What does this research mean for the field?

Climate governance documents in the Horn of Africa exhibit variable and often limited integration of health and infectious diseases, underscoring the need for improved coherence between climate and health policies. Novelty: ClaimNovelty.SYNTHESIS. Consensus alignment: ConsensusAlignment.SUPPORTS_CONSENSUS.

May 17, 2026Open Access

Integration of infectious diseases in climate governance in the Horn of Africa: A document review of climate strategies, policies, and action plans across four countries

Key Points

This review analyzes how well health and infectious diseases are integrated into climate governance documents in the Horn of Africa.
Structured document review of climate governance documents from Ethiopia, Kenya, Somalia, and Uganda.
Data extraction to assess document attributes, health topic integration, and specific focus on infectious diseases.
Ninety-eight documents were selected through a desk-based search strategy from various open-access sources.
59.2% of documents included dedicated human health sections and 5.1% included specific sections on infectious diseases.
89.7% of documents integrated topics related to infectious diseases, notably malaria, cholera, and typhoid fever.
The review highlights the variable integration of health topics across documents and supports the need for improved climate-health coherence.

Abstract

A range of climate-sensitive diseases are endemic to the Horn of Africa, which is increasingly vulnerable to climate extremes. Global health agencies recognise the need to abandon siloed approaches to climate change and health by integrating health in climate policies, strategies, and guidelines. This structured document review aimed to examine the extent to which health, and specifically infectious diseases, are integrated into climate governance documents in this region, with a focus on Ethiopia, Kenya, Somalia, and Uganda. A desk-based search strategy identified climate governance documents from (1) open-access climate policy databases; (2) targeted websites; (3) citation chaining; and (4) a structured literature search. Data were extracted to summarise document attributes, aims, geographic scope, integration of health topics, and infectious diseases integration, rationale for inclusion, and recommendations. Ninety-eight documents were included, from Ethiopia (18.4%), Kenya (63.3%), Somalia (9.2%), Uganda (6.1%), and the broader region (3.0%). Most documents were affiliated with the Government (94.9%) or intergovernmental organisations (5.1%). Dedicated human health and infectious disease sections were identified in 59.2% and 5.1% of documents, respectively. Integrated health topics included infectious diseases (89.7%; predominately malaria, cholera or acute watery diarrhoea, and typhoid fever), nutrition (55.2%), and maternal or child health (39.7%). Characterisation of climate governance documents in the Horn of Africa highlighted variable integration of health and infectious diseases. These results support calls for improved coherence between climate and health governance processes and evidence translation at research-policy interfaces. The structured search and review methodology may be adopted in other climate-vulnerable contexts, in collaboration with climate and health stakeholders.

Integration of infectious diseases in climate governance in the Horn of Africa: A document review of climate strategies, policies, and action plans across four countries

Key Points

Abstract

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