Reproductive, Maternal, and Newborn Health (RMNH) in a Changing Climate

Tuesdays July 7-September 8, 2026 | 1:00-2:30pm UTC+0

Registration opens soon!

Climate change is reshaping healthcare for reproductive-age, pregnant, and newborn patients and worsening inequities in access to safe reproductive, maternal, and newborn health (RMNH) care. Heat exposure, air pollution, disruptions to care access during extreme weather events, changing patterns of vector-borne disease, and rising food and water insecurity all function as threat multipliers for reproductive health among women and the health of their newborns. These exposures are linked to health consequences including infection, hypertensive disorders of pregnancy, preterm birth, and low birthweight, among others.

Reproductive, Maternal, and Newborn Health (RMNH) in a Changing Climate is a 10-session training program designed for midwives, nurses, physicians, facility managers birth attendants, and frontline health workers delivering care in fragile, low-resource, and climate-affected settings. The course equips participants with the clinical knowledge, skills, decision-making tools, and facility-level strategies needed to protect RMNH in a changing climate.

The key goals are to:

  1. Learn to recognize, assess, and manage climate-sensitive health risks (extreme heat, air pollution, vector-borne disease, and more) in reproductive-age, pregnant, and postpartum patients, even in low-resource settings.

  2. Develop practical protocols for maintaining safe reproductive, maternal, and newborn care when supply chains, power, referral networks, or facilities are disrupted by climate events.

  3. Apply equity-centered care strategies for high-risk populations including displaced women, adolescents, and those with disabilities, while also safeguarding frontline responder’s own physical and mental health.

Organizational Partners

Reproductive, Maternal, and Newborn Health (RMNH) in a Changing Climate was developed through a collaboration between the Global Consortium on Climate and Health Education, UNICEF, International Confederation of Midwives, and International Medical Corps. Through the collective expertise of this partnership, we have designed a course that can provide foundational knowledge and actionable strategies that RMNH practitioners can immediately integrate into daily practice and patient care.

Course Structure

The course is structured into ten weekly 75 minute sessions, offered on a Zoom platform, each combining expert-led instruction, clinical case application, and moderated Q&A.  After registering you will receive a link that grants you access to all 10 sessions. 

Participants receive prerecorded orientation materials, printable clinical tools, and optional asynchronous discussion prompts between sessions to reinforce learning.

Audience

This course is designed for midwives, nurses, physicians, birth attendants, facility managers, and frontline health workers seeking to strengthen their understanding of climate-related health risks and their implications for patient care. It is particularly intended to support those operating in fragile and low-resource settings, or within contexts particularly exposed to climate related health hazards.

However, the course is also relevant for health professionals, trainees, students, and educators from all health backgrounds and professional context who wish to build practical competency in climate-informed RMNH care.

Course Language

All course sessions will be offered in English with simultaneous captioning in French and Spanish.

Certificate Requirements

Participants who attend at least 7 of the 10 sessions and pass the final exam (multiple choice question-based) with a score of >70% at the end of the course will be awarded a Certificate of Participation in climate and health from the Global Consortium on Climate and Health Education (GCCHE). Course organizers are exploring options for asynchronous participation.

Participants must join each class session using their personal unique Zoom links and complete the final exam using the email address used to initially register for the course. Attendance will be automatically recorded during the live Zoom sessions. The exam link will be sent on the final day of class via email and will remain open for 7 days. The exam is open note, but participants should be prepared to take the exam in one sitting.

Session Descriptions

Resources such as frameworks and suggested readings will be provided to all course participants following each session. 

July 7 | Session 1: Climate Change and Reproductive, Maternal, and Newborn Health

Speakers announced soon!
Climate change is no longer a background environmental issue — it is now a direct and indirect clinical determinant of maternal and newborn outcomes, affecting when, where, and how patients seek and receive care. This module introduces the full range of climate-sensitive health pathways relevant to pregnancy, birth, and the post-partum period, including heat-related obstetric risk, air pollution–linked stillbirth, flood-related care disruption, vector-borne disease, and malnutrition-driven complications. Participants learn how to conduct a climate-informed patient assessment, adding exposure, displacement, and resource instability to standard clinical history. The session establishes the foundational lens for the course: every skilled birth attendant or  reproductive health provider is now a frontline responder to climate-driven risk, whether or not they specialize in climate or disaster medicine.

July 14 | Session 2: Extreme Heat and Pregnancy

Speakers announced soon!

Extreme heat increases the risk of preterm birth, stillbirth, miscarriage, hypertensive disorders, kidney injury, and maternal heat stroke, but most clinical protocols do not yet incorporate climate-related heat risk into routine reproductive care. This module trains clinicians to define and recognize heat emergencies, screen high-risk pregnant patients, and stabilize heat illness even when IV fluids, cooling devices, or electricity are unavailable. Participants walk through clinical algorithms for heat stress in pregnancy, including when to modify medications, when to continue labor locally, and when emergency referral is necessary. The session also covers low-cost, community-adapted prevention strategies and how to develop heatwave action plans for reproductive health clinics, maternity units, and home-based midwifery care.

July 21 | Session 3: Air Pollution, Wildfire Smoke, and Perinatal Health

Speakers announced soon!

Air pollution exposure increases the risk of preterm birth, stillbirth, low birthweight, hypertensive disorders, and neonatal respiratory complications. Clinicians will learn how to assess exposure, identify high-risk symptoms, and manage acute respiratory distress or pregnancy complications linked to smoke or smog. The session will equip providers with protective strategies for displaced, outdoor-laboring, or low-income pregnant patients who cannot access sealed housing or air filtration. Emphasis is placed on crisis-adapted care: how to protect maternal and fetal health when the facility has limited/intermittent power, no HVAC system, oxygen is limited, and air quality alerts are unavailable.

July 28 | Session 4: Other Extreme Weather Events and Continuity of Maternal and Newborn Care

Speakers announced soon!

Extreme weather events often sever access to skilled birth attendance, emergency obstetric care, medications, and newborn stabilization, dramatically increasing preventable maternal deaths. This module trains clinicians to use disaster-ready triage tools, perform safe deliveries in improvised settings, and manage obstetric and newborn emergencies when transport and supplies are disrupted. Participants learn “72-hour continuity protocols” for reproductive and antenatal records, postpartum follow-up, and newborn care when patient tracking systems collapse, including considerations for task sharing with community cadres. Care is framed through an equity lens: women with disabilities, adolescents, and unaccompanied mothers are most likely to be left out of disaster response systems.

August 4 | Session 5: Vector-Borne Disease and Pregnancy

Speakers announced soon!

As temperatures rise and rainfall patterns shift, malaria, dengue, and other vector-borne diseases are appearing in regions where pregnancy-specific clinical skills may be limited. Providers learn how to evaluate fever in pregnancy, differentiate dengue warning signs from preeclampsia, and manage infection when IV fluids, blood products, or referral labs are unavailable. The module includes decision algorithms for “treat presumptively vs. wait for testing” in fragile settings. Special focus is placed on fetal monitoring, including when to continue care locally and when to arrange emergency transfer despite insecurity or transport barriers.

August 11 | Session 6: Water, Sanitation, Nutrition, and RMNH​​​​

Speakers announced soon!

Droughts, floods, and crop failures increase disease, malnutrition, and infection risks that worsen women’s health and reproductive outcomes, especially in low-income and displaced populations. This module equips clinicians to stabilize dehydration and prevent sepsis even when IV fluids, lab testing, or sanitation infrastructure are unavailable. Providers learn how to prevent anemia-related postpartum hemorrhage by managing nutrition early in pregnancy through locally accessible foods and supplementation alternatives. Providers will learn how to counsel adolescent girls and women on menstrual health and hygiene in situations where contaminated water is a risk, and how to identify and treat related infections. Clinical equity is emphasized: widowed mothers, adolescent girls, and low-literacy patients require different counseling approaches and support pathways.

August 18 | Session 7: Protection in Climate-Affected Settings

Speakers announces soon!

Rates of sexual violence increase after disasters and displacement, yet clinical care for survivors is often interrupted at the exact moment it is most needed. This session prepares providers to deliver trauma-informed, evidence-based post-rape care using scalable protocols that do not depend on lab access, stocked pharmacies, or private exam rooms. Participants learn to document safely, prescribe empiric regimens, and activate referral chains that protect patients even in insecure settings. The module reinforces that every maternal health provider (and particularly female clinicians) can respond to violence against women and girls during climate emergencies — whether or not the facility has specialists.

August 25 | Session 8: Supply Chains, Medication Access, and RMNH During Climate Disruption

Speakers announces soon!

Climate shocks destabilize pharmaceutical imports, blood banking, cold chains, and referral logistics, causing otherwise preventable maternal deaths. This module trains clinicians to prevent and manage life-threatening complications — hemorrhage, eclampsia, sepsis — when medications are expired, limited, or unavailable. Providers learn what to substitute, what to reuse, what to conserve, and when to escalate care despite transport failures. When preparing for climate shocks, RMNH self-care interventions will be introduced that enable community members to take their health into their own hands, with appropriate clinical guidance. Supply-chain resilience is framed as a clinical skill, not an administrative task.

September 1 | Session 9: Climate-Ready Primary Care and RMNH Facilities

Speakers announces soon!

Many primary care and maternity facilities were not designed for extreme heat, flooding, or power instability, yet they are now operating under those conditions. This module teaches clinical teams how to safeguard medications, stabilize laboring patients, and maintain infection control even when ventilation or electricity fails. Providers learn passive cooling strategies, solar-powered cold storage, and emergency layout redesign to keep care running during climate events. The session ends with a facility risk-mapping exercise clinicians can take back to practice sites.

September 8 | Session 10: Self-Care, Mental Health, and Occupational Resilience for Frontline Health Workers​​​​​​

Speakers announces soon!

Frontline health workers caring for adolescents, infants, and pregnant and postpartum patients during climate-related crises are at risk not only of emotional burnout and trauma exposure but also of direct physical harm from heat stress, vector bites, dehydration, smoke inhalation, infectious exposure, and unsafe shift lengths. This module provides practical strategies to protect both body and mind in low-resource settings, including hydration and cooling plans, vector-bite protection for night shifts, safe mask use during wildfire smoke, and micro-recovery techniques during long clinical days. The session also introduces rapid, low-resource psychological first aid, peer-support models, and “safety rounds” that can be applied even in small clinics or mobile units. The core message: the resilience of the health workforce is a clinical asset — patient safety depends on provider safety.

The exam will open after this session.

Working Group Members

Global Consortium on Climate and Health Education:

Cecilia Sorensen, Director

Danielly Magalhaes, Senior Project Manager

Katlyn McGraw, Senior Project Manager

Margaret O’Donnell, Project Manager

International Medical Corps

Ann Canavan, Senior Director of Quality Assurance, Research and Innovation

Lauren Bellhouse, Senior Global Maternal and Newborn Health Advisor

Dayan Woldemichael, Senior Global Health Advisor

Jill John-Kall, Senior Global Health Advisor

Rachael Sorcher, Senior Global Health Officer

Unicef

Swathi Manchikanti, Climate Adaptation Expert, Environmental Health

Abheet Solomon, Global Lead, Environmental Health

International Confederation of Midwives (ICM)

Neha Mankani, Humanitarian Engagement and Climate Advisor 

Madelon Cabooter, Head of Programs and Partnerships

Aigul Kasymova, Senior Partnership Lead

Daniela Drandić, Head of Advocacy and Communications 

Course contact: Katlyn McGraw: kem2240@cumc.columbia.edu.

Back to top