Climate Adaptation for

Health Protection

China

Inception Report
WHO-UNDP-GEF Global Project

1
Part 1-Project Status Report
The IR should include a narrative overview of the project and progress to date on project establishment and
start-up activities. This should include an update of any changed external conditions that may effect or alter
project implementation. May include the combined text from Q1, 2, 3 Reports and any timelines produced
explaining the sequence of events during inception phase. Examples below:

Overview of Project

China is part of the Global project on Piloting climate change adaptation to protect human health ,dedicate
towards developing and piloting an effective early warning system for climate sensitive health risks, building
health sector capacity to respond to climate sensitive health risks, and reducing health risks by health
promotion and prevention measures.

The project implementation process will be managed by the Ministry of Health. The National Steering
Committee communicates and coordinates the project implementation among stakeholders, revises the project
documents and products. The Working Group develops and delivers project products such as Annual work
plan, integrated database, training materials and programs. A Project Manger from the Institution for
Environmental Health and Related Product Safety (IEHS)of China CDC is responsible for overseeing project
activities (led by the Ministry of Health), and coordinate all activities that lead to the realization of project
outcomes/key results.

Being as part of the Global project, China will contribute its findings and progress, monitoring results with
other counties and will benefit from multi-country experience.

Project Inception Phase

Under the leadership of MoH, the IEHS of China CDC made lots of progress to review the project and begin
expected activities of project inception phase. The National Steering Committee and a Technical Working
Group were formed. Major activities and advancements during inception phase include:

• Formation of National Steering Committee,Technical Working Groups

• Project Manager (Dr. Jin)at MoH in place May 2010
• Inception workshop On March 29th, 2011
• The National Project Launch and National Steering Committee Meeting
On March 29th, the National Project Launch and National Steering Committee Meeting were held in
Beijing. Representatives from UNDP,WHO, China MOH, MOF , MOE, China Meteorological
Administration, NDRC and CDC reviewed and discussed the project related documents ,especially
the implementation plan, and gave great suggestions for further progress.
• Update of the ProDoc (re-write of the proposal)
• Microplanning and annual budget prepared and approved for 2011
• Resubmission and Approval of new project activities
• Project Team Meetings

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 On April 29th, May 5th, May 10th and May 17th, project team had 4 working group meeting. Each
meeting lasted at least 2 hours. Following are the highlights of each meeting:
a. On April 29th, project team was established and related management and communications was
discussed.
b. On May 5th, project team discussed the work plan, inception report and related forms and
documents.
c. On May 10th, project team discussed the outline of detailed implement work plan in 3 pilot cities,
and other documents and forms. We finalized the documents for submitting on this meeting.
d. On May 17th, project team discussed the detailed implement work plan and questionnaire to be
used in 3 pilot cities. Project team also discussed the preparation of the implement work plan
meeting in Chengdu.
• Meeting with Dr. Diarmid Campbell-Lendrum from WHO HQ
Dr. Jin and Project Team discussed the GEF Project with Dr. Diarmid Campbell-Lendrum from WHO
HQ. Dr. Jin introduced the overall implement plan and the Project Inception Workshop on March 29th.
Dr. Campbell-Lendrum gave his suggestions on work plan, overall project design, management and
communications and potential collaboration with another project in Shanghai.
• GEF Project Implement workshop in Chengdu
Dr. Jin and project team with three local CDC (Jiangsu CDC, Shenzhen CDC and Haerbin CDC) teams
had a GEF project implement meeting in Chengdu. This workshop is a 2 day workshop. The detailed
implement working plan was introduced and discussed in this workshop. Specifically, the collation of
hospital outpatient visiting, emergency visiting and hospital admission data was discussed particularly in
this workshop.
Inception Workshop
On March 29th, 2011 an inception workshop was held with the project steering committee and key
Implementing Partners to formally launch the project. The launching ceremony was commemorated with
project manager of China CDC, Head of Division from Ministry of Health and China CDC, representatives
from MOH, WHO, UNDP, key implementing partners, distinguished Project Steering Committee members
from different agencies, and other staff from China CDC.

At the beginning, representatives from MOH, WHO, UNDP, NDRC and CDC made welcome speech
respectively, and representative from WHO introduced the overview of the global WHO/UNDP/GEF project,
responsibilities of NSC and responsibilities of Project Manager. Next, the representative from Project
Implementation Unit (IEHS) presented the project implementation plan. Finally, participates from different
agencies discussed and revise the implementation plan.

Dr. Jin who is the Director of IEHS and appointed as the Project Manager highlighted the impacts of climate
change on human health and the importance of coordination and harmonization among stakeholders to work
together towards achieving the common goal. He stated that the project would be of immense and timely help
to China, particularly its support to capacity building at national as well as community level and making
ourselves prepare to response to climate related health outcomes.

The workshop provided an opportunity for all the implementing units and stakeholders to discuss and revise
the implementation plan and to understand their roles and responsibilities. The following units that will be
involved in implementing the project activities were identified as:

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 1. Ministry of Health
2. Institution for Environmental Health and Related Product Safety of China CDC
3. World Health Organization
4. United Nations Development Programme focal point
5. National Development Reform Committee
6. National Meteorological Bureau
7. Ministry of Science and Technology
8. Radio Broadcast and Television Bureau
9. National and local newspapers
10. Ministry of Finance
11. Local governments, including health, meteorological, education, transportation, and finance
departments
12. Ministry of Construction
13. State Environmental Protection Administration
14. Ministry of Labour and Social Security
15. China Red Cross Society
16. Ministry of Civil Affairs
17. China Charity Society
18. Ministry of Education
19. Ministry of Transportation

The National Project Launch and National Steering Committee Meeting of China GEF project was
held in Beijing. Mar 29th, 2011.

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Part 2 Detailed Annual Workplan (AWP):
AWP divided into quarterly time-frames should include activities and indicators, dates of specific field visits,
support missions from global or regional management teams or consultants, and meeting schedule for SC and
working groups.

The first year micro-work plan highlights the expected outcomes and indicators and defines activities and
outputs from these actions during the period from April 2011 – March 2012. The micro-plan also estimates
the resources required to implement the proposed activities both monetary and in terms of technical
assistance.

EXPECTED OUTPUTS 2011.4-2012.3 PLANNED BUDGET($)

RESPONSIBLE
And baseline, indicators including PLANNED ACTIVITIES PARTY Budget
annual targets Fundin
Description
Q2 Q3 Q4 Q1 g Amount
Source
Outcome 1 : Extreme climate early warning models on health impacts will
be established in 3 pilot cities to promote the response ability of the public GEF
and health sectors.

Output 1.1: Establishment of the early Training---

warning model for forcasting the WHO Exp
health risks during heatwaves, Activity 1.1.2 Project Inception MoH and Code: 517;
10000
including sufferers of pre-existing Workshop & 1st NSC Meeting. IEHS UNDP
cerebro-cardiovascular diseases and ATLAS
older age groups. Code:75700
Baseline: Short of integrated and Activity 1.2.1 Collecting IEHS, Jiangsu Contractual 40000
multi-year database of meteorological retrospective data for 2006-2010 in CDC, Services
data , environmental and health three pilot cities: including health Shenzhen General---
information in pilot cities. impact data (outpatient number, the CDC and WHO Exp
number of death etc), Haerbin CDC Code: 513;
Indicator: The database of Climate and meteorological data (temperature, UNDP
Health Monitoring and Surveillance humidity, atmospheric pressure ATLAS
data in pilot cities. etc), air pollutants monitoring data Code:72100
( O3, PM10 etc), demographic
First Year Target there is an climate data, social economics data; etc.
and Health Monitoring and Screening models for heat wave
Surveillance database in 3 pilot cities, health effects early warning.
including 10 indicators and more than
3 years data.

subtotal 50000

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Outcome2: The response capacity for heat wave- health risks of the health
GEF
sectors will be improved.

Output 2.1 Establishment of a Activity 2.1.1 Establishing the IEHS and Training--- 10000
cooperation mechanism in pilot cities effective coordination mechanism Local CDC in WHO Exp
to link the health department with among the health departments, and pilot cities Code: 517;
other related sections for operational among health department and UNDP
response during heatwaves. This will related departments during heat ATLAS
include confirming the duty of each wave in pilot cities. Code:75700
department, cooperation procedure
and conditions security, etc.

Baseline: Lack of multi-sector cooperation

mechanism during heat wave in pilot cities.

Indicator : Effective cooperation mechanism

among the health, meteorological, and related
departments during heat wave in pilot cities.
First Year Target: Establish effective multi-
sector cooperation mechanism during heat
wave in pilot cities, confirming the duty of
each department, cooperation procedure and
conditions security, etc.

Output 2.4 The knowledge, attitude Activity 2.4.1 The baseline survey IEHS and Contractual 10000
and practice towards heat wave and its for the adaptation ability of pilot Local CDC in Services
health risk of health personnel in community health service system pilot cities General---
target communities will improve after to climate change health risk: WHO Exp
intervention. include whether climate change Code: 513;
health risks management integrated UNDP
into health service system, health ATLAS
service personnel's knowledge, Code:72100
attitude and behavior, related
emergency organization structure
etc.
Activity 2.4.2 Training for KAP IEHS and Training--- 15000
investigation personnel's, users of Local CDC in WHO Exp
Baseline: The knowledge, attitude and the heat wave-health risk early pilot cities Code: 517;
practice towards heat wave and its health risk warning system, implementation UNDP
of health personnel in target communities are personnel's of Emergency Plan ATLAS
not clear.
and Public Adaptation Guideline Code:75700
during Heat Wave.

Indicator : Health personnel's awareness rate

of knowledge, attitude and practice towards
heat wave health risk and adaptation
measures.

First Year Target: To accomplish the

baseline KAP survey for health personnel.

subtotal 35000

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Outcome 3: The heat wave adaptation capacity of the public will be
GEF
enhanced in pilot cities.

IEHS and Contractual 36000

Output 3.2 The knowledge, attitude Activity 3.2.1 Baseline study on health Local CDC Services
and practice of the public will be status and Climate change knowledge, General---
improved via different intervention attitude and practice of community
WHO Exp
form. residents.
Code: 513;
Activity 3.2.3 Trainning for KAP IEHS and UNDP
Training--- 10000
Baseline: The knowledge, attitude and investigation and health promotion Local CDC WHO Exp
practice towards heat wave and its health risk
personnel's. Code: 517;
of health personnel in target communities are
not clear.
UNDP
ATLAS
Indicator: Community residents'
awareness rate of knowledge, attitude and
practice towards heat wave health risk and
adaptation measures.
First Year Target: To accomplish the
baseline KAP survey for community
residents.

subtotal 46000

Total 131000

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PART 3 - Multi-year Project Work Plan (Gantt Chart)
This describes activities and costs over the entire project period and provides explanatory notes on expected
outputs. Two versions are acceptable, with and without GANTT Chart

GEF/UNDP/WHO: Climate Adaptation to Protect Human Health

MULTI-YEAR WORKPLAN AND ACTIVITY SCHEDULE (April, 2011-March,2014)
2011.4-2012.3 2012.4-2013.3 2013.4-2014.3
Outputs / Activities
Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

Outcome1 An early warning system is established which provides sufficient warning of impending heatwaves to protect people at risk of
cerebro- and cardiovascular diseases.

Output 1.1 Establishment of the early warning model for

forcasting the health risks during heatwaves, including sufferers
of pre-existing cerebro-cardiovascular diseases and older age
groups.

Activity 1.1.1 Annual National Steering Committee Meeting

Activity 1.1.2 Project Inception Workshop & 1st NSC Meeting.

Activity 1.1.3 Collecting retrospective data for 2006-2010 in three pilot

cities: including health impact data (outpatient number, the number of death
etc), meteorological data (temperature, humidity, atmospheric pressure etc),
air pollutants monitoring data ( O3, PM10 etc), demographic data, social
economics data; etc. Screening models for heat wave health effects early
warning.

Activity 1.1.4 On the basis of examination, verification and analysis for 2006-
2010 data, calculating the parameters of early warning model, and
establishing the early warning model for heat wave on health effect.

Activity 1.1.5 Collecting retrospective data for 2011 in three cities : including
health impact data (outpatient number, the number of death etc),
meteorological data (temperature, humidity, atmospheric pressure etc), air
pollutants monitoring data ( O3, PM10 etc), demographic data, social
economics data; etc. Testing and verifying the early warning model for heat
wave on health effect.

Output 1.2 Design of a system for "early forecast, early

prevention and early treatment", providing graded forecasts of
the severity of health risks in the project community.

Activity 1.3.1 Collecting retrospective data for 2012 in three cities

: including health impact data (outpatient number, the number of
death etc), meteorological data (temperature, humidity,
atmospheric pressure etc), air pollutants monitoring data ( O3,
PM10 etc), demographic data, social economics data; etc.

Activity 1.3.2 Experts evaluation for the early warning model for heat wave
on health effect

Activity 1.3.2 Verification and Effects assessment of the heatwave early

warning system., including real-time data collection , anlysis and forcasting
capacity , and health protect effect.

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Outcome 2 The response capacity for heat wave- health risks of the health sectors will be improved.

Output 2.1 Establishment of a cooperation mechanism in pilot

cities to link the health department with other related sections for
operational response during heatwaves. This will include
confirming the duty of each department, cooperation procedure
and conditions security, etc.

Activity 2.1.1 Establishing the effective coordination mechanism

among the health departments, and among health department and
related departments during heat wave in pilot cities.

Activity 2.1.2 Experience exchange of the establishment of

multiple departments coordination mechanism,"heat wave-health
risk ” early warning system, Emergency Plan and Public
Adaptation Guideline during Heat Wave.

Output 2.2 Establishment of heat wave-health risk early

warning system in target communities.

Activity 2.2.1 Establishing community-based heat wave -health

reisk early warning system , provideing the basis for formulating
the heat wave adaptation measures on popularizing and applying
early warning model in pilot cities.

Activity 2.2.2 Summary and standardization of the

implementation of multiple departments coordination mechanism,
"heat wave-health risk” early warning system, Emergency Plan
and Public Adaptation Guideline during Heat Wave.

Output 2.3 The Heat Wave Emergency Plan for Health

Department, and the Public Adaptation Guideline During Heat
Wave.

Activity 2.3.1 Formulating the Heat Wave Emergency Plan for

Health Department, and the Public Adaptation Guideline During
Heat Wave.

Output 2.4 The knowledge, attitude and practice towards heat

wave and its health risk of health personnel in target
communities will improve after intervention.

Activity 2.4.1 The baseline survey for the adaptation ability of

pilot community health service system to climate change health
risk: include whether climate change health risks management
integrated into health service system, health service personnel's
knowledge, attitude and behavior, related emergency organization
structure etc.

Activity 2.4.2 Training for KAP investigation personnel's, users

of the"heat wave-health risk ” early warning system,
implementation personnel's of Emergency Plan and Public
Adaptation Guideline during Heat Wave.

Activity 2.4.3 The evaluation for the adaptation ability of pilot

community health service system to the health risk from heat
wave: including health personnel's KAP investigation, warning c
system running and emergency response system, etc.

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Outcome 3 The heat wave adaptation capacity of the public will be enhanced in pilot cities.

Output 3.1 Community residents will get health risk early

warning during heat wave in pilot cities.

Activity 3.1.1 Making the community residents understand the knowledge of

heat wave health effects and corresponding adaptation measures through
health education, such as the internet, bulletin board ,etc.

Output 3.2 The knowledge, attitude and practice of the public

will be improved via different intervention form.

Activity 3.2.1 Baseline study on health status and Climate change

knowledge, attitude and practice of community residents.

Activity 3.2.2 Making the community residents understand the knowledge of

heat wave health effects and corresponding adaptation measures through
health education, such as the internet, bulletin board ,etc.

Activity 3.2.3 Trainning for KAP investigation and health promotion

personnel's.

Activity 3.2.4 Evaluating the understanding of the knowledge and

adaptation measures of heat wave health effects of community residents after
intervention.

Output 3.3 Strengthened bilateral and multilateral cooperation

and communication through national and international exchange.

Activity 3.3.1 Experience exchange and summary of health education and

promotion among 3 pilot cities.

Activity 3.3.2 Project summary evaluation meeting: inviting domestic and

foreign experts to evaluate the project output and summarize the project
outcomes.

Activity 3.3.3 International Communication and Project Experience Sharing

Activities

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Narrative Notes should explain the workplan and expected outputs of the Multi-Year Workplan

EXPLANATORY NOTES ON PROJECT OUTPUTS

Outputs/Activities Description (based on ‘indicative activities’) Unit

Outcome1: An early warning system is established which provides sufficient warning of
impending heatwaves to protect people at risk of cerebro- and cardiovascular diseases.
Output 1.1 This output anticipates the development of an integrated
Establishment of the surveillance database, including health impact data Lead:
early warning model (outpatient number, the number of death etc), IEHS
for forcasting the health meteorological data (temperature, humidity, atmospheric
risks during heatwaves, pressure etc), air pollutants monitoring data ( O3, PM10
including sufferers of etc), demographic data, social economics data; etc. Based
pre-existing cerebro- on the database, the relationship between high
cardiovascular diseases temperature and health outcome will be established, and
and older age groups. then health risk will be projected. The early warning
model will be established for integrating the dose-
response relationship part and health risk part.
Output 1.2 Based on the output 1.1, the early warning system will be
Design of a system for established. This system may include the input Lead:
"early forecast, early component, output component, and response IEHS
prevention and early component. In input component, temperature, humidity,
treatment", providing geographic location, population characteristics etc will be
graded forecasts of the input in the system. In output component, health risk
severity of health risks will be provided. In response component, the graded
in the project forecasts and related measures will be reported.
community. This system will be tested in pilot communities.
Outcome 2: The response capacity for heat wave- health risks of the health sectors will be
improved.

Output 2.1 This output intends to develop cooperation mechanism

Establishment of a in pilot cities to link the health department with other
cooperation related sections for operational response during heat Lead:
mechanism in pilot waves. The cooperation mechanism would be operable IEHS
cities to link the health for each pilot city, and the experience would be helpful
department with other for other cities beside the pilot cities.
related sections for
operational response
during heat waves.
This will include
confirming the duty of
each department,
cooperation procedure
and conditions
security, etc.
Output 2.2 This output intends to apply the model for heat wave on
Establishment of heat health effect and related software to establish the heat
wave-health risk early wave- health risk early warning system in target Lead:
warning system in communities. Health service personnels will be trained to IEHS
target communities. ensure well running of early warning system.

11
 Outputs/Activities Description (based on ‘indicative activities’) Unit
Outcome1: An early warning system is established which provides sufficient warning of
impending heatwaves to protect people at risk of cerebro- and cardiovascular diseases.
Output 1.1 This output anticipates the development of an integrated
Establishment of the surveillance database, including health impact data Lead:
early warning model (outpatient number, the number of death etc), IEHS
for forcasting the health meteorological data (temperature, humidity, atmospheric
risks during heatwaves, pressure etc), air pollutants monitoring data ( O3, PM10
including sufferers of etc), demographic data, social economics data; etc. Based
pre-existing cerebro- on the database, the relationship between high
cardiovascular diseases temperature and health outcome will be established, and
and older age groups. then health risk will be projected. The early warning
model will be established for integrating the dose-
response relationship part and health risk part.
Output 1.2 Based on the output 1.1, the early warning system will be
Design of a system for established. This system may include the input Lead:
"early forecast, early component, output component, and response IEHS
prevention and early component. In input component, temperature, humidity,
treatment", providing geographic location, population characteristics etc will be
graded forecasts of the input in the system. In output component, health risk
severity of health risks will be provided. In response component, the graded
in the project forecasts and related measures will be reported.
community. This system will be tested in pilot communities.
Output 2.3 The Heat To improve the health department's heat wave response
Wave Emergency Plan and adaptation capacity, experts on public health, Lead:
for Health Department, clinical medicine, meteorology, etc. will be invited to IEHS
and the Public compile the Heat Wave Emergency Plan for health
Adaptation Guideline department and the Public Adaptation Guideline During
During Heat Wave. Heat Wave, which will serve as instructional material for
training and health education.
Output 2.4 The KAP investigation will be carried out to evaluate the
knowledge, attitude health personnel's knowledge, attitude and practice Lead:
and practice towards towards heat wave and its health risk. After training for IEHS
heat wave and its ”
the users of the"heat wave-health risk early warning
health risk of health system, the implementation personnel's of Emergency
personnel in target Plan and Public Adaptation Guideline during Heat
communities will Wave, the knowledge, attitude and practice towards
improve after heat wave and its health risk of health personnel in
intervention. target communities will be improved.

Outcome 3 The heat wave adaptation capacity of the public will be enhanced in pilot cities.

Output 3.1 Community With the application of heat wave - health risk early
residents will get warning system in target community, residents will get Lead:
health risk early in time early warning and instruction during heat wave. IEHS
warning during heat
wave in pilot cities.

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 Outputs/Activities Description (based on ‘indicative activities’) Unit
Outcome1: An early warning system is established which provides sufficient warning of
impending heatwaves to protect people at risk of cerebro- and cardiovascular diseases.
Output 1.1 This output anticipates the development of an integrated
Establishment of the surveillance database, including health impact data Lead:
early warning model (outpatient number, the number of death etc), IEHS
for forcasting the health meteorological data (temperature, humidity, atmospheric
risks during heatwaves, pressure etc), air pollutants monitoring data ( O3, PM10
including sufferers of etc), demographic data, social economics data; etc. Based
pre-existing cerebro- on the database, the relationship between high
cardiovascular diseases temperature and health outcome will be established, and
and older age groups. then health risk will be projected. The early warning
model will be established for integrating the dose-
response relationship part and health risk part.
Output 1.2 Based on the output 1.1, the early warning system will be
Design of a system for established. This system may include the input Lead:
"early forecast, early component, output component, and response IEHS
prevention and early component. In input component, temperature, humidity,
treatment", providing geographic location, population characteristics etc will be
graded forecasts of the input in the system. In output component, health risk
severity of health risks will be provided. In response component, the graded
in the project forecasts and related measures will be reported.
community. This system will be tested in pilot communities.
Output 3.2 The Making the community residents understand the
knowledge, attitude knowledge of heat wave health effects and Lead:
and practice of the corresponding adaptation measures through the internet, IEHS
public will be bulletin board, and other health education styles.
improved via different
intervention form.

Output 3.3 Through international communication project experience

Strengthened bilateral sharing activities, and the communication among pilot
and multilateral cities, bilateral and multilateral cooperation will be
cooperation and strengthened. Lead:
communication IEHS
through national and
international exchange.

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PART 4 Budgets: Detailed Annual Project Budget
Outcome 1 Extreme climate early warning models on health impacts will be established in 3 pilot cities to promote the response ability of the public and health sectors.
Budget Year 1 April, 2011-
Chronogram GEF Budget per budget line
March, 2012
Outputs Planned activities for coming year Totals
Start End CO-
GEF 71200 71300 72100 71600 72200 72500 74500 75700
(month) (month) Financing
WHO GSM TOPTASK 1 COUNTRY OUTCOME 1 Extreme climate early Operating
Nat Contract Equipt Office
1:ClimChnge Outcome 1: warning models on health impacts will be Intl Consult Travel Expense/Mis Training
Conslt Serv Furniture Supplies
Early Warning systems for established in 3 pilot cities to promote the c
climate sensitive health response ability of the public and health sectors. WHO CODE 513 518 515 519 517
Output 1.1: Establishment Activity 1.1.2 Project Inception Workshop & 1st April April
of the early warning model NSC Meeting. 10,000.00 10000
Activity 1.2.1 Collecting retrospective data for July December
for forcasting the health
2006-2010 in three pilot cities: including health
risks during heatwaves, impact data (outpatient number, the number of
including sufferers of pre- death etc), meteorological data (temperature,
existing cerebro- humidity, atmospheric pressure etc), air pollutants
cardiovascular diseases monitoring data ( O3, PM10 etc), demographic
and older age groups. data, social economics data; etc. Screening
models for extreme climate health effects early
warning.
40,000.00 40000
Subtotal output 1.1 0.00 0.00 0.00 0.00 40,000.00 0.00 0.00 0.00 0.00 10,000.00
TOTAL per budget line 0.00 0.00 0.00 0.00 40,000.00 0.00 0.00 0.00 0.00 10,000.00 50000

14
Outcome 2 The response capacity for heat wave- health risks of the health sectors will be improved.

Budget Year 1 April, 2011-

Chronogram GEF Budget per budget line
March, 2012
Outputs Planned activities for coming year
Start End CO-
GEF 71200 71300 72100 71600 72200 72500 74500 75700
(month) (month) Financing
WHO GSM TOPTASK 2 Operating
COUNTRY OUTCOME 2 The response capacity Nat Contract Equipt Office
ClimChnge Outcome 2: Intl Consult Travel Expense/Mis Training
for heat wave- health risks of the health sectors Conslt Serv Furniture Supplies
Health sector capacity to c
will be improved.
respond to climate- WHO CODE 513 518 515 519 517
Output 2.1: Professional Activity 2.1.1 Establishing the effective
skills and health system coordination mechanism among the health
strengthened in areas departments, and among health department and
identified to have higher related departments during heat wave in pilot
risks of extreme weather cities. April June 10000 10000
events or disasters, and Activity 2.4.1 The baseline survey for the July December
epidemic diseases by adaptation ability of pilot community health
providing training, capacity service system to climate change health risk:
building, and institutional include whether climate change health risks
support management integrated into health service
system, health service personnel's knowledge,
attitude and behavior, related emergency
organization structure etc. 10000 10000
Activity 2.4.2 Training for KAP investigation July September
personnel's, users of the heat wave-health risk
early warning system, implementation
personnel's of Emergency Plan and Public
Adaptation Guideline during Heat Wave.
15000 15000
Subtotal output 2.3 0 0 20,000 0 0 0 0 15,000
TOTAL per budget line 20,000 15,000 35,000

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Outcome 3 The heat wave adaptation capacity of the public will be enhanced in pilot cities.
Budget Year 1 April, 2011-
Chronogram GEF Budget per budget line
March, 2012
Outputs Planned activities for coming year
Start End CO-
GEF 71200 71300 72100 71600 72200 72500 74500 75700
(month) (month) Financing
WHO GSM TOPTASK3 Operating
COUNTRY OUTCOME 3: The heat wave Nat Contract Equipt Office
ClimChnge Outcome 3: Intl Consult Travel Expense/Mis Training
adaptation capacity of the public will be Conslt Serv Furniture Supplies
Health promotion, c
enhanced in pilot cities.
prevention measures WHO CODE 513 518 515 519 517
Output 3.1: Activity 3.2.1 Baseline study on health status July December
Implementation of health and Climate change knowledge, attitude and
sector Emergency practice of community residents. 36,000.00 36,000.00
contingency Plan Activity 3.2.3 Trainning for KAP July December
investigation and health promotion
personnel's. 10,000.00 10,000.00
Subtotal output 3.2 #REF! #REF! 0.00 0.00 36,000.00 0.00 0.00 0.00 0.00 10,000.00
TOTAL per budget line 0.00 0.00 0.00 0.00 36,000.00 0.00 0.00 0.00 0.00 10,000.00 46,000.00

16
GEF PROJECT NET BUDGET
Global Outcome National Outcome
WHO GSM TOPTASK A OUTCOME 1: An WHO Exp UNDP Amount Year Amount Year Amount Year 3 (USD
1:ClimChnge Outcome 1: Early Early warning Code ATLAS 1 (USD) 2 (USD
Warning systems for climate sensitive system that Code Total
health risks provides reliable SUB-TASK .1 International consultants (Non-WHO staff) 513 71200 0 0 0 0
information on likely SUB-TASK .2 Local consultants (Non-WHO staff) 513 71300 0 0 0 0
incidence of climate SUB-TASK .3 Contractual Services 513 72100
sensitive health
30,000 42,000 0 72,000
risks established SUB-TASK .4 Travel 518 71600 10,000 29,000 0 39,000
SUB-TASK .5 Equipments and Furniture 515 72220 15,000 15,000
SUB-TASK .6 Medical & audiovisual supplies 514 72500 0
SUB-TASK .7 Training (workshops/seminars) 517 75700 10,000 8,000 8,000 26,000
SUB-TASK .8 General Operating Expenses/miscellaneous 519 74500 5,853 5,853
Subtotal Outcome 70,853 79,000 8,000 157,853

WHO GSM TOPTASK B ClimChnge OUTCOME 2:Skills WHO Exp UNDP Amount Year Amount Year Amount Year 3 (USD
Outcome 2: Health sector capacity to and knowledge of Code ATLAS 1 (USD) 2 (USD
respond to climate-sensitive health health care Code Total
risks personnel to cope SUB-TASK .1 International consultants (Non-WHO staff) 513 71200 0 0 0 0
with climate SUB-TASK .2 Local consultants (Non-WHO staff) 513 71300 0 0 0 0
sensitive diseases SUB-TASK .3 Contractual Services 513 72100 20,000 31,000 10,000 61,000
enhanced and SUB-TASK .4 Travel 518 71600 0 0 10,000 10,000
awareness of the SUB-TASK .5 Equipments and Furniture 515 72220 10,000 0 0 10,000
population to take
SUB-TASK .6 Medical & audiovisual supplies 514 72500 0
self preventive
measures for
SUB-TASK .7 Training (workshops/seminars) 517 75700 15,000 12,000 27,000 54,000
climate induced SUB-TASK .8 General Operating Expenses/miscellaneous 519 74500 0 5,000 0
diseases increased 5,000
Subtotal Outcome 45,000 48,000 47,000 140,000
WHO GSM TOPTASKC ClimChnge Outcome 3: Action WHO Exp UNDP Amount Year Amount Year Amount Year 3 (USD
Outcome 3: Health promotion, Plans to adress Code ATLAS 1 (USD) 2 (USD
prevention measures reduce health climate sensitive Code Total
risks diseases SUB-TASK .1 International consultants (Non-WHO staff) 513 71200 0 0 0 0
sucessfully SUB-TASK .2 Local consultants (Non-WHO staff) 513 71300 0 0 0 0
implemented within SUB-TASK .3 Contractual Services 513 72100 36,000 40,000 36,000 112,000
the 2 study SUB-TASK .4 Travel 518 71600 0 0 10,000 10,000
provinces SUB-TASK .5 Equipments and Furniture 515 72220 0 10,000 0 10,000
SUB-TASK .6 Medical & audiovisual supplies 514 72500 0
SUB-TASK .7 Training (workshops/seminars) 517 75700 10,000 10,000 35,000 55,000
SUB-TASK .8 General Operating Expenses/miscellaneous 519 74500 0 0 5,000 5,000
Subtotal Outcome 46,000 60,000 86,000 192,000
WHO GSM TOPTASK D Outcome 4: WHO Exp UNDP Amount Year Amount Year Amount Year 3 (USD
Cooperation among participating No National Code ATLAS 1 (USD) 2 (USD
countries promotes innovation in Outcomes Code
adaptation to CC Total
Subtotal Outcome 0 0 0 0
WHO GSM TOPTASK E ClimChnge Project WHO Exp UNDP Amount Year Amount Year Amount Year 3 (USD
Outcome 5: National Project Management - Code ATLAS 1 (USD) 2 (USD
Management Salaries Code Total
SUB-TASK .1 WHO Short-Term Staff 502 Staff WP62180
SUB-TASK .2 WHO Long-Term Staff 501 Staff WP62180

Subtotal Outcome 0 0 0 0
TOTAL NET BUDGET 161,853 187,000 141,000 489,853
549,893
GROSS per ProDoc 588,429
NET Per ProDoc 549,933
-40

17
Part 5 Monitoring and Evaluation plan
1 Project Log Frame - Global Outcome Indicators
Piloting Climate Change Adaptation to Protect Human Health Global Project LogFrame (Version 15/03/2011)
Indicator
Objective: To increase Capacity to respond to climate-sensitive
adaptive capacity of national health risks, based on changes in the
health system institutions, Vulnerability Reduction Assessment as
including field practitioners, to determined by health sector personnel
respond to climate-sensitive
health risks.
Outcome 1 Proportion of health services in districts X,
An early warning system Y, Z monitoring and reporting
provides reliable information epidemiological data of climate-sensitive
on likely incidence of climate- health outcomes, including outbreaks, on a
1
sensitive health risks regular basis
Proportion of district health services for
which relevant and timely meteorological
and environmental risk information is
available on a regular basis
Proportion of District Health managers who
consider that their climate informed risk
Outcome 2: Health sector management/response plan enables them
institutions have the capacity to be adequately prepared and initiate
to respond to climate- effective responses
sensitive health risks based on Proportion of District Health managers who
early warning information consider that inter-agency and inter-
sectoral barriers are not important in
delivering effective responses
Existence of climate informed
Outcome 3: Disease prevention/risk and emergency
2
prevention measures piloted management plans in pilot districts
in areas of heightened health Proportion of districts implementing a
risk due to climate change locally appropriate prevention/risk and
emergency management intervention
within a pre-defined appropriate response
period
1 Health risk data, should include any climatic and environmental risk factors (ie water quality, vector distribution, temperature, heat, incidence and seasonal patterns of extreme events), as well as
vulnerability indicators such as disease incidence and trends. Specific climate sensitive health outcome indicators should be determined at the beginning of each project, to monitor disease prevalence
and trends over time.
2
Plans may include policies and practices related to preparedness measures, capacity and resource planning, community and institutional measures which reduce vulnerability to identified climate
related risks.
Baseline
VRA scores, averaged over all
countries = X
X % of health care facilities
currently monitoring climate
sensitive health conditions and
report on a regular basis (as
needed by decisionmakers)
% of pilot health districts/sites
where meteorological and
environmental risk data currently
available and used
X % of District Health managers
consider that their response plan
enables them to initiative effective
responses to climate sensitive
health risks
X % of District Health managers
consider that inter-agency and
inter-sectoral barriers constrain
the delivery of effective responses
No response plan in pilot districts
Over last 5 years, average of X % of
districts implemented planned
response within a pre-defined
appropriate response period after
Targets
End of Project
By the end of the project, VRA scores averaged
over all countries = 0.7X, and in no single country
is the score higher than 0.85X
By the end of the project at least 90 % of health
care facilities monitor and report climate-
sensitive health data on a regular basis
By the end of the project relevant and timely
environmental/meteorological/climate data
available for 90% of pilot districts
By the end of the project at least 90 % of District
Health managers consider that their response
plan enables them to initiative effective
responses
By the end of the project at least 90 % of District
Health managers consider that inter-agency and
inter-sectoral barriers are not important in
delivering effective responses
By mid-term of project implementation,
response plans have been formulated in all pilot
districts
By the end of the project, at least 90% of pilot
districts implement planned response within a
pre-defined response period, defined for each
disease outcomes at project outset.
Source of verification
Surveys of health sector
personnel
Ministry of health records
Seasonal forecasts, extreme
weather warnings, or weekly
weather reports from early
warning sentinel sites, or from
satellite data
Focus groups, interviews for
District Health managers,
inspection of response plans by
MoH and WHO in all of districts
Focus groups, interviews for
District Health managers,
inspection of response plans by
MoH and WHO in all of districts
Project reports, documented
response plan
District level activity reporting
to Ministry of Health, verified by
field visits to all districts,
assessed over 5 years
18

Outcome 4: Cooperation
among participating countries
promotes innovation in
adaptation to climate change
including variability
(equivalent to activity in
ATLAS)
2 Project Performance Matrix - Output indicators
Objective: To increase
adaptive capacity of
national health system
institutions, including field
practitioners, to respond to
climate-sensitive health
risks.
Outcome 1
Extreme climate early
warning models on health
impacts will be established
in 3 pilot cities to promote
the response ability of the
public and health sectors
Adoption or adaptation of practices piloted
through the project
Use and value of web site
Documented project experiences in ALM
and UNDP teamworks guide future GEF,
SCCF, UNDP and WHO interventions on
adaptation to climate change including
variability
Indicator
Capacity to respond to climate-
sensitive health risks, based on
Vulnerability Reduction
Assessment (VRA scores)
Indicator 1
The database of Climate and
Health Monitoring and
Surveillance data in pilot cities.
Indicator 2
The correlation coefficient
between the predict value from
heat wave-health risk early
warning systems and monitoring
data
alert to risk or emergency
No cross-border learning
No web site exists
Initial WHO guidance developed
without benefits of practical
experiences in adaptation to
climate change including variability
Baseline
VRA scores, averaged
over all countries = X
Short of integrated and
multi-year database of
meteorological data ,
environmental and health
information in pilot cities
“
No heat wave-health
”
risk early warning system
By the end of the programme, there is at least Survey of Ministry of Health
one example in each country of a strategy or officials and national project
practice that was introduced on the basis of teams
experiences gained in other countries
Within 1 month of the start of implementation, a Project reports and survey of
publicly accessible web-site has been created; at stakeholders as part of the final
the end of the project, a survey of stakeholders evaluation
in each country reveals that at last 60% used the
web-site regularly to learn about progress in the
project
At the time of project completion, draft Project reports, interviews with
documents have been prepared to guide future GEF Secretariat, UNDP, and
UNDP and WHO support for interventions on WHO personnel
adaptation to climate change including variability
Targets Source of verification
End of Project
By the end of the project, VRA Surveys of health
scores averaged over all countries professionals
= 0.7X, and in China is the score
higher than 0.85X
By the end of the project, there is an
climate and Health Monitoring and Monitoring data from
Surveillance database in 3 pilot health sector and other
cities, including at least 10 indicators sectors
and more than 5 years data.
The correlation coefficient is above Monitoring data from
0.6 health sector and other
sectors
19

Outcome 2: The response
capacity for climate-
sensitive health risks of the
health sectors will be
improved.
(equivalent to activity in
ATLAS)
Outcome 3: The climate
change adaptation capacity
of the public will be
enhanced in pilot cities.
Indicator 1
Effective cooperation
mechanism among the health,
meteorological, and related
departments during heat wave in
pilot cities.
Indicator 2
Proportion of health service
personnel that master the
application of heat wave-health
risk early warning system in pilot
communities.
Indicator 3
Community health service
personnel’s awareness rate of
professional knowledge for
replying and adaption to climate
change.
Indicator 4
Heat Wave Emergency Plan for
Health Department & Public
Adaptation Guideline During
Heat Wave
Indicator 1
Proportion of community
residents that get health risk early
warning during heat wave.
Indicator 2
General population’s awareness
rate of knowledge for replying
and adaption to heat wave in
target communities .
Indicator 3
Vulnerable population’s
awareness rate of knowledge for
replying and adaption to heat
wave in target communities.
Lack of multi-sector
cooperation mechanism
during heat wave in pilot
cities.
No heat wave-health risk
early warning system in
pilot cities.
The awareness rate will
come from baseline KAP
study.
No Heat Wave Emergency
Plan for Health Department
& Public Adaptation
Guideline During Heat
Wave in pilot cities.
No heat wave health risk
early warning for residents
in target communities.
The awareness rate will
come from baseline KAP
study.
The awareness rate will
come from baseline KAP
study.
Establish effective multi-sector
cooperation mechanism during heat Survey reports and
wave in pilot cities, confirming the documents.
duty of each department,
cooperation procedure and
conditions security, etc.
The proportion of health service
personnel that can properly apply the
heat wave-health risk early warning
system in pilot communities will
achieve 80%.
The awareness rate will achieve
90%.
Formulating the Heat Wave
Emergency Plan for Health
Department, and the Public
Adaptation Guideline During Heat
Wave.
80% of target community residents Survey reports.
will get heat wave health risk early
warning.
The awareness rate will achieve
60%.
The awareness rate will achieve
60%.
20
 3. Schedule of reporting (dates of quarterly, annual, midterm, final, etc)
(1) Quarterly Report
May 23 2011; Aug 23 2011; Nov 23 2011; Feb 23 2012; May 23 2012; Aug 23 2012; Nov 23 2012; Feb 23
2013; May 23 2013; Aug 23 2013; Nov 23, 2013; Feb 23, 2014; May 23, 2014.
(2) Annual Report
May 23 2012; May 23 2013
(3) Midterm Report
Nov 23, 2012
(4) Final Report
May 23, 2014

4. Schedule of studies
Baseline study and related technical indicators are shown in the following table.
Baseline study Indicator Schedule
The baseline survey for Community health 2011.7-2011.12
the adaptation ability of service personnel’s
pilot community health awareness rate of
service system to professional
climate change health knowledge for
risk: include whether replying and adaption
climate change health to climate change.
risks management
integrated into health
service system, health
service personnel's
knowledge, attitude and
behavior, related
emergency organization
structure etc.
Baseline study on health General and 2011.7-2011.12
status and Climate vulnerable
change knowledge, populations’
attitude and practice of awareness rates of
community residents. knowledge for
replying and adaption
to heat wave in target
communities .

5 Consultants identified/needed and timeline or associated M&E task

N.A.

21
Part 6 Institutional and Partnership Plan
A detailed narrative should describe the institutional roles, responsibilities, coordinating actions and feedback
mechanisms of project related partners. Terms of Reference, for National Steering committees, technical
committees, and Organigrams are useful.

Project Management & Coordination

The project will be nationally executed by the Ministry of Health. Institute for Environmental Health and
Related Product Safety (IEHS), China CDC will be the central coordinating body which will be responsible for
implementation, liaising with other units, sections and programs as well as for timely reporting, monitoring and
evaluation of the project.

The following project implementing units will implement the project activities:
1. Institute for Environmental Health and Related Product Safety (IEHS)
2. Jiangsu CDC
3. Shenzhen CDC
4. Haerbin CDC

And the following implementing units will be involved in carrying out several activities liaising with
the other key implementing units.
i. Nanjing Meteorological Bureau
ii. Nanjing Environmental Protection Bureau
iii. Shenzhen Meteorological Bureau
iv. Shenzhen Environmental Protection Bureau
v. Haerbin Meteorlogical Bureau
vi. Haerbin Environmental Protection Bureau

A National Steering Committee (NSC) will guide the project and act as an advisory to the project
management and implementation teams. Additional technical support will be accessed from the region
as and when the Project Management identifies the need. A Technical working group (TWG) at the
MoH has been formed representing key national actors and experts to coordinate activities and provide
technical guidance to the project. (Terms of Reference for NSC and TWG are provided in Annex 1
and 2)

This project is sponsored by GEF and UNDP. For overall technical operation and strategic guidance,
the proposed national project team will be run by a national project manager in the direction of MoH,
WHO and other stakeholders via the NSC. National project manager will be responsible for organizing
and coordinating the national project team, collecting the relevant information, and directing project
implementation. In each project city, there is a local project manager who is an existing local public
health officer and lead the team consisted of local health bureau, local CDC, local meteorological
bureau and other local stakeholders. Local health care system including hospitals, community
committee, public health branch of district government, etc play the role in baseline survey, health
monitoring, early warning for vulnerable population, assessment of the project(Terms of Reference for
National Project Manager are provided in Annex 3)
.

22
Annex1: Terms of Reference for NSC

The National Steering Committee (NSC) is composed of the following membership:

NDRC, Huang Wenhang
MOF, Ye Jiandi
MoST, Lu Xuedu
MEP, Pei Xiaofei
MoH, Xie Yang
CMA, Yuan Jiashuang
NCC, Gao Ge
NCC, Liu Hongbin
CDC, Ni Fang
CRAES, Zhang Jinliang
WHO, Mao Jixiang
WHO, Brent Powis
UNDP, Sun Xuebing
UNDP, Zhang Shigang

Terms of Reference (TORs) for NSC

Key oversight role and guidance through its annual meetings throughout the life of project implementation

Overall communication and coordination of project implementation among stakeholders such as WHO,
UNDP, MOH and Others etc

Review and approve annual work plans and Budget

Review and adopt key issues and risk in the implementation

Macro level technical guidance to project implementation to achieve project objectives, outcome and
outputs.

23
Annex2: Terms of Reference for TWG

The Technical Working Group (TWG) is composed of the following membership

NDRC, Huang Wenhang
MOF, Ye Jiandi
MoST, Lu Xuedu
MEP, Pei Xiaofei
MoH, Xie Yang
CMA, Yuan Jiashuang
NCC, Gao Ge
NCC, Liu Hongbin
CDC, Ni Fang
CRAES, Zhang Jinliang
Jiangsu CDC, Chen Liansheng
Shenzhen CDC, Peng Chaoqiong
Haerbin CDC, Cui Guoquan
Terms of Reference (TORs) for TWG
a. Coordinate project activities.
b. Provide technical guidance and support.
c. Develop project activities.
d. Review the project on quarterly basis.
e. Advise the implementing agencies on any project related issues.
f. Monitor and evaluate the project.

24
Annex3: Terms of Reference for National Project Manager

As a focal point for communication far national agencies, convene national steering committee (SC)
meetings, and coordinate activities across stakeholders

Develop and submit project relate reports as required by WHO and UNDP/GEF

Provide technical support for activities that contribute towards project outcomes and outputs

Coordinate and facilitate the capacity building of relevant stakeholders, as needed to fulfill project
outcomes.

Represent the project in international forums and media, on behalf of WHO/UNDP.

Perform other project-related duties as required by day-to-day team management

Understand Overall Project Document and ensure project objectives, outcomes and outputs to be achieved
duration period of project implementation

Coordinate the planning, management and implementation of project activities as set out in the project
document

Undertake monitoring and evaluation of the project, promote information dissemination and sharing lessons
learnt through the implementation of this project

Monitoring quality for planned activities to carry out the planned activities to ensure good quality product
to be delivered to WHO and UNDP

Coordinate with local experts and implementing agencies to develop Terms of Reference (TORs) for
specific planned activities to ensure delivery of the planned outputs

Identify local experts or consultants to assist in the completion and implementation of a specific activity if
an implementing agency is unable independently to deliver the planned output of project

Coordinate with local experts to prepare the detailed annual work plan consistent with the envisage outputs,
outcomes and objectives of the Project Document to national project steering committee for review and
approval and develop Terms of Reference (TORs) for each activity as indicated in the annual work plan
accordingly

Submit respective proposal for each planned activity to WHO as scheduled time framework in order to
issue contract from WHO in a timely manner

Keep MOH/UNDP /WHO fully informed of all matters related iv the project

Knowledge Management, Monitoring arid Evaluation

Coordinate the fulfillment of project monitoring and reporting requirements, ensuring data quality and
progress reports, are prepared according to expected WHO/UNDF procedures.

Assist with the preparation and contracting of midterm and final progress evaluations

Contribute to the design, and monitoring of quantitative and qualitative data which indicate both project
progress and disease early warning.

Closely monitor impact indicators on all expected project outcomes and outputs, and report detected
problems and needs.

Ensure reliable conduct Vulnerability Reduction Monitoring, including baseline study and periodic reviews

Develop periodic thematic reports

Project Financial Management

Submit Quarterly, Annual, and Final Financial Reports

Ensure preparation of contracts for services, adhere to WHO/UNDP policy & procedures
Other…
Competencies

Understanding of health policy frameworks and related operational details

Technical knowledge of issues pertaining to the health sector from climate change science, climate change
adaptation, community development, community-based natural resource management, ecosystem services,
ecological impacts of climate change

Excellent communication skills and a demonstrated approach to practical problem solving
25

Ability to motivate and build a team working environment to support project and organizational goals.

Organized and self motivated with an ability to accept responsibility and accountability for decisions and
actions.

Highly motivated with a positive attitude and problem-solving approach.

Computer literacy and working knowledge of Microsoft Office programs, Data analysis Software etc.

Familiarity with WHO, UNDP and GEF

Recruitment Qualifications
Education:
University degree or higher in health, climate change, public policy, social or natural
sciences, and/or economics
Competencies:
demonstrated ability to develop and maintain strategic partnerships;

Demonstrated leadership, facilitation and coordination skills;

Demonstrated entrepreneurial abilities and demonstrated ability to work in an
independent manner;

Demonstrated ability o work in a team;
Experience:
5 years or more of progressively more responsible relevant coordination and
management in the field of environmental health, infectious disease control, or
disaster risk management, advantage experience in climate change adaptation and
development

Extensive experience with project development, implementation and management
(direct project management experience is preferable);

Experience in the policy development processes associated with environment and
sustainable development issues;

Full computer literacy;

Working experience in an international organization is an advantage as is knowledge
of WHO and UNDP policies, procedures and practices.
Language
Excellent command of written and spoken English is essential;
Requirements:

26
 Part 7 Communication & Knowledge Management Plans
Describes how the project outputs and achievements will be documented and communicated to partners,
donors, and with other pilot countries. Publications, materials, reports, contributions to newsletters,
website, media reporting, scientific studies, etc. to be produced during the project should be listed. Please
use the generic listing of example products and modify for your country project. Products identified per
country project in the original ProDoc are annexed. These knowledge products should be included into the
workplans as expected products and budgeted accordingly, taking account of production, editing, and
publication time and costs.

China

Outcome/issue Knowledge Product

Additional data collection and research is
needed to quantify the health risks of climate
change and to identify effective and efficient
adaptation options.
There are still some gaps in data sharing among
environmental, meteorological and health
agencies. Therefore a scientific research
database will be created using national and
international meteorological and disease data;
this database will provide accurate, prompt,
and authoritative disease monitoring and will
produce products relevant for disease
prevention.
Design of a system for “early forecast, early
prevention and early treatment”, providing
graded forecasts of the severity of health risks
in the project community
There is limited public knowledge of the health
impacts of climate change and the actions
individuals should take to protect themselves,
particularly during heat waves.
Community medical consulting personnel
trained with respect to health risks during
climate extremes
Emergency plan and support system
established for high risk people in the project
sites.
Public awareness raised of the health risks of
Heat waves and of the Emergency plan
Increased Capacity of Government and other
decision makers
The actual research developed as a result of the
studies. Adaptation plans identified through the
research
，
Data sharing plan and network The actual
database containing all the information
Communication products communicating the
outcome of the EWS Including
recommendations for action and prevention.
Communication materials - Advertisements,
flyers, radio, TV, meetings, visits, posters,
school programs, web information,
Competitions, behaviours for adaptation
Training on health risks during extreme climate
events and self-protection measures
Emergency plan
Video casts with health education lectures, and
regular update of health education and
consulting services in communities and schools
Communication materials - Advertisements,
flyers, radio, TV, meetings, visits, posters,
school programs, web information,
Competitions, behaviours for adaptation
Training on The health risks of Heat waves as
well as effective behavioural responses

27
Another way to identify communication needs is to consider the target audiences and key
stakeholders in your project, and ensure that development and delivery of communication
products is adequate.
LIST OF COMMUNICATION ACTIVITIES IN CHINA

Further indicative communication activities by target audience in China could be as follows:

Health Professionals Opportunities to communicate:

Information Needs: knowledge of the questionnaire
health risks of Heat waves and of the training
Emergency plan. Training manuals/guidelines
Information in major events

Community sensitive population

Climate sensitive patients
Information Needs: public knowledge of
the health impacts of heat waves and the questionnaire
actions individuals should take to protect examination, blood pressure measurement
themselves. Posters/banners
Community consultations and meetings
Middle school students：
questionnaire
Posters/banners
Community general population
questionnaire
Information Needs: public knowledge of
the health impacts of heat waves and the examination, blood pressure measurement
actions individuals should take to protect Posters/banners
themselves. Community consultations and meetings

Other related department staffs

Information Needs: knowledge of the questionnaire
health risks of Heat waves and of the training
Emergency plan. Training manuals/guidelines
Information in major events

28