{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T18:25:22Z","timestamp":1787250322022,"version":"build-2736575974"},"reference-count":58,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T00:00:00Z","timestamp":1773360000000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Bangladesh's extreme vulnerability to climate change is fueling public health emergencies, from infectious disease outbreaks to severe mental health burdens. The country's reactive and centralized health system is increasingly unable to cope with these intensifying shocks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This perspective presents an assessment of systemic weaknesses in Bangladesh's health system exposed by climate change, using the record\u2010breaking 2023 dengue outbreak as a sentinel event. We aim to underscore the urgent need for digital equity and gender\u2010responsive policies in building a truly climate\u2010resilient health system, drawing upon established frameworks of health system resilience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We synthesized national surveillance data (DGHS, IEDCR), peer\u2010reviewed literature (Scopus, PubMed), and technical frameworks from the WHO, UNDP, and IOM to assess systemic gaps, response capacity, and policy alignment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Climatic shifts are intensifying disease patterns, overwhelming fragile infrastructure, and widening existing inequalities. While digital health innovations exist, their potential is constrained by a significant digital divide and a lack of integrated, decentralized governance. Women disproportionately bear the physical and psychosocial health burdens, yet response strategies often lack a gender\u2010sensitive lens.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A transition from a reactive to a proactive, predictive health system is a national imperative. The findings suggest that achieving true climate resilience in Bangladesh hinges on a fundamental governance overhaul that prioritizes decentralization, ensures digital and gender equity, and fosters strong cross\u2010sectoral collaboration to safeguard its most equity\u2010deserving communities. This transformation requires embedding principles of adaptive capacity, preparedness, and continuous learning within the health sector.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.72093","type":"journal-article","created":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T07:22:07Z","timestamp":1773386527000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cBeyond the Crisis: Forging a Climate\u2010Resilient Health System for Bangladesh\u201d"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-7548-2747","authenticated-orcid":false,"given":"Abdullaha Al","family":"Mamun","sequence":"first","affiliation":[{"name":"Chittagong Medical College Chattogram Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa Sarwar A","family":"Kayenat","sequence":"additional","affiliation":[{"name":"Chittagong Medical College Chattogram Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,13]]},"reference":[{"key":"e_1_2_15_2_1","unstructured":"World Health Organization (WHO) (2023) Climate change accessed October 11 2025 https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/climate-change-and-health."},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0313031"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.2166\/wh.2024.349"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41558-018-0313-8"},{"key":"e_1_2_15_6_1","doi-asserted-by":"crossref","unstructured":"R.Shaw F.Mallick andA.Islam(eds) (2013) Climate Change Adaptation Actions in Bangladesh https:\/\/doi.org\/10.1007\/978-4-431-54249-0.","DOI":"10.1007\/978-4-431-54249-0"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/17477891.2016.1211984"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11069-017-3027-8"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pgph.0002080"},{"key":"e_1_2_15_10_1","unstructured":"S.Thomas A.Sagan J.Larkin J.Cylus J.Figueras andM.Karanikolos(2020) Strengthening Health Systems Resilience: Key Concepts and Strategies. 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