Abstract
Record breaking heat waves have been recorded in Adelaide, Australia in recent years and climate change would likely increase the frequency, duration and severity of heat waves. This paper describes the governance and institutional arrangements during the development of an adaptation strategy (herein referred to as heat-health policy) for heat waves in Adelaide, Australia. In-depth, semi-structured interviews were conducted between June and August 2011 among 18 stakeholders who were involved in the participatory process during the development of the heat-health policy. Informed consent was obtained and interviews were recorded, transcribed verbatim and the data analysed using framework analysis. Interview data were supplemented by data gathered through a review of documents associated with the process. The results found that the process of developing the heat-health policy was initiated by the state government and comprised of stakeholders from both the state and non-state sectors. There was a high level of leadership and political commitment demonstrated during the process, given that the different players wanted a policy to be in place before any future heat wave. A Steering Committee was established that provided coordination and oversight in addition to the Emergency Management Act within the state which provided the legislative framework during the heat-health policy development process. Although the decision-making authority was controlled by a controlled by a public institution, to a larger extent, there was collaborative decision-making by virtue of the context in which the heat-health policy was developed. An assurance mechanism established during the process was among the factors that ensured accountability during the participatory process. Overall, the development of the heat-health policy in Adelaide was largely successful, attributed to the extent of political commitment from the state government and the sound institutional and legislative framework that facilitated the process. Good governance and institutional arrangements provide the enabling environment, the structures, systems and resources that would facilitate the development of adaptation strategies such as heat-health policies.
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Notes
The adaptation strategy for heat waves developed in Adelaide was known as the Extreme Heat Arrangements, which for the purpose of this paper is referred to as the heat-health policy.
By “participatory adaptation process” we mean a participatory process designed to develop an adaptation strategy. This is to distinguish it from other forms of participatory processes which don’t deal with adaptation.
The quotations use the following conventions. Ellipsis points (. . .) indicate materials that were deleted in order to de-identify the quotes. The symbol [Pause] indicates a short pause in speech, while [X], [Y], or [Z] represents a de-identified stakeholder agency which was involved in the process.
State functional services are a group of related organisations which are brought together to deliver results during an emergency; they are usually led by a government controller. There are 13 state functional services within the emergency management arrangements in South Australia.
We refer to decision-making as “adaptation decision-making” because they were decisions made during the design of an adaptation strategy.
References
Adger W, Huq S, Brown K, Conwaya D, Hulme M (2003) Adaptation to climate change in the developing world. Prog Dev Stud 3(3):179–195
Adger W, Lorenzoni I, O’Brien M (2009) Adapting to climate change: thresholds, values and governance. Cambridge University Press, Cambridge
Arizona Department of Health Services (2006) Heat emergency response plan. Available via http://www.azdhs.gov/phs/oeh/pdf/heatplan606.pdf. (Cited 12 December 2011)
Auerbach C, Silverstein B (2003) Qualitative data: an introduction to coding and analysis. New York University Press, New York
Australian Bureau of Statistics (2009) Regional Population growth, Australia. Available via http://www.abs.gov.au/AUSSTATS/abs@.nsf/39433889d406eeb9ca2570610019e9a5/f1a6bd9f87b5a910ca25711d000fbccd!OpenDocument#Untitled%20Section_2. (Cited 14 March 2011)
Australian Government: Bureau of Meteorology (2009) The exceptional January-February 2009 heat wave in south-eastern Australia: Available via Available via http://www.bom.gov.au/climate/current/statements/scs17c.pdf. (Cited 12 June 2012)
Australian Government: Bureau of Meteorology (2011) Climate statistics for Australian locations. Available via http://www.bom.gov.au/climate/averages/tables/cw_023090.shtml. (Cited 13 November 2011)
Australian Government: Bureau of Meteorology (2010) First Heatwave for Adelaide in 2010 Avalaible via http://www.bom.gov.au/announcements/media_releases/sa/20100115_First_Heatwave_SA_Jan.shtml. (Cited 15 December 2011)
Babbie E (2001) The Practice of Social Research. Wadsworth Thomson Learning, Belmont, California
Baxter P, Jack S (2008) Qualitative case study methodology: study design and implmentation for novice researchers. Qual Report 13(4):544–559
Bi P, Williams S, Loughnan M, Lloyd G, Hansen A, Kjellstrom T, Dear K, Saniotis A (2011) The effects of extreme heat on human mortality and morbidity in Australia: implications for public health. Asia Pac J Public Health 23:27S
Brooks N, Adger W, Kelly PM (2005) The determinants of vulnerability and adaptive capacity at the national level and the implications for adaptation. Global Environ Change 15(2):151–163
Burton I, Diringer E, Smith J (2006) Adaptation to climate change: international policy options. Pew Centre on Global Climate Change; 2006 Available via www.waterandclimateinformationcentre.org/…/8012007_PEW_Burton2006.pdf. (Cited 10 December 2011)
Choi GY, Choi JN, Kwon HJ (2005) The impact of high apparent temperature on the increase of summertime disease-related mortality in Seoul: 1991–2000. J Prev Med Pub Health 38:283–290
Conde C, Lonsdale K (2004) Engaging stakeholders in the adaptation process. Technical Paper No. 2 In: Adaptation Planning Framework. Available via www.undp.org/gef/documents/publications/apf-technical-paper02.pdf (Cited 18 October 2011)
Dole R, Hoerling M, Perlwitz J, Eischeid J, Pegion P, Zhang T, Quan XW, Xu T, Murray D (2011) Was there a basis for anticipating the 2010 Russian heat wave? Geophy Res Lett 38, L06702. doi:10.1029/2010GL046582
Dovers SR, Hezri AA (2010) Institutions and policy processes: the means to the ends of adaptation. Wiley Indiscip Rev: Clim Chang 1(2):212–231
Ebi KL, Kovats SR, Menne B (2006) An approach for assessing human health vulnerability and public health interventions to adapt to climate change. Environ Health Perspect 114:1930–1934
Fouillet A, Rey G, Wagner V, Laaidi K, Empereur-Bissonnet P, Le Tertre A, Frayssinet P, Bessemoulin P, Laurent F, De Crouy-Chanel P, Jougla E, Hémon D (2008) Has the impact of heat waves on mortality changed in France since the European heat wave of summer 2003? A study of the 2006 heat wave. Int J Epidemiol 37(2):309–317
Hajat S, Armstrong B, Baccini M, Biggeri A, Bisanti L, Russo A, Paldy A, Menne B, Kosatsky T (2006) Impact of high temperatures on mortality: is there an added heat wave effect? Epidemiol 17(6):632–638
Hegerl GC, Zwiers FW, Braconnot P, Gillett NP, Luo G, Marengo JA, Nicholls N, Penner JE, Stott PA (2007) Understanding and Attributing Climate Change. Climate Change 2007: The Physical Science Basis. Contribution of Working Group I to the Fourth Assessment Report of the Intergovernmental Panel on Climate Change. In: Solomon S, Qin D, Manning M, Chen Z, Marquis M, Averyt KB, Tignor M, Miller HL (eds) Cambridge University Press, Cambridge, United Kingdom and New York, NY, USA
Hemmati M (2002) Multi-stakeholder processes for governance and sustainability-beyond deadlock and conflict. EarthScan, London
Horrocks L, Mayhew J, Hunt J, Downing T, Butterfield R, Watkiss P (2005) Objective Setting for Climate Change Adaptation Policy, AEA Technology Environment with Environment Institute and Metro-economica for DEFRA (Unpublished)
IPCC (2007) Climate Change 2007: Working Group II: impacts, adaptation and vulnerability. Contribution of Working Group II to the Fourth Assessment Report of the Intergovernmental Panel on Climate Change. Cambridge University Press, Cambridge
Jordan A, Lenschow A (2010) Environmental policy intergration: a state of the art review. Environ Policy Govern 20:147–158
Kabuto M, Honda Y, Todoriki H (2005) A comparative study of daily maximum and personally exposed temperatures during hot summer days in three Japanese cities (in Japanese). Nippon Koshu Eisei Zasshi 52:775–784
Kalkstein LS, Sheridan SC, Kalkstein AJ (2009) Heat/health warning systems: development, implementation and implementation activities. In: Biometeorology for Adaptation to Climate Variability and Change. Springer Science pp 33–48
Keskitalo E (2011) A framework for multi-level stakeholder studies in response to global change. Local Environ 9(5):425–435
Kizer K (2000) Lessons learned in public health emergency management: personal reflections. Prehosp Disaster Med 15:209–214
Koontz T (2006) Collaboration for sustainability? A framework for analyzing government impacts in collaborative-environmental management. Sustain: Sci Pract Policy 2(1):15–24
Koontz TM, Steelman TA, Carnin J, Korfmacher S, Moseley C, Thomas CW (2004) Collaborative environmental management: what role for government? RFF Press, Washington, DC, Washington, DC
Koppe C, Kovats S, Jendritzky G, Menne B (2004) Heat waves: risks and responses. Copenhagen, Denmark: World Health Organisation. Available via http://www.euro.who.int/document/e82629.pdf.(Cited 15 December 2010)
Kosatsky T, Dufresne J, Richard L, Renouf A, Giannetti N, Bourbeau J, Julien M, Braidy J, Sauvé C (2009) Heat awareness and response among montreal residents with chronic cardiac and pulmonary disease. Can J Public Health 100(3):237–240
Kovats RS, Hajat S (2008) Heat stress and public health: a critical review. Ann Rev Pub Health 29:41–55
Lafferty P, Hovden E (2004) Environmental policy integration: towards an analytical framework. Environ Pol 12(5):1–22
Lagadec P (2004) Understanding the French 2003 heat wave experience: Beyond the heat, a multi-layered challenge. J Contin Crisis Manage 12:160–169
Lim B, Spanger-Siegfried E (eds) (2004) Adaptation policy frameworks for climate change: developing strategies, policies and measures. Cambridge University Press, New York
Luber G, McGeehin M (2008) Climate change and extreme heat events. Am J Prev Med 35(5):429–435
Ludwig F (2009) Climate change adaptation in the water sector, Earthscan
Marshall C, Rossman G (2006) Designing qualitative research. SAGE Publishers
Matczak P, Flachner Z, Werners SE (2007) Institutions for adapting to climate change: Earth System Governance. Amsterdam. Available via www.2007amsterdamconference.org/Downloads/AC2007_MatczakEtAl.pdf. (Cited 18 April 2012)
Maxwell JA (2005) Qualitative research design: an interactive approach. SAGE Publishers
Mayner L, Arbon P, Usher K (2010) Emergency department patient presentations during the 2009 heatwaves in Adelaide. J Royal Col Nur Austr 17(4):175–182
McGeehin MA, Mirabelli M (2001) The potential impacts of climate variability and change on temperature-related morbidity and mortality in the United States. Environ Health Perspect 109(1):185–189
Meehl AG, Tebaldi C (2004) More intense, more frequent, and longer lasting heat waves in the 21st century. Science 305(5686):994–997
Michelozzi P, De Sario M, Accetta G, de’Donato F, Kirchmayer U, D’Ovidio M, Perucci CA, HHWWS Collaborative Group (2006) Temperature and summer mortality: geographical and temporal variations in four Italian cities. J Epidemiol Comm Health 60(5):417–423
Mohanty P, Panda U (2003) Heatwave in Orissa: a study based on heat indices and synoptic features –heatwave conditions in Orissa. Regional Research Laboratory, Institute of Mathematics and Applications, Bubaneshwar, 15 pp
Nitschke M, Tucker GR, Hansen A, Williams S, Zhang Y, Bi P (2011) Impact of two recent extreme heat episodes on morbidity and mortality in Adelaide, South Australia: a case-series analysis. Environ Health Perspect 10:42. doi:10.1186/1476-069X-10-42
Pahl-Wostl C (2009) Concept framework for analysing adaptive capacity and multi-level learning processes in resource governance regimes. Global Environ Change 19:354–364
Poumadere M, Mays C, Le Mer S, Blong R (2005) The 2003 heat wave in France: dangerous climate change here and now. Risk Anal 25(6):1483–1494
Powley EH, Fry RE, Barrett FJ, Bright DS (2004) Dialogic democracy meets command and control: transformation through the Appreciative Inquiry Summit. Acad Manage Exec 18(3):67–80
Ritchie J, Spencer L (1994) Qualitative data analysis for applied policy research. In: Analyzing qualitative data. Byryman A and Burgess R (eds): Taylor and Francis Ltd pp.173–194
SAFECOM (2010) Media Release: National Award for South Australia’s Extreme Heat Response Project. Available via http://www.safecom.sa.gov.au/site/news_media/latest_media_releases.jsp (Cited 10 June 2012)
Seluchi ME, Norte FA, Gomes JL, Simonelli SC (2006) Synoptic and thermodynamic analysis of extreme heat waves over subtropical South America. Proceedings of 8 ICSHMO Foz do Iguanu, Brazil: 2009–2010
Semenza JC, McCullough JE, Flanders WD, McGeehin MA, Lumpkin JR (1999) Excess hospital admissions during the July 1995 heat wave in Chicago. Am J Prev Med 16:269–277
Sheridan S, Kalkstein LS (2004) Progress in heat-watch warning system technology. Bull Am Meteorol Soc 85(12):1931–1941
Smoyer-Tomic KE, Daniel GC (2001) Beating the heat: development and evaluation of a Canadian hot weather health-response plan. Environ Health Perspect 109(12):1241–1248
Srivastava A, Thomson S (2009) Framework analysis: a qualitative methodology for applied policy research. JOAAG 4(2):72–79
Steurer R, Bauer A, Feichtinger J (2010) The governance of adaptation to climate change: taking stock and providing guidance. Analytical framework for the stock taking survey of governance approaches in 10 OECD countries
Stoker G (1998) Governance as theory: five propositions. Inter Soc Sc J 50:17–28
Tan J, Kalkstein LS, Huang JX, Songbai L, Yin H, Shao D (2004) An operational heat/health warning system in Shanghai. Int J Biometeorol 48:157–162
Tellis W (1997) Application of a case study methodology. Qual Report 3(3):1997
The South Australian Extreme Heat Arrangements: Annex A to the Extreme Weather Hazard Plan 2009. Available via www.lga.sa.gov.au/webdata/.../Extreme_Heat_Arrangments_SES.pdf (Cited November 2011)
Tong S, Ren C, Becker N (2010a) Excess deaths during the 2004 heatwave in Brisbane, Australia. Int J Biometeorol 54(4):393–400
Tong S, Wang XY, Barnett AG (2010b) Assessment of heat-related health impacts in Brisbane, Australia: comparison of different heatwave definitions. PLoS One 5(8):e12155
U.K. Department of Health (2005) Heatwave – plan for England: reducing harm from extreme heat and heatwaves. Department of Health, London
UNEP (2004) Impacts of summer 2003 heat wave in Europe. Environment Alert Bulletin 2, United Nations Environment Programme, DEWA/GRID-Europe (UNEP/DEWA/GRID)
van den Hove S (2000) Participatory approaches to environmental policy-making: the European Commission Climate Policy Process as a case study. Ecol Econ 33:457–472
Weaver HJ, Blashki GA, Capon AG, McMichael AJ (2010) Climate change and Australia’s healthcare system – risks, research and responses. Austr Health Rev 34:441–444
Whetton PH, McInnes KL, Jones RN, Hennessy KJ, Suppiah R, Page CM, Bathols J (2005) Australian climate change projections for impact assessment and policy application: a review. CSIRO Marine and Atmospheric Research Paper No.001. Available via http://www.cmar.csiro.au/e-print/open/whettonph_2005a.pdf (Cited 18 Jan 2011)
Williams S, Nitschke M, Tucker G, Bi P (2011) Extreme heat arrangements in South Australia: an assessment of trigger temperatures. Health Prom J Austr 22:S21–S27
Yin R (2003) Case study research, design and methods Newbury Park. Sage Publications, Thousand Oaks
Acknowledgements
This study is part of an overarching research project entitled “Climate Change and Population Health: Adaptation and Coping Strategies to Extreme Heat (Events) in a Temperate Australian City. The project was funded by a research scholarship from the University of Adelaide, South Australia with financial support from the Climate Adaptation Flagship of the Commonwealth Scientific and Industrial Research Organisation (CSIRO), Australia. Lastly, we would like to thank all the stakeholders who committed their time to participate in this study.
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Akompab, D.A., Bi, P., Williams, S. et al. Engaging stakeholders in an adaptation process: governance and institutional arrangements in heat-health policy development in Adelaide, Australia. Mitig Adapt Strateg Glob Change 18, 1001–1018 (2013). https://doi.org/10.1007/s11027-012-9404-4
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DOI: https://doi.org/10.1007/s11027-012-9404-4