Variable Definitions

The percentage of schools in a province that received learner health screening through the Integrated School Health Programme (ISHP). This includes vision, hearing, oral health, and nutritional assessments.

The proportion of learners under 5 years of age classified as underweight based on weight-for-age z-scores. Underweight is defined as a weight-for-age z-score below -2 standard deviations from the WHO reference median.

The incidence of diarrhoeal disease presenting with clinical dehydration in children under 5 years, a key climate-sensitive health outcome. Diarrhoeal disease incidence increases during heavy rainfall events (contaminated water sources) and during droughts (water scarcity and poor sanitation).

The incidence of severe acute malnutrition among children under 5 years, defined as weight-for-height z-score below -3 SD or bilateral oedema. Climate-driven food insecurity and drought conditions are major contributing factors.

The number of maternal deaths occurring within health facilities per 100,000 live births. Extreme weather events can disrupt access to healthcare facilities, emergency obstetric services, and transport infrastructure.

The mental health case load rate, reflecting the volume of mental health conditions managed at primary healthcare facilities. Climate-related disasters, displacement, and food insecurity are recognised drivers of mental health burden.

The proportion of Priority 1 (life-threatening) emergency calls in urban areas responded to within 30 minutes. Extreme weather events directly affect emergency response capability through road damage and increased demand.

The proportion of Priority 1 (life-threatening) emergency calls in rural areas responded to within 60 minutes. Rural areas are disproportionately affected by extreme weather due to limited road infrastructure.

The total number of ward-based primary healthcare outreach teams that are operational and actively conducting household visits. Each team typically comprises a professional nurse team leader and community health workers, responsible for proactive health promotion, disease prevention, and early detection within defined ward boundaries.

The total number of primary healthcare facilities assessed under the Ideal Clinic Realisation and Maintenance (ICRM) programme within each province.

The proportion of assessed facilities that have achieved Ideal Clinic status (scored 70% or above on the standardised assessment tool). Includes facilities that have maintained (Remained) or newly achieved (New IC) status.

The number and proportion of facilities achieving each certification tier. Tiers are based on the overall assessment score and sustained performance across multiple assessment cycles.

The mean score across all assessed facilities in a province, calculated from the standardised ICRM assessment instrument covering over 200 elements across 10 components.

The average daily temperature recorded across weather stations within a province or district. Used to track warming trends and identify periods of extreme heat or cold.

The cumulative precipitation recorded over a given period. Monitored for drought detection (below-average) and flood risk (above-average).

The number of days where the maximum temperature exceeds 35°C at a given weather station or averaged across a province.

The number of recorded extreme weather events including fires, floods, storms, tornadoes, heatwaves, droughts, and other significant meteorological events.

Average and peak wind speed measurements, used to monitor storm intensity and predict structural damage risk.

The ratio of actual water vapour in the air relative to the maximum amount the air can hold at a given temperature.