The Badolo HealthResilience Scientific Framework for health system resilience roadmaps

Abstract Baground: Health systems resilience to climate change is an essential aspect of overall resilience to climate change in a given context. Significant impacts of climate change on health systems could significantly reduce the capacities and resources of the main socio-economic sectors for resilience and development. particularly, climate change impacts on health systems would increase social inequality and disparities. The development of efficient scientific frameworks for the construction of inclusive configurations of health systems on which climate change has only residual impacts remains a scientific challenge to be considered. Methods: The purpose of this article is to describe the Badolo HealthResilience scientific framework for climate resilience of health systems. It includes methodological tools, bodies of information and solutions and a resilience scheme for efficient resilience roadmaps, based on the concepts of residual vulnerabilities, residual impacts and resilience configurations, trajectories and markers. It integrates contextual specificities, gender, social inclusion and population migration risks. Results: The results of this article include methodological tools, climate change impact vectors, climate vulnerability vectors, climate resilience vectors, gender and social inclusion vectors, population migration risks integration vectors and health systems resilience roadmaps, that are decision-making tools for formulating, planning, managing, monitoring and evaluating health systems resilience to climate change, based on contextual challenges and capacities. Conclusion: The Badolo HealthResilience scientific framework can be a decision-making tool to build more relevant, efficient and effective health systems resilience governance models. The main levers of these governance models are the engagement, mobilization, participation and contribution of populations