). At country level, the total score ranged from 0 points for 43 countries to 56 points in Bangladesh and the median score was 28 points. The quality analysis identified the inclusion of women in policy making, the consideration of gender as an important determinant of vulnerability, and the collection and of gender-disaggregated data. Women’s vulnerability was considered across four themes: biophysiological, socioeconomic, type of work, and gender inequalities.
Interpretation
Consideration of women’s health, wellbeing and welfare in NAPs worldwide remains limited with a significant number of countries lacking any mention to women or gender. Further research is warranted to investigate whether policy commitments in NAPs are implemented and translate into improvement of women’s lives.
Although the gendered impact of climate change is increasingly recognised, its inclusion in national adaptation plans (NAPs) remains unclear. This study investigated how the health, wellbeing and welfare of women are accounted for in climate NAPs published by 163 countries worldwide and identified the key thematic areas where the needs of women have been considered.
Methods
NAPs were analysed across ten domains: health, gender-based violence, education, economy, power, food, environment, Emergency Preparedness, Resilience, and Response, and research and policy and 15 subdomains. Quantitative scoring used a 4-level Likert scale (none, minimal, some and substantial) for a maximum of 75 points. Content analysis was undertaken to identify themes for women’s inclusion.
Findings
Overall, countries in Sub-Saharan Africa and Latin America and the Caribbean achieved the highest total scores (median 7.0 points), whilst Central Asia and East Asia and the Pacific achieved the lowest total scores (median 1.5 and 2.5 points, respectively). At country level, the total score ranged from 0 points for 43 countries to 56 points in Bangladesh and the median score was 28 points. The quality analysis identified the inclusion of women in policy making, the consideration of gender as an important determinant of vulnerability, and the collection and of gender-disaggregated data. Women’s vulnerability was considered across four themes: biophysiological, socioeconomic, type of work, and gender inequalities.
Interpretation
Consideration of women’s health, wellbeing and welfare in NAPs worldwide remains limited with a significant number of countries lacking any mention to women or gender. Further research is warranted to investigate whether policy commitments in NAPs are implemented and translate into improvement of women’s lives.
Date Issued
2025-09-23
Date Acceptance
2025-09-22
Citation
Environment International, 2025
ISSN
0160-4120
Publisher
Elsevier
Journal / Book Title
Environment International
Copyright Statement
© 2025 Published by Elsevier Ltd.
License URL
Publication Status
Published online
Article Number
109811
Date Publish Online
2025-09-23