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67

Disease Programme has contributed to a 70 per cent

reduction in malaria diagnosis.

The Environment and Health Directorate supports

capacity-building

plans

for

environmental

and occupational health, and climate change.

Additionally, Ecuador has free health care, which is

a particularly important provision, especially for the

most vulnerable groups.

The

Peruvian

Health Ministry (MINSA) does not

have actions specifically directed towards climate

change. It does, however, have actions for disaster

risk management which include climate-related

events. These actions include the provision of health

care in the event of disasters. One example of the

increasing recognition of climate effects on health is

the participation of the Ministry in the Multisectoral

Plan for the El Niño phenomenon.

Disaster risk management policy analyses

Bolivia

’s Law 300 is a framework law which

addresses disaster risk management. Article 17°

specifies relevant sectors to be protected or to

have risks managed, with climate-related disasters

being referred to directly in subarticles (Asamblea

Legislativa Plurinacional de Bolivia, 2012). It is

possible that areas impacted by disasters related to

climate change will be targeted by funding recently

allocated by the World Bank in 2016 to implement

risk management and climate change adaptation

programmes (World Bank, 2015b).

Risk management is included in Bolivia’s

Patriotic Agenda’s section Strong Production and

Employment. The third strategy of the section

is Environmental Quality Management and

Integral Risk Management, which includes three

programmes: Disaster Prevention in vulnerable

sectors; Hydrometheorological information for

Risk Management, and National Sectoral System for

Risk Management and Early Warning (Ministerio

de Autonomías, 2013).

Colombia

understands risk management and

climate change adaptation as complementary

strategies, although the responsibility for these

rests with different institutions and thus requires

coordination (Departamento Nacional de

Planeación, Ministerio de Ambiente y Desarrollo

Sostenible, 2013). The National Unit for Disaster

Risk Management (UNGRD) is the agency in

charge of disaster risk reduction, while SISCLIMA

(National Climate Change System) is the agency

responsible for climate change adaptation. The

existence of multiple organizations with partially

overlapping mandates has not led to joint actions at

the regional or local level, and better coordination is

required between these institutions and subnational

level authorities. Nevertheless, risk management has

been included in some projects in the agricultural,

land, hydric and energy sectors.

Ecuador

has mapped the susceptibility and risk of

mass movement processes using mapping analysis

and climate change scenarios. It has also identified

and started implementing at least three multipurpose

infrastructure projects to address extreme water

events caused by climate change. These infrastructure

projects include creating protection for riverbeds,

building retaining walls to reduce flood risk, and

digging drainage channels. In addition, Ecuador’s

National Plan for Risk and Emergency Prevention

incorporates measures to adapt to climate change.

Furthermore, three studies of flood control projects

have been conducted in the most sensitive areas of the

coastal region.

Peru

’s National System for Disaster Risk Management

(SINAGERD) is in charge of pre-and-post disaster

actions and is supported at the highest political

level.

46

SINAGERD coordinates the participation and

responsibilities of different ministries, including the

Ministry of the Environment and the National Service

of Meteorology and Hydrology (SENAMHI, 2014).

SINAGERD is responsible for both climate-driven and

non-climate-driven disasters (such as frost due to El

Niño) (see Table).

SINAGERD has only recently been created and so is not

tested in responding to extreme climatic events. However,

it is performing an important role in implementing

evidence-based responses to risk scenarios.

Strategic Instruments for Risk Management Action

Case study: legal framework for disaster risk management in Peru

Law N° 29664 to create

SINAGERD

Multisectoral Plan for Frost and Extreme Cold Spells 2015

Supreme Decree

N° 160-2015-PCM

47

Multisectoral Actions Plan in the event

of the El Niño Phenomenon

Multisectoral Actions Plan for the

rainy season 2015–2016

48