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Integrating climate in Ugandan health and subsistence food systems: where diverse knowledges meet

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dc.contributor.author van Bavel, B.
dc.contributor.author Ford, L.B.
dc.contributor.author King, R.
dc.contributor.author Lwasa, S.
dc.contributor.author Namanya, D.
dc.contributor.author Twesigomwe, S.
dc.contributor.author Elsey, H.
dc.contributor.author Harper, S.L.
dc.date.accessioned 2020-12-14T16:10:22Z
dc.date.available 2020-12-14T16:10:22Z
dc.date.issued 2020
dc.identifier.uri https://hdl.handle.net/20.500.12866/8839
dc.description.abstract Background: The effects of food insecurity linked to climate change will be exacerbated in subsistence communities that are dependent upon food systems for their livelihoods and sustenance. Place-and community-based forms of surveillance are important for growing an equitable evidence base that integrates climate, food, and health information as well as informs our understanding of how climate change impacts health through local and Indigenous subsistence food systems. Methods: We present a case-study from southwestern Uganda with Batwa and Bakiga subsistence communities in Kanungu District. We conducted 22 key informant interviews to map what forms of monitoring and knowledge exist about health and subsistence food systems as they relate to seasonal variability. A participatory mapping exercise accompanied key informant interviews to identify who holds knowledge about health and subsistence food systems. Social network theory and analysis methods were used to explore how information flows between knowledge holders as well as the power and agency that is involved in knowledge production and exchange processes. Results: This research maps existing networks of trusted relationships that are already used for integrating diverse knowledges, information, and administrative action. Narratives reveal inventories of ongoing and repeated cycles of observations, interpretations, evaluations, and adjustments that make up existing health and subsistence food monitoring and response. These networks of local health and subsistence food systems were not supported by distinct systems of climate and meteorological information. Our findings demonstrate how integrating surveillance systems is not just about what types of information we monitor, but also who and how knowledges are connected through existing networks of monitoring and response. Conclusion: Applying conventional approaches to surveillance, without deliberate consideration of the broader contextual and relational processes, can lead to the re-marginalization of peoples and the reproduction of inequalities in power between groups of people. We anticipate that our findings can be used to inform the initiation of a place-based integrated climate-food-health surveillance system in Kanungu District as well as other contexts with a rich diversity of knowledges and existing forms of monitoring and response. en_US
dc.language.iso eng
dc.publisher BioMed Central
dc.relation.ispartofseries BMC Public Health
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Public health surveillance en_US
dc.subject Subsistence food systems en_US
dc.subject Climate change en_US
dc.subject Seasonal variability en_US
dc.subject Knowledges en_US
dc.subject Participatory knowledge holder mapping en_US
dc.subject Place-based monitoring and response en_US
dc.subject Networks en_US
dc.subject Uganda en_US
dc.title Integrating climate in Ugandan health and subsistence food systems: where diverse knowledges meet en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1186/s12889-020-09914-9
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.05
dc.relation.issn 1471-2458


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