Operational Methodology - Transformation of healthcare systems and services into low-carbon, climate-resilient models - December 2025 version 1

Sep 12, 2026

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Operational Methodology presents a structured, adaptable approach to help healthcare systems in low-resource settings transition into low-carbon, climate-resilient service and system models. It is designed to guide management teams through a comprehensive process covering adaptation and mitigation actions, including design, implementation, financing, monitoring, and evaluation. The method is pilot tested with partners through a structured collaboration approach, aimed at empowering health authorities to co-design and adopt actionable climate plans while lowering environmental impact and strengthening resilience.

LanguageEnglish

CategoryPresentations

FormatPDF

Pages24

Reading Time8 min

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About this document

Background

Purpose

Outputs and Deliverables

Technical Collaboration Approach

Operational Methodology Transformation of healthcare systems and services into low-carbon, climate-resilient models December 2025, version 1 About this document This Operational Methodology was designed to provide a structured, adaptable approach to guide healthcare systems in low-resource settings through the process of becoming climate-resilient and low-carbon models. This methodology is pilot tested with our partners. This document is open source and distributed under Creative Commons license CC BY-NC-SA 4.0. kground Imp lement Pi loting Annexes 1. Background Climate change and broader planetary crisis have an increasing impact on human health which results in raising pressure on healthcare systems and services which are very often already facing difficulties to cover current needs. The contribution of healthcare activities to global emissions represents 4.4%(global footprint by HCWHand Arup). Climate adaptation and mitigation are unavoidable. Healthcare must transform to respect the planetary boundaries1. The research collaboration between the Climate Action Accelerator (The Accelerator) and the Agence Francaise de Développement (AFD) aims to catalysethe transformation of healthcare systems and services towards climate-resilient and low-carbon models. The Accelerator and AFD developed an operational Climate Action Toolbox for Healthcare (Toolbox) to guide healthcare systems management teams, hospital directors, and management teams of healthcare facilities and services in designing climate action plans - adaptation and mitigation comprehensively - to strengthen healthcare resilience and to lower their environmental impact. The Climate Action Toolbox for Healthcare has been co-designed with relevant stakeholders and experts ( mainly within and through the Future of Hospitals Initiative), and is pilot tested with the Accelerator and AFD partners in South Africa. Specifically, the pilot aims to empower health authorities to co-design and adopt a comprehensive Climate Action Plan covering both adaptation and mitigation measures within their health facilities. The Accelerator position itself as a knowledge partner to enable the actions and capacity development of its counterparts. It accompanies them in the capitalisation and dissemination of lessons learned so they feed the standards of climate action in the health sector. kground Imp lement Pi loting 1 Planetary boundaries-Stockholm Resilience Centre: “The planetary boundaries presents a set of nine planetary boundaries within which humanity can continue to and thrive for generations to come.” concept develop Annexes 2. Purpose The objective of this operational methodology is to empower partner health authorities in operationalising comprehensive climate-resilient and low-carbon actions within their health system and facilities. This will be achieved through the leverage of the Accelerator’s Toolbox and Operational Methodology to guide partners through a structured, contextualized, and collaborative process to design, implement, finance, monitor, and evaluate effective climate actions. The methodology specifically targets the management teams of healthcare systems, facilities, and services – such as personnel of health authorities and hospital directors – who are responsible for planning and operation decision-making. This approach includes capacity-development sessions to enable them to embed climate resilience into routine health service planning and operations. 2.1. Outputs and Deliverables The Operational Methodology has the following possible outputs and concrete deliverables which are determined with the partner: Comprehensive Climate Action Plan: Full document articulating adaptation and mitigation strategies, responsibilities, timelines, and budgets. Capacity Development Toolkit: Templates, selected tools, slides, and training materials. Investment Road map/ Plan: Financing strategy with mapped funding sources, budg

FAQs

What is the purpose of this operational methodology?

It empowers partner health authorities to operationalize comprehensive climate-resilient and low-carbon actions within their health systems and facilities through a structured, contextualized process.

What outputs and deliverables does the methodology include?

It provides potential deliverables such as a comprehensive Climate Action Plan, a capacity development toolkit, an investment roadmap/plan, a pilot plan & engagement strategy, and a monitoring & evaluation framework with dissemination materials.

How is the technical collaboration approach structured?

It is organized into three phases, each detailing objectives, methodological approach, timeframe estimates, capacity development programme examples, supporting tools, and possible outputs, including a workflow timeline for a six-month collaboration.

Sep 12, 2026

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