Ecology and Society Ecology and Society
E&S Home > Vol. 22, Iss. 3 > Art. 14 > Abstract Open Access Publishing 
Coordination and health sector adaptation to climate change in the Vietnamese Mekong Delta

Daniel Gilfillan, Australian National University
Thu T. Nguyen, Vietnam National University of Forestry
Ha T. Pham, University of Economics, Ho Chi Minh City


Full Text: HTML   
Download Citation


This research examines the impact of three coordination dimensions on health sector adaptation to climate change in the Vietnamese Mekong Delta: cross-scale, cross-sectoral, and cross-boundary. While tasks are divided up between government ministries and departments in Vietnam, there is little collaboration on issues that span mandates. Similarly, while water flows in the Vietnamese Mekong Delta take resource management and health concerns across provincial boundaries, formal mechanisms for interprovincial collaboration are lacking. While decentralization efforts have sought to devolve authority and decision making to lower levels, there is continued state-centered top-down policy making, and this limits collaborative coordination across scales. All three of these issues inhibit health sector adaptation to climate change in the Vietnamese Mekong Delta, and though these coordination issues are recognized by the Vietnamese government, to date there has been little success in addressing them. The authors hope to stimulate further debate and discussion of coordination problems, and conclude that despite some significant challenges, the South West Steering Committee could play a facilitating role coordinating climate change responses in health and other sectors across the Vietnamese Mekong Delta. As an analysis of governance, this research is applicable to other areas and sectors in Vietnam, as well as to other parts of South East Asia.

Key words

adaptation; climate change; cross-boundary coordination; cross-scale coordination; cross-sectoral coordination; health; Mekong Delta

Copyright © 2017 by the author(s). Published here under license by The Resilience Alliance. This article is under a Creative Commons Attribution-NonCommercial 4.0 International License. You may share and adapt the work for noncommercial purposes provided the original author and source are credited, you indicate whether any changes were made, and you include a link to the license.

Ecology and Society. ISSN: 1708-3087