Global governance strategies for managing NCDs in the context of climate change: Protocol of scoping review

Le résumé fourni par la source

Background: Non-communicable diseases (NCDs) are responsible for over 70% of the global mortality, disproportionately affecting low-and middle-income countries. Simultaneously, climate change is escalating health risks by intensifying climate-related hazards and climate-mediated environmental risk factors that affect NCD prevention and management, including extreme heat, air pollution, and food insecurity. These dual crises increasingly intersect and demand integrated policy response. Objective: This scoping review protocol outlines a systematic approach to map, examine, and analyze global strategies, policies, programs, and management models for NCD prevention and control in the context of climate change. It will evaluate how climate and environmental factors are incorporated into health system governance, implementation, and performance, and identify gaps for strengthening NCD strategies. Methods: Following Arksey and O'Malley's framework and PRISMA-ScR guidelines, a systematic search was conducted using PubMed, Scopus, Web of Science, Embase, and relevant gray literature sources. Studies and reports from 2004 to 2025 that focus on NCD-related policies with explicit reference to climate change will be included. Data extraction will be conducted independently by two reviewers and synthesized thematically to identify common approaches, challenges, and innovations. Expected outcomes: This review will map existing global practices, highlighting integrated policy components, implementation levels, and reported outcomes. It will also identify knowledge gaps and inform the development of climate-resilient NCD strategies, particularly in vulnerable regions. Conclusion: As climate change and NCDs converge into a global syndemic, understanding integrated health-system responses is crucial. This review will support policymakers in designing effective context-specific interventions to build resilient and sustainable healthcare systems.

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