New Program to Protect Millions from Rising Climate-Related Deaths and Illness

At least 21 million could die from five main health risks caused by a warmer planet

DUBAI/WASHINGTON, Dec. 3, 2023 — The World Bank announced today at COP28 a new Climate and Health Program to urgently respond to the rising negative health impacts of climate change in low- and middle-income countries.

Through this program, the World Bank will help countries to assess their climate and health vulnerabilities, increase investments in climate-resilient health systems, and work with partners to mobilize additional financing, evidence, and collective action to reduce the impacts of climate change on people’s health and livelihoods.

New World Bank data shows that a warmer climate could lead to at least 21 million additional deaths by 2050 from just five health risks: extreme heat, stunting, diarrhea, malaria, and dengue. Preventing these deaths requires immediate action to reinforce health systems, particularly in climate-vulnerable countries, predominantly in sub-Saharan Africa and South Asia. The World Bank also estimates that by 2030 the impacts of climate change on health will force 44 million more people into extreme poverty.

“Climate change amplifies health risks, creating a cycle of ill health and poverty with far-reaching consequences for human capital development,” said Mamta Murthi, Vice President for Human Development at the World Bank“Through the Climate and Health Program, the World Bank will use its knowledge and financing to help countries address health risks stemming from climate change, work across related sectors, and bring together partners to maximize financing and harmonize investments and actions.”

The Climate and Health Program will include generating evidence on the most cost-effective interventions to tackle the climate and health crisis; increasing financing for solutions that can build sustainable and resilient health systems in client countries; and build strong partnerships to amplify impact. Specifically, the program will:

  • Create evidence and knowledge to identify country needs and inform investments. This includes systematically assessing climate-related health vulnerabilities in developing countries, focusing on the impacts on lives, livelihoods, and economies and identifying country-specific ‘best buys’ for climate and health. 
  • Invest in solutions that are country-tailored and evidence-based and scale-up investments for low-carbon resilient health systems through the Bank’s $34 billion health portfolio which is already active in over 100 countries. Investments will focus on better surveillance and early warning systems, improving health service delivery in the face of climate-driven disease patterns, climate-proofing health facilities, and strengthening health worker capacity.
  • Work in partnership with the World Health Organization, Gavi, The Global Fund, foundations, and others to maximize impact by supporting global, regional, and country efforts to scale up climate-health action.

As part of this program, the World Bank is co-convening a Development Bank Working Group for Climate-Health Finance with participation from multilateral and public development banks to align and maximize climate and health investments. The World Bank also works in partnership with the World Health Organization, Gavi and the Global Fund, foundations, and others to scale up climate and health action.

The impact of the climate crisis on the health of current and future generations depends on the decisions we make today. The World Bank is committed to supporting countries to address the greatest health challenge of our time.  

For more information, please visit our health and climate change brief and follow @WBG_Health


PRESS RELEASE NO: 2024/034/HD


Contacts

Alexandra Humme

ahumme@worldbank.org

World Bank Group at COP28

Live From Dubai, United Arab Emirates

Join us for a series of events on climate change,
live from the 28th United Nations Climate Change Conference.

The World Bank Group is doubling down on its climate action, as part of its new vision to end poverty on a livable planet. Our live programming will focus on climate solutions, emissions reduction, energy transition, adaptation and climate finance; all while exploring the link between climate change and development.

Follow the conversation on social media #LivablePlanet

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Unlocking SME finance in fragile and conflict affected situations

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Small businesses can play an impactful role in fragile and conflict affected situations (FCS). They can create jobs and directly provide necessity goods and services such as food, water, health, education, and transportation. They can also contribute to the resilience of local populations during periods of conflict.

However, small businesses operating in FCS countries endure numerous setbacks to their activity, from frequent electricity cuts to bribery to armed attacks. Surviving and growing in these situations is difficult. Navigating daily challenges without access to affordable credit is almost impossible.

As it turns out, access to bank credit is consistently reported as a key business environment constraint for small- and medium-sized enterprises (SMEs) in FCSs countries. True, access to finance is a problem for SMEs in every country, including in advanced economies, but it is particularly acute in FCS countries  (figure 1).

Figure 1. Access and use of financial services by SMEs

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Side by side bar charts showing Figure 1: Access and use of financial services by SMEs
Source: Author’s elaboration on WBES data

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Institutions—the rules of the game in a society—matter too. Institutions influence the development of entrepreneurship and can support SME financial inclusion by improving the information environment and strengthening contract enforcement, as well as supporting equal treatment of firms in access to financial services.

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Figure 4. Macroeconomic, financial sector, institutional and business environment features

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A set of four bar charts showing Figure 4. Macroeconomic, financial sector, institutional and business environment features
Source: Author’s elaboration on WDI, GFD, WGI, WDI, Heritage Foundation

The results of our analysis show that output growth has a negative impact on SME financial inclusion in FCS countries, probably reflecting demand for countercyclical finance — typically backed by the government — by financially constrained SMEs that otherwise tend to resort to internal funds to finance their operations and investment. 

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Credit information is also a key factor for SME financial inclusion. Rules affecting the scope, accessibility, and quality of credit information available through public or private credit registries can greatly facilitate banking relationships, and they are especially important for FCS countries.

Constraints to the quality of contract enforcement, property rights, and the effectiveness of courts, as well as to the ability of the authorities to formulate and implement policies and regulations that permit and promote private sector development, are negatively correlated with SME access and usage of formal financial services. Their impact is significantly stronger for FCS countries, suggesting that improvements in the overall business environment can have relatively sizable effects on SME financial inclusion in those countries.

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