Indicators for Climate-SRHR Action
Domain: Health Systems
Navigate to other Indicators filtered by Domain.
Indicator 04:
SRH service delivery points are prepared for climate hazards.
Level: Project, facility, regional, national
Purpose
Health facilities and other SRH service delivery points must be ready for the climate hazards they are facing. These readiness upgrades can include upgrades to water and energy system, building infrastructure, heating and cooling systems, and more. This indicator will be used to track infrastructure upgrades at SRH service delivery points.
Definition
Percent change in SRH delivery points’ health facility climate resilience assessment score
Data source and Management
Pre-/post-assessment using the WHO Checklists to Assess Vulnerabilities in Health Care Facilities in the Context of Climate Change or other checklist
Disaggregation
May be disaggregated by facility type, upgrade type, SRH service type, climate hazard, and geography
Sub-indicators
4.1 Number and percent / change in number and percent of health facilities providing SRH services built or retrofitted to be climate-proof (output / outcome )
4.2 Change in the number and percent of health facilities completing regular (e.g., annual) facility climate vulnerability and resilience assessments
4.3 Change in the number and percent of individuals benefitting from climate-responsive infrastructure upgrades (receiving health services) at facilities that provide SRHR services
Qualitative Validation & Contextualization
Quarterly report on health facility retrofitting approach, including implementation quality assessment, challenges, lessons learned, and implementation adaptations Interviews and/or focus groups with facility staff, clients, and construction/infrastructure staff about the health facility infrastructure changes they have experienced over the intervention time period
Indicator type
Outcome
Indicator level
Project, facility
Aggregation
4.1 aggregates to 3.3: Total number of health facilities providing SRH services built or retrofitted to be climate-proof
Indicator Source
4: Adapted from WHO Checklists to Assess Vulnerabilities in Health Care Facilities in the Context of Climate Change
4.1 and 4.2: Adapted from WHO
Indicator 05:
SRH supply chains are resilient to climate change.
Level: Project, facility, regional, national
Purpose
Climate change can interrupt SRH supply chains by destroying stockpiles, damaging road infrastructure, and exposing SRH commodities to adverse environmental conditions (e.g., extreme temperature and humidity). This indicator will be used to track the contribution of activities to the climate resilience of SRH supply chains.
Definition
Change in the number and percent of service delivery points reporting no stock outs of SRH medications and commodities during and two weeks following an extreme climate or weather event.
Geographic scope
Geographic scope may be defined as "within climate-vulnerable regions" or "at sites (e.g., regions, facilities, communities, etc.) benefitting from climate-responsive SRHR activities." Geographic scope may also be further restricted to "facilities benefitting from climate-responsive SRHR activities" if a climate-SRHR project serves a subset of facilities within a specific region.
Data source & measurement
Per UNFPA, data for this indicator are obtained from UNFPA Supplies Surveys, SPA, SARA, other National Surveys and LMIS Reports, GHSC-PSM Annual and Quarterly Reports of stockouts by method. Within projects, data may also be gathered via survey.
Disaggregation
May be disaggregated by region, type of climate or weather emergency, type of pharmaceutical product or supply (e.g., pharmaceuticals for labor and delivery, contraceptive products by method, menstrual health products, etc.) and type of service delivery point. If a climate-SRHR project serves a subset of facilities within a specific region, this may also be disaggregated by whether or not a facility was a beneficiary of project activities to enable comparison.
Sub-indicators
5.1 Percentage of service delivery points stocked out, by method offered, on the day of assessment at facilities benefiting from climate-responsive SRHR activities
5.2 Percentage of service delivery points reporting no stock outs, by method offered, at facilities benefiting from climate-responsive SRHR activities
5.3 Percentage of service delivery points with at least three modern contraceptive methods available, at facilities benefiting from climate-responsive SRHR activities
5.4 Percentage of service delivery points with at least five modern contraceptive methods available at facilities benefiting from climate-responsive SRHR activities
Qualitative Validation & Contextualization
- Assessment of SRH supply chains in climate-affected regions, including commodity diversity, stock-outs, strengths, and gaps
- Interviews and/or focus groups with health providers, facility managers, and other supply chain actors about supply chain function during climate emergencies and climate-responsive service delivery changes they have experienced over the intervention time period at facilities benefiting from climate-responsive SRHR activities
Indicator type
Outcome
Indicator level
Project, facility, regional, national
Aggregation
N/A
Indicator Source
5 and 5.1: Adapted from FP2030 Measurement Framework
5.2, 5.3, and 5.4: Adapted from UNFPA Integrated Results and Resources Framework
Implementation Guidance
For additional guidance on defining SRH medications and commodities, see What SRH medications and commodities should a project track? For additional guidance on defining extreme climate and weather events, see What are extreme climate and weather events, and how should we measure and define them?
Indicator 06:
Climate-SRHR investmentment portfolios increase access to climate-responsive SRH services.
Level: Project, facility, national
Purpose
Strengthening health information systems is a vital component of building the climate-SRHR evidence base, tracking emergent climate-SRHR risks, and ensuring early warnings and alerts are widely available. This indicator will be used to track integration of SRH into health early warning systems.
Definition
Number of operational climate-informed health early warning systems for extreme weather and climate events developed, implemented and updated, and include SRH.
Data source & measurement
Project records and national health system records.
Disaggregation
May be disaggregated by whether the health early warning system is new or updated, type of update, whether or not SRH is included, and type of SRH included.
Sub-indicators
6.1 Number/change in the number of health institutions with improved capacity to use evidence to assess or address climate change risks to SRH, as defined by number of institutions reached with capacity-building activities (output/outcome)
Qualitative Validation & Contextualization
- Assessment of the climate-informed health early warning systems' functioning, gaps, and integration of gender and SRH
- Interviews and/or focus groups with health providers, early warning system developers, and other users about the health early warning system
- Interviews and/or focus groups with health officials, health providers, and other capacity building recipients about the climate-SRHR assessment capacity changes they have experienced over the intervention time period
Indicator type
Output
Indicator level
Project, facility, national
Aggregation
N/A
Indicator Source
6: Adapted from WHO
6.1: Adapted from Ebi et al. 2018
Indicator 07:
The health workforce has the knowledge and skills to deliver climate-responsive SRH services.
Level: Project
Purpose
Knowledge and capacity gaps are major barriers to delivery of climate-responsive SRH services. Health workforce training is an important part of ensuring that providers have what they need to address the way SRH needs and preferences shift in response to climate change. This indicator will be used to track changes in health workforce knowledge and skills with respect to climate change and SRHR.
Definition
Number and percent of health providers with increased knowledge about climate change and SRHR, including the impact of climate change on SRHR and strategies for responding to these impacts.
Data source & measurement
Pre-/post-training evaluation.
Disaggregation
May be disaggregated by age, gender, type of provider, type of training, type of facility, geography, etc.
Sub-indicators
7.1 Number of health workers reached with information and training on climate change and SRHR to protect their health and their patients from climate hazards (output)
7.2 Number and percent of health providers reporting increase in perceived capacity to deliver SRH services in a rights-based way that is responsive to climate change after participating in project activities (outcome)
7.3 Number and percent of health providers reporting using adaptive behaviors and/or shifting their approach to care provision after participating in project activities (outcome)
7.4 Number / change in the number of health practitioner curricula that include climate change and its impacts on SRHR, disaggregated by target audience and whether the curricula is new or amended (output / outcome)
Qualitative Validation & Contextualization
- Report on training approach, including covered content, implementation quality assessment, challenges, lessons learned, and implementation adaptations
- Interviews and/or focus groups with health providers about the climate-SRHR knowledge changes and climate-responsive SRH service delivery capacity changes they have experienced over the intervention time period
- Interviews and/or focus groups with trainers and trainees about the training approach and implementation efficacy
- Interviews and/or focus groups with health sector trainees and professors about how curricula have changed to incorporate climate and SRHR over the intervention time period
Indicator type
Outcome
Indicator level
Project
Aggregation
7.1 aggregates up to 3.4: Total number of health workers reached with information and training on climate change and SRHR to protect their health and their patients from climate hazards.
Indicator Source
7.1: Adapted from WHO
Implementation Guidance
For more information on effective health workforce training approaches, visit the Health Workforce page.
