A better understanding of the threats of climate change requires reliable, credible data to strengthen decision-making and ensure that the continent is able to adapt and mitigate the risks.
Responding to a question from North Down MP Lady Hermon, Mr Gove told MPs: "We, in the circumstances that the house voted for no deal, would have to start formal engagement with the Irish government about providing strengthened decision-making in the event of that outcome, and that would include the very real possibility of imposing a form of direct rule.
Multiple speakers advocated an integrated approach on disaster risk research, a structure that is most likely to guarantee the codesign and coproduction of knowledge needed to strengthen decision making and practice for the benefit of society.
To this end, it needs to develop new risk-management approaches, strengthen internal governance, institute a new grant-approval process, strengthen decision making by middle management, and improve its focus on results [ 5].
Given the importance of developing and supporting adaptive capacity in health and other sectors via understanding and strengthening decision making and governance structures, it is vital to understand the links (or lack thereof) between and within relevant sectors.
This suggests that activities strengthening country decision-making may accelerate implementation.
Strengthening CHW decision-making and identification of higher-risk patients, including those that do not meet current referral criteria, could reduce incorrect pneumonia diagnosis, antibiotic prescription, and referrals.
The three-fold difference in cost per program completer between COPE as it was planned and the estimated cost per completer as currently implemented suggests the potential magnitude of returns to greater investments in strengthening local decision-making and support capacity.
Either way, structural governance reforms would need to be accompanied by complementary changes in culture that support strengthened political decision-making and scientific independence.
