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2 Methodology
2.1 Literature review
First, a review of the published literature on health and climate change in South Africa was conducted. The results included academic papers, international guidance, as well as policy documents and strategies for different levels of government in South Africa, from national to city level. Literature on cross-sectoral funding strategies was also explored. Documents were assessed for key themes and topics to inform the stakeholder discussions.
Additional resources (including draft policy documents) were gathered through the stakeholder meetings and helped to inform this report.
Key documents assessed in this review can be found in Annex 1.
2.2 Stakeholder engagement
The review team met with a diverse range of stakeholders across institutional types (government, donors, academia, private sector) and across technical sector groups (public health, healthcare, climate, wastewater, supply chain) either in-person (in London, Pretoria, or Cape Town) or virtually. The range of stakeholders was selected to represent different perspectives on the broad issue of climate change and health. Stakeholders consulted at the beginning of the engagement process provided recommendations for additional key players to contact, and meetings were arranged with those who were responsive.
Meetings were structured as open-ended discussions to explore each stakeholder’s perspective on ongoing work, challenges, gaps, and opportunities in the intersectoral space of health with climate change and environment.
The stakeholder engagement process consisted of the following 14 meetings:
Name Position Organisation Key themes discussed Date
Andrea Rother Professor and Head of Environmental Health Division University of Cape Town Implementation challenges
Helen Yaxley Senior Policy Advisor: Climate Change and Health FCDO Policy, health system sustainability, funding
Yogan Pillay Country Director, South Africa Clinton Health Access Initiative Research, pilot projects, existing initiatives, green infrastructure 12/5/2022
13/5/2022
16/5/2022
Gina Pocock Specialist Consultant Waterlab Wastewater surveillance, wastewater treatment, drinking water
Pfunzo Mudau Policy and Campaigns Officer, Climate Change and Energy British High Commission Pretoria Existing initiatives and funding, policy
Kit Wostenholm COO Reg Magennis CEO Samaritan Healthcare / Summit ESG, hospital infrastructure funding 17/5/2022
17/5/2022
17/5/2022
Lezette Pienaar Head of Strategic Research and Communications Discovery Behaviour change for health 18/5/2022
Dan Ginsberg Actuary, Research and Development Manager Caradee Wright Senior Specialist Scientist leading the Climate Change South African Medical Research, pilot projects, policy, coordination 18/5/2022
Name Position
Christian van Zyl and Human Health Research Programme CEO
Liezl Laubscher Head of Design Helen Chorlton Senior Manager, Cities and Urbanisation Etienne Dreyer Partner Stephanie Terwin ESG Workstream Lead: Cities and Urbanisation Rob Botha Chief of Party, Global Health Supply Chain - Technical Assistance James Irlam Senior Lecturer - Evidence Based Health Care & Environmental Health
Bono Nemukula Deputy Director: Environmental Health
Belinda Makhafola Zamokuhle Mntambo Laura Angelettidu Toit Krish Vallabhjee Deputy Director: Environmental Health Assistant Director: Environmental Health Chief Director of Infrastructure and Technical Management Chief Director of Strategy
Table 1: Stakeholders engaged
Organisation Key themes discussed Date
Research Council LTS Health Lab infrastructure design and funding 19/5/2022
PwC Healthy cities, ESG agenda 19/5/2022
Guidehouse Pharmaceutical supply chain
University of Cape Town
National Department of Health Environmental health education in healthcare curricula Policy and plans, funding, coordination 20/5/2022
20/5/2022
23/5/2022
Western Cape Department of Health Mitigation in health infrastructure, disaster preparedness 30/5/2022
