标题:Promoting Health and Well-Being by Managing for Social–Ecological Resilience: the Potential of Integrating Ecohealth and Water Resources Management Approaches
摘要:In coupled social–ecological systems, the same driving forces can result in combined socialand environmental health inequities, hazards, and impacts. Policies that decrease social inequities andimprove social cohesion, however, also have the potential to improve health outcomes and to minimizeand offset the drivers of ecosystem change. Actions that address both biophysical and social environmentshave the potential to create a "double dividend" that improves human health, while also promotingsustainable development. One promising approach to managing the complex, reciprocal interactions amongecosystems, society, and health is the integration of the ecohealth approach (which holds that human healthand well-being are both dependent on ecosystems and are important outcomes of ecosystem management)with watershed-based water resources management. Using key management concepts such as resilience,such approaches can help reduce vulnerability to natural hazards, maintain ecological flows of water andthe provision of other ecological services, and promote long-term sustainability of coupled human andnatural systems. Priorities for understanding and realizing health benefits of watershed management include(i) addressing poverty and reducing inequities, (ii) promoting resilience (for health) in watersheds, and (iii)applying watersheds as a context for intersectoral management tools and policy integration. Examples ofwork linking health and watershed management demonstrate that not only is appreciation of complexsystems important, but an effective approach is participatory and transdisciplinary and gives attention toequity and historical context
关键词:ecohealth; ecosystem approach; environment and health; environmental determinants of;health; health promotion; integrated water resources management; resilience; social determinants of;health; watershed governance; watershed management