HAPI: Heat Adaptation for Pregnant Women and Infants

Woman retrieving water from a well while another woman watches smiling
Woman retrieving water from a well. Credit: JordiRamisa/ istock

Locations

  • South Africa
  • Zimbabwe

Partners

University of Zimbabwe logo featuring a shield with an open book, the Zimbabwe Bird symbol, and a banner reading 'Integrity, Knowledge, Diligence, Innovativeness, Professionalism
CeSHHAR Zimbabwe logo featuring a blue map of Zimbabwe surrounded by curved lines and the organization's name
logo for the facolty of engineering, built environment and information technology
South African Weather Service logo featuring a colorful swirl design with a yellow sun and the organization's name below.

Overview

woman walking through a farm with her baby on her back
A mother with a baby wrapped around her back. credit: Annie Spratt

Can Heat Adaptation Protect Maternal and Neonatal Health?

Key Facts

The Health-Climate Link

Extreme heat is a growing risk for maternal and neonatal health, leading to complications such as dehydration, preterm labor, and heat-related illnesses. While the negative impacts are well-documented, there is limited evidence on effective strategies to protect pregnant women and newborns. Vulnerable populations in urban South Africa and semi-rural Zimbabwe are particularly at risk due to socio-economic challenges and limited access to cooling resources.

The HAPI Study Advantage

The HAPI Study, led by Professor Matthew Chersich, explores a range of protective mechanisms, including behavioral, built environment, and environmental innovations. By working across six maternity facilities and their surrounding communities, the study aims to identify scalable interventions to reduce heat-related health risks for pregnant women and infants.

Key Interventions Include:

  • Behavioral strategies to improve hydration and mitigate heat exposure.
  • Built environment modifications, including ventilation and cooling designs.
  • Community-focused education and engagement to enhance awareness and resilience.

Aims and Objectives

Study design and methods

Study Design

Overview

The HAPI Study investigates how behavioral, structural, and environmental interventions can protect pregnant women and newborns from extreme heat. Conducted across six maternity facilities in urban South Africa and semi-rural Zimbabwe, the study combines interdisciplinary research with community engagement to develop scalable solutions that address climate-related health risks.

Interventions

  • Behavioral Adaptations:
    Promoting hydration and modifying daily routines to mitigate heat exposure.
  • Structural Interventions:
    Testing cooling solutions in maternity facilities and homes, including improved ventilation and low-cost cooling devices.
  • Educational Campaigns:
  • Raising community awareness of heat risks and fostering resilience through co-designed strategies.

Activities

Qualitative Study

Conducting interviews and focus groups with pregnant women and healthcare providers to understand their needs and perceptions of heat adaptation strategies.

Case Study Analysis

Analyzing intervention outcomes across diverse socio-economic contexts in South Africa and Zimbabwe to identify effective solutions.

Data Collection and Monitoring

Using sensors and wearable devices to monitor maternal and neonatal health outcomes, as well as environmental data such as temperature and humidity.

Policy and Guideline Development

Summarizing findings into policy briefs and toolkits for integrating heat adaptation measures into maternal healthcare systems.

Methods

Tracked Outcomes

  • Maternal Health: Monitoring risks of dehydration, preterm labor, and complications during delivery.
  • Neonatal Health: Evaluating thermoregulation and the prevention of heat-related illnesses.
  • Environmental Impacts: Measuring indoor temperatures and intervention effectiveness.

Novel Methodology

Using real-time monitoring systems and community co-design to ensure culturally relevant, effective interventions. Training local researchers and healthcare workers to ensure sustainability and capacity building.

Be part of the change

Heat Adaptation Research for Action
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