Government Action
Policy for climate and health
COP26 Health Programme–climate change prevention and preparedness
While both the private and public sectors need to take climate action, the scale of the crisis requires in-depth, long-lasting, and rapid decarbonization carried out by government policy, laws, and regulations across all sectors. With a global greenhouse gas contribution of 4.4%, the health care sector is no exception. National and sub-national health authorities control numerous policies and financial levers essential for health care decarbonization and resilience.
To realize the vision laid out in our Global Road Map for Health Care Decarbonization, Health Care Without Harm is playing a leadership role in the COP26 Health Programme, working with the Conference of the Parties (COP) Presidency (via the UK Foreign Cooperation and Development Office-FCDO), the WHO, Greener NHS, and the UNFCCC Climate Champions team. Together, we’re working to support national governments to make a set of commitments on health care resilience and decarbonization. Our goal is to build more robust country ambitions on climate emissions reduction and resilience with a leading cohort of health ministries committed to health care climate action. In the lead-up to COP26, these national ministries will join the growing number of hospitals and health systems making similar commitments through the UN-backed Race to Zero. Together, these two efforts can begin to propel the health care sector on a trajectory that aligns with the ambition of the Paris Agreement.

In the midst of the pandemic, we had to recover from extreme weather events and manage the resulting health impacts. [It] has shown us that health systems and facilities are the main line of defense in protecting populations from emerging threats … and that now is the time to increase our commitment to a safer, and more sustainable and inclusive future for all.
Following COP26, Health Care Without Harm will support national governments to follow through on their health care climate commitments. We are creating a framework and methodology for countries to set their health care climate footprint baseline, develop effective decarbonization and resiliency plans, and implement them.
It can be done and it must be done
Recently, the government of Argentina included a commitment to estimate its health system’s emissions and define reduction measures in its Nationally Determined Contribution. England’s NHS has developed a plan to get to net-zero by 2040. Several major U.S. health systems, including Kaiser Permanente, Cleveland Clinic, and Providence set or met carbon neutrality goals. The state of Chhattisgarh in India is investing in solar power for all of its hospitals and health centers. These leadership actions are an indicator that climate-smart health care policies and actions are emerging on every continent and are viable and achievable.
International agencies play an essential role in supporting national and subnational governments to make emission reduction commitments. The United Nations Framework Convention on Climate Change (UNFCCC) has developed a set of climate pathways that outline the sectoral visions for a 1.5-degree climate-resilient world by 2050 and the actions needed to achieve that future. The World Health Organization (WHO) provides policy and technical guidance to ministries of health around the world, particularly in low- and middle-income countries, where the transition to low carbon health care and resilience must occur in unison with addressing urgent health needs, including Universal Health Coverage. Numerous bilateral and multilateral development cooperation agencies are beginning to invest in transforming health care to meet the challenges of the climate crisis.
Country Commitments to the COP26 Health Programme
Argentina
Climate resilient health systems | Sustainable low carbon health systems
Bahamas
Climate resilient health systems
Bahrain
Climate resilient health systems
Bangladesh
Climate resilient health systems | Sustainable low carbon health systems
Belgium
Climate resilient health systems | Sustainable low carbon health systems | Net zero commitment by 2050
Belize
Climate resilient health systems | Sustainable low carbon health systems
Bhutan
Climate resilient health systems | Sustainable low carbon health systems
Canada
Climate resilient health systems | Sustainable low carbon health systems
Cape Verde
Climate resilient health systems | Sustainable low carbon health systems
Central African Republic
Climate resilient health systems | Sustainable low carbon health systems
Chile
Sustainable low carbon health systems
Colombia
Climate resilient health systems | Sustainable low carbon health systems
Costa Rica
Climate resilient health systems | Sustainable low carbon health systems
Democratic Republic of the Congo
Climate resilient health systems | Sustainable low carbon health systems
Dominican Republic
Climate resilient health systems | Sustainable low carbon health systems
Egypt
Climate resilient health systems
Ethiopia
Climate resilient health systems | Sustainable low carbon health systems
Fiji
Climate resilient health systems | Sustainable low carbon health systems | Net zero commitment by 2045
Georgia
Climate resilient health systems | Sustainable low carbon health systems | Net zero commitment by 2050
Germany
Climate resilient health systems | Sustainable low carbon health systems
Ghana
Climate resilient health systems | Sustainable low carbon health systems
Guinea
Climate resilient health systems | Sustainable low carbon health systems | Net zero commitment
Indonesia
Climate resilient health systems | Sustainable low carbon health systems | Net zero commitment by 2030
Ireland
Climate resilient health systems | Sustainable low carbon health systems
Ivory Coast
Climate resilient health systems | Sustainable low carbon health systems | Net zero commitment by 2040
Jamaica
Climate resilient health systems | Sustainable low carbon health systems
Jordan
Climate resilient health systems | Sustainable low carbon health systems | Net zero commitment by 2050
Kenya
Climate resilient health systems | Sustainable low carbon health systems | Net zero commitment by 2030
Lao PDR
Climate resilient health systems | Sustainable low carbon health systems
Madagascar
Climate resilient health systems | Sustainable low carbon health systems
Malawi
Climate resilient health systems | Sustainable low carbon health systems | Net zero commitment by 2030
Maldives
Climate resilient health systems | Sustainable low carbon health systems
Mauritania
Climate resilient health systems | Sustainable low carbon health systems
Morocco
Climate resilient health systems | Sustainable low carbon health systems | Net zero commitment by 2050
Mozambique
Climate resilient health systems | Sustainable low carbon health systems
Nepal
Climate resilient health systems | Sustainable low carbon health systems
Netherlands
Climate resilient health systems | Sustainable low carbon health systems
Nigeria
Climate resilient health systems | Sustainable low carbon health systems | Net zero commitment by 2035
Norway
Climate resilient health systems | Sustainable low carbon health systems
Oman
Climate resilient health systems | Sustainable low carbon health systems
OPTs
Climate resilient health systems | Sustainable low carbon health systems
Pakistan
Climate resilient health systems | Sustainable low carbon health systems
Panama
Climate resilient health systems | Sustainable low carbon health systems
Peru
Climate resilient health systems | Sustainable low carbon health systems | Net zero commitment by 2050
Rwanda
Climate resilient health systems
Sao Tome and Principe
Climate resilient health systems | Sustainable low carbon health systems | Net zero commitment by 2050
Sierra Leone
Climate resilient health systems | Sustainable low carbon health systems | Net zero commitment by 2035
Spain
Climate resilient health systems | Sustainable low carbon health systems | Net zero commitment by 2050
Sri Lanka
Climate resilient health systems | Sustainable low carbon health systems
Tanzania
Climate resilient health systems | Sustainable low carbon health systems
Togo
Climate resilient health systems | Sustainable low carbon health systems
Tunisia
Climate resilient health systems
Uganda
Climate resilient health systems | Sustainable low carbon health systems
United Arab Emirates
Climate resilient health systems | Sustainable low carbon health systems
United Kingdom
Climate resilient health systems | Sustainable low carbon health systems | Net zero commitment by 2040
United States of America
Climate resilient health systems | Sustainable low carbon health systems
Yemen
Climate resilient health systems | Sustainable low carbon health systems | Net zero commitment by 2050