4.6 Human health and wellbeing
The World Health Organization defines human health as “…a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” (Schramme, 2023).
Addressing human health and wellbeing in nature-based solutions
Healthy ecosystems, climate and biodiversity have been recognized as important determinants of human health and wellbeing. For instance, natural environments provide noise and heat regulation, promote physical activity, lower stress and give faster psychological recovery, improve air and water quality, provide cultural ecosystem services such as social interactions, aesthetics, recreation, spiritual values, and a sense of place. Natural areas are also a source of medicines and other pharmaceutical products which directly contribute to improved human health.
Human health and well-being is underrepresented in the research on NbS. Research tends to be skewed towards urban environments, and few studies assess the full range of human well-being benefits. Implementation of NbS should thus be followed up with monitoring of a broad range of human health and well-being outcomes. Documenting the specific well-being benefits of NbS would likely increase public support for such initiatives and can fall within the remit of a “one health” approach to ecosystem services. The World Health Organisation (WHO) describes One Health as “an integrated, unifying approach that aims to sustainably balance and optimize the health of people, animals and ecosystems.”
Though there are often many indirect ways in which NbS can improve human health, there are a variety of considerations that should be made when planning NbS addressing human health and wellbeing specifically. The IUCN and the WHO have made ten recommendations for ensuring human health and wellbeing in NbS:
Biodiversity, healthy ecosystems, and a stable climate are essential to achieving good health outcomes.
Educate and empower health professionals to engage in NbS.
Redesign food systems to be nature-positive, resilient and to sustain healthy communities.
Use nature-based solutions to support access to safe water, sanitation, hygiene, and waste management.
Integrate urban ecosystems with public health planning.
Redesign energy and transport systems to integrate green-gray infrastructure to support health.
Place equity at the centre of the design, governance, and implementation of nature-based solutions for health.
Empower Indigenous Peoples and under-resourced communities to safeguard human health and well-being.
Support/enable youth leadership and innovation in nature and health decision-making.
Finance inclusive NbS that prioritize health outcomes.
4.7 Social justice and capacity building
Social justice is to have a fair and equitable distribution of resources, benefits and costs, and the power to make decisions in all parts of society (Abbott, 2014). Key elements are transparency and inclusive participation with particular attention to the needs of vulnerable and marginalised communities.
Capacity building is about developing skills, knowledge, and resources with and for different actors – communities, organisations, and institutions to effectively plan, design, implement, and maintain NbS (UN, n.d.). This includes strengthening local expertise, fostering partnerships and creating supportive governance structures.
In NbS, social justice means ensuring fair access to natural resources and their benefits for all people. This includes inclusion in conservation and restoration activities or other measures. It also addresses inequalities related to who is affected by environmental degradation, for example different levels of exposure to air pollution among different socio-economic settings (Strandell et al., 2024). The aim of capacity building is to ensure fair, inclusive, and empowering processes that provide diverse actors with the opportunities and tools needed to participate in and benefit from NbS while addressing existing inequalities and enhancing resilience (World Bank, 2023).
Addressing social justice and capacity building in nature-based solutions
NbS can support equitable access to clean water and disaster resilience, which, depending on the socio-economic context may disproportionately affect vulnerable communities. In flood-prone areas or areas in risk of droughts, marginalized populations often suffer the most, and nature-based interventions can mitigate these effects, ensuring more inclusive and fair access to natural resources.
Community engagement and empowerment: NbS can involve local communities in planning and implementation, fostering a sense of ownership and empowering them to manage their natural resources sustainably, but again, this will depend on the socio-economic context. However, a participatory approach generally reduces inequality by giving all stakeholders, including underrepresented groups, a voice in decision-making processes.
It is therefore important to pay attention to who will benefit from the NbS. It should be identified if vulnerable or marginalized groups may be affected by barriers to participating in or benefiting from the NbS project. Barriers to inclusion physical, financial, informational, attitudinal, institutional. The project should carefully consider how benefits from the NbS will be distributed and take actions to ensure that all, marginalized groups in particular, can access them equitably. This may involve targeted outreach, tailored program design, or setting specific inclusion targets.
NbS can involve local communities in planning and implementation, fostering a sense of ownership and empowering them to manage their natural resources sustainably, but this also depends on the socio-economic context. However, a participatory approach generally reduces inequality by giving all stakeholders, including underrepresented groups, a voice in decision-making processes.
Local engagement can ensure that the NbS is aligned with local priorities and complement existing programs or services. Cross-sector partnerships can contribute to this by leveraging diverse expertise and resources for implementation.
Capacity building measures can ensure participation and enhance empowerment. Such measures need to be tailored to the socio-economic context of the NbS initiative. Working with local experts and leaders is relevant when developing and delivering training, but local power relations should also be considered. Ongoing support can be provided by offering a range of resources and communication channels to support engagement and skill development beyond one-off training.
It is particularly relevant to equip practitioners with knowledge and skills to select, adapt, implement and evaluate NbS in their specific context. Improving awareness, providing resources, and creating mechanisms for local action and ownership and supporting bottom-up initiatives is key. The resource limitations of community organizations need to be considered when designing capacity-building efforts. It is important to be considerate of the existing power dynamics and work towards an equitable distribution of power in co-design processes.