Evaluating a Heat-Health Action Plan in Rural Mexico to Manage Effects of Heat

Young boy drinking water from a tap, using his hands to catch the flow
Mexican boy drinking water on a hot day
credit: Shutterstock/JuanAriza1

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Locations

  • Mexico

Partners

Logo of the Instituto Nacional de Salud Pública (INSP) featuring a geometric design in red, white, and blue next to the institute’s name.
Instituto Mexicano del Seguro Social (IMSS) Logo featuring a stylized green graphic of a mother and child enclosed in a shield shape above the letters IMSS
Seal of Florida State University featuring three torches and the Latin words 'Vires, Artes, Mores' with the year 1851.
East Carolina University (ECU) Logo featuring a purple dome within a shield above the letters ECU.
The Ohio State University logo featuring a red block 'O' above the university name in gray text.

Overview

View Of The Sonora Desert In Mexico, a Arid landscape with sparse vegetation and distant mountains under a clear blue sky
Mexican desert with mountain backdrop. Credit: Shutterstock/ Alberto Escobar

Evaluating a Heat-Health Action Plan in Rural Mexico

Key Facts

The Health-Climate Link

Rural community members in low- and middle-income countries (LMICs) are particularly vulnerable to heat-related illnesses (HRI) due to limited access to healthcare, high poverty rates, marginalized populations, and the predominance of outdoor agricultural work. In southern Mexico, aging demographics further compound these vulnerabilities, leading to increased rates of heat-related health risks. Developing heat-health action plans tailored to local contexts has proven to yield significant benefits in preventing illness and mortality.

The Project Advantage

This project focuses on co-developing, testing, and evaluating a culturally relevant, community-driven heat-health action plan across eight rural communities in the Soconusco region of Chiapas, Mexico. Combining early warning systems, capacity building, and public education, the initiative empowers communities to proactively manage heat risks while fostering inter-community collaboration.

Key Interventions Include:

  • Designing and implementing early warning and surveillance systems tailored to local contexts.
  • Training healthcare workers to identify, prevent, and manage heat-related illnesses.
  • Developing prevention education tools and a communication platform for community information sharing.

Aims and Objectives

Study design and methods

Study Design

Overview

This study focuses on co-developing, implementing, and evaluating a community-driven heat-health action plan across eight rural communities in the Soconusco region of Chiapas, Mexico. By integrating early warning systems, health worker capacity building, and community education, the initiative addresses local heat-health challenges, improves preparedness, and reduces heat-related illnesses (HRI) and mortality.

Interventions

  • Early Warning and Surveillance Systems: Establishing localized systems to monitor and forecast extreme heat events.
  • Health Worker Training: Building the capacity among community health workers to identify, prevent, and manage HRIs.
  • Educational Tools and Communication Platforms: Creating culturally appropriate education materials and an inter-community network for heat risk information sharing.

Activities

Qualitative Study

Conducting participatory co-design workshops and focus groups with community members and stakeholders to tailor interventions to local needs.

Capacity Building Workshops

Training healthcare workers in eight rural communities to recognize and respond to heat-related health risks effectively.

Pilot Testing Interventions

Implementing early warning systems and communication tools in fourth communities (Tzinacal-Delicias, Álvaro Obregón, Buenos Aires y La Libertad) of the municipalities of Huixtla, Mazatán, Tapachula, and Suchiate to evaluate their feasibility and effectiveness.

Community Engagement and Outreach

Distributing educational materials and organizing community events to raise awareness of heat risks and preventive actions.

Methods

Tracked Outcomes

  • Health: Monitoring heat-related illness incidence, hydration levels, and mortality rates.
  • Behavioral: Assessing community awareness, risk perception, and behavioral changes in response to heat risks.
  • Systemic: Evaluating the effectiveness of early warning systems and health worker interventions.

Novel Methodology

Utilizing participatory co-design to ensure interventions are culturally relevant and tailored to local contexts. Employing a mix of qualitative and quantitative approaches to measure intervention success and sustainability.

Be part of the change

Heat Adaptation Research for Action
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