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Background: Identifying healthcare services and also strengthening the healthcare systems to effectively deliver them in the aftermath of large-scale disasters like the 2023 Turkey-Syria earthquakes, especially for vulnerable groups cannot be emphasized enough. This study aimed at identifying the interventions undertaken or proposed for addressing the health needs or challenges of vulnerable groups immediately after the occurrence of the 2023 Turkey-Syria earthquakes, as well as for prioritizing their healthcare service delivery in the post-Turkey-Syria earthquake. Methods: In this scoping review compiled with the five steps of the Arksey and O'Malley framework, five databases, including PubMed, Science Direct, Web of Science, OVID, and Google Scholar, were searched for studies published between March and April 2023 in line with the eligibility criteria. Interventions for enhancing post-earthquake healthcare services (PEHS) were grouped into seven (7) categories, adopted from previous guidelines and studies. Each one was assigned a default score of a value equal to one (1), which, in the end, was summed up. Results: Of the 115 total records initially screened, 29 articles were eligible for review. Different interventions they reported either undertaken or proposed to address the healthcare needs and challenges, especially faced by the most vulnerable groups in the aftermath of the Turkey-Syria earthquakes, were categorized into 7 PEHS. They were ranked with their scores as follows: humanitarian health relief (25); medical care (17); mental health and psychosocial support (10); health promotion, education, and awareness (9); disease surveillance and prevention (7); disability rehabilitation (7); and sexual and reproductive health (5). Conclusion: Since there are no proper guidelines or recommendations about the specific or most significant PEHS to prioritize for vulnerable groups after the occurrence of large-scale earthquakes, this scoping review provides some insights that can help inform healthcare service delivery and prioritization for vulnerable groups in the post-2023 Turkey-Syria earthquakes and other similar disasters. [ABSTRACT FROM AUTHOR]

Background: Malaria remains a major public health burden to children under five, especially in Eastern Africa (E.A), —a region that is also witnessing the increasing occurrence of floods and extreme climate change. The present study, therefore, explored the trends in floods, as well as the association of their occurrence and duration with the malaria incidence in children < 5 years in five E.A partner countries of Forum for China-Africa Cooperation (FOCAC), including Ethiopia, Kenya, Somalia, Sudan, and Tanzania between 1990 and 2019. Methods: A retrospective analysis of data retrieved from two global sources was performed: the Emergency Events Database (EM-DAT) and the Global Burden of Diseases Study (GBD) between 1990 and 2019. Using SPSS 20.0, a correlation was determined based on ρ= -1 to + 1, as well as the statistical significance of P = < 0.05. Time plots of trends in flooding and malaria incidence were generated in 3 different decades using R version 4.0. Results: Between 1990 and 2019, the occurrence and duration of floods among the five E.A partner countries of FOCAC increased and showed an upward trend. On the contrary, however, this had an inverse and negative, as well as a weak correlation on the malaria incidence in children under five years. Only Kenya, among the five countries, showed a perfect negative correction of malaria incidence in children under five with flood occurrence (ρ = -0.586**, P-value = 0.001) and duration (ρ = -0.657**, P-value = < 0.0001). Conclusions: This study highlights the need for further research to comprehensively explore how different climate extreme events, which oftentimes complement floods, might be influencing the risk of malaria in children under five in five E.A malaria-endemic partner countries of FOCAC. Similarly, it ought to consider investigating the influence of other attributes apart from flood occurrence and duration, which also compound floods like displacement, malnutrition, and water, sanitation and hygiene on the risk and distribution of malaria and other climate-sensitive diseases. [ABSTRACT FROM AUTHOR]

• Ecosystem service value (ESV) in Sichuan Province was evaluated dynamically based on the improved value equivalent method. • Eco-economic benefit model was constructed to evaluate the value efficiency and return rate on investment of Grain for Green Program (GFGP). • GFGP investments had a significant effect on forest ESV. • Return rate on GFGP investments in Sichuan was only 17.09%. The Grain for Green Program (GFGP) is an important policy implemented by the Chinese government to restore degraded forests. However, there is a limited understanding of the eco-economic benefits of GFGP in Sichuan province. In this study, the ecosystem service value (ESV) in Sichuan from 2001 to 2019 was evaluated dynamically based on the improved value equivalent method. Then, the impact of climate and human activities on ESV was explored. Finally, the eco-economic benefit model of afforestation was constructed to calculate its value efficiency in 183 counties and the return rate on afforestation investment in Sichuan. Our results indicated that the forest ESV (R2 = 0.82, P < 0.05) in Sichuan increased significantly from 2001 to 2019. Moreover, GFGP investments had a significant positive effect on forest ESV, and the correlation between afforested area and forest ESV was the highest (r = 0.88, P < 0.05). Besides, the value efficiency was relatively low in central and southwestern Sichuan, especially in and around Chengdu. In general, a total of 106 counties demonstrated low value efficiency, making up 57.92 % of the total number of counties. We also found that the return rate on GFGP investments in Sichuan was only 17.09 %. Finally, we discovered that during the consolidation phase of afforestation, 38.05 % of ESV in the core area afforested experienced degradation. Based on these findings, there is a need to encourage multistakeholder participation to jointly improve the eco-economic benefits of investing in GFGP in Sichuan now and in the future. In addition, the findings could help inform government regulators to reconsider their approach to GFGP investments and also promote more effective nature-based ecological solutions and management practices. [ABSTRACT FROM AUTHOR]