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=== 5.3.2 Synergies and Trade-Offs between Adaptation Options and Sustainable Development === <div id="section-5-3-2-block-1"></div> There are short-, medium-, and long-term positive impacts (synergies) and negative impacts (trade-offs) between the dual goals of keeping temperatures below 1.5°C global warming and achieving sustainable development. The extent of synergies between development and adaptation goals will vary by the development process adopted for a particular SDG and underlying vulnerability contexts ( ''medium evidence, high agreement'' ). Overall, the impacts of adaptation on sustainable development, poverty eradication and reducing inequalities in general, and the SDGs specifically, are expected to be largely positive, given that the inherent purpose of adaptation is to lower risks. Building on Chapter 4 (see Section 4.3.5), this section examines synergies and trade-offs between adaptation and sustainable development for some key sectors and approaches. ''Agricultural adaptation'' : The most direct synergy is between SDG 2 (zero hunger) and adaptation in cropping, livestock and food systems, designed to maintain or increase production (Lipper et al., 2014; Rockström et al., 2017) <sup>[[#fn:r100|100]]</sup> . Farmers with effective adaptation strategies tend to enjoy higher food security and experience lower levels of poverty (FAO, 2015; Douxchamps et al., 2016; Ali and Erenstein, 2017) <sup>[[#fn:r101|101]]</sup> . Vermeulen et al. (2016) <sup>[[#fn:r102|102]]</sup> report strong positive returns on investment across the world from agricultural adaptation with side benefits for environment and economic well-being. Well-adapted agricultural systems contribute to safe drinking water, health, biodiversity and equity goals (DeClerck et al., 2016; Myers et al., 2017) <sup>[[#fn:r103|103]]</sup> . Climate-smart agriculture has synergies with food security, though it can be biased towards technological solutions, may not be gender sensitive, and can create specific challenges for institutional and distributional aspects (Lipper et al., 2014; Arakelyan et al., 2017; Taylor, 2017) <sup>[[#fn:r104|104]]</sup> . At the same time, adaptation options increase risks for human health, oceans and access to water if fertiliser and pesticides are used without regulation or when irrigation reduces water availability for other purposes (Shackleton et al., 2015; Campbell et al., 2016) <sup>[[#fn:r105|105]]</sup> . When agricultural insurance and climate services overlook the poor, inequality may rise (Dinku et al., 2014; Carr and Owusu-Daaku, 2015; Georgeson et al., 2017a; Carr and Onzere, 2018) <sup>[[#fn:r106|106]]</sup> . Agricultural adaptation measures may increase workloads, especially for women, while changes in crop mix can result in loss of income or culturally inappropriate food (Carr and Thompson, 2014; Thompson-Hall et al., 2016; Bryan et al., 2017) <sup>[[#fn:r107|107]]</sup> , and they may benefit farmers with more land to the detriment of land-poor farmers, as seen in the Mekong River Basin (see Chapter 3, Cross-Chapter Box 6 in Chapter 3). ''Adaptation to protect human health'' : Adaptation options in the health sector are expected to reduce morbidity and mortality (Arbuthnott et al., 2016; Ebi and Otmani del Barrio, 2017) <sup>[[#fn:r108|108]]</sup> . Heat-early-warning systems help lower injuries, illnesses and deaths (Hess and Ebi, 2016) <sup>[[#fn:r109|109]]</sup> , with positive impacts for SDG 3. Institutions better equipped to share information, indicators for detecting climate-sensitive diseases, improved provision of basic health care services and coordination with other sectors also improve risk management, thus reducing adverse health outcomes (Dasgupta et al., 2016; Dovie et al., 2017) <sup>[[#fn:r110|110]]</sup> . Effective adaptation creates synergies via basic public health measures (K.R. Smith et al., 2014; Dasgupta, 2016) <sup>[[#fn:r111|111]]</sup> and health infrastructure protected from extreme weather events (Watts et al., 2015) <sup>[[#fn:r112|112]]</sup> . Yet trade-offs can occur when adaptation in one sector leads to negative impacts in another sector. Examples include the creation of urban wetlands through flood control measures which can breed mosquitoes, and migration eroding physical and mental well-being, hence adversely affecting SDG 3 (K.R. Smith et al., 2014; Watts et al., 2015) <sup>[[#fn:r113|113]]</sup> . Similarly, increased use of air conditioning enhances resilience to heat stress (Petkova et al., 2017) <sup>[[#fn:r114|114]]</sup> , yet it can result in higher energy consumption, undermining SDG 13. ''Coastal adaptation'' : Adaptation to sea level rise remains essential in coastal areas even under a climate stabilization scenario of 1.5°C (Nicholls et al., 2018) <sup>[[#fn:r115|115]]</sup> . Coastal adaptation to restore ecosystems (for instance by planting mangrove forests) supports SDGs for enhancing life and livelihoods on land and oceans (see Chapter 4, Sections 4.3.2.3). Synergistic outcomes between development and relocation of coastal communities are enhanced by participatory decision-making and settlement designs that promote equity and sustainability (van der Voorn et al., 2017) <sup>[[#fn:r116|116]]</sup> ''.'' Limits to coastal adaptation may rise, for instance in low-lying islands in the Pacific, Caribbean and Indian Ocean, with attendant implications for loss and damage (see Chapter 3 Box 3.5, Chapter 4, Cross-Chapter Box 9 in Chapter 4, Cross-Chapter Box 12 in Chapter 5, Box 5.3). ''Migration as adaptation'' : Migration has been used in various contexts to protect livelihoods from challenges related to climate change (Marsh, 2015; Jha et al., 2017) <sup>[[#fn:r117|117]]</sup> , including through remittances (Betzold and Weiler, 2017) <sup>[[#fn:r118|118]]</sup> . Synergies between migration and the achievement of sustainable development depend on adaptive measures and conditions in both sending and receiving regions (Fatima et al., 2014; McNamara, 2015; Entzinger and Scholten, 2016; Ober and Sakdapolrak, 2017; Schwan and Yu, 2017) <sup>[[#fn:r119|119]]</sup> . Adverse developmental impacts arise when vulnerable women or the elderly are left behind or if migration is culturally disruptive (Wilkinson et al., 2016; Albert et al., 2017; Islam and Shamsuddoha, 2017) <sup>[[#fn:r120|120]]</sup> . ''Ecosystem-based adaptation'' : Ecosystem-based adaptation (EBA) can offer synergies with sustainable development (Morita and Matsumoto, 2015; Ojea, 2015; Szabo et al., 2015; Brink et al., 2016; Butt et al., 2016; Conservation International, 2016; Huq et al., 2017) <sup>[[#fn:r121|121]]</sup> , although assessments remain difficult (see Chapter 4, Section 4.3.2.2) (Doswald et al., 2014) <sup>[[#fn:r122|122]]</sup> . Examples include mangrove restoration reducing coastal vulnerability, protecting marine and terrestrial ecosystems, and increasing local food security, as well as watershed management reducing flood risks and improving water quality (Chong, 2014) <sup>[[#fn:r123|123]]</sup> . In drylands, EBA practices, combined with community-based adaptation, have shown how to link adaptation with mitigation to improve livelihood conditions of poor farmers (Box 5.1). Synergistic developmental outcomes arise where EBA is cost effective, inclusive of indigenous and local knowledge and easily accessible by the poor (Ojea, 2015; Daigneault et al., 2016; Estrella et al., 2016) <sup>[[#fn:r124|124]]</sup> . Payment for ecosystem services can provide incentives to land owners and natural resource managers to preserve environmental services with synergies with SDGs 1 and 13 (Arriagada et al., 2015) <sup>[[#fn:r125|125]]</sup> , when implementation challenges are overcome (Calvet-Mir et al., 2015; Wegner, 2016; Chan et al., 2017) <sup>[[#fn:r126|126]]</sup> . Trade-offs include loss of other economic land use types, tension between biodiversity and adaptation priorities, and conflicts over governance (Wamsler et al., 2014; Ojea, 2015) <sup>[[#fn:r127|127]]</sup> . ''Community-based adaptation'' : Community-based adaptation (CBA) (see Chapter 4, Sections 4.3.3.2) enhances resilience and sustainability of adaptation plans (Ford et al., 2016; Fernandes-Jesus et al., 2017; Grantham and Rudd, 2017; Gustafson et al., 2017) <sup>[[#fn:r128|128]]</sup> . Yet negative impacts occur if it fails to fairly represent vulnerable populations and to foster long-term social resilience (Ensor, 2016; Taylor Aiken et al., 2017) <sup>[[#fn:r129|129]]</sup> . Mainstreaming CBA into planning and decision-making enables the attainment of SDGs 5, 10 and 16 (Archer et al., 2014; Reid and Huq, 2014; Vardakoulias and Nicholles, 2014; Cutter, 2016; Kim et al., 2017) <sup>[[#fn:r130|130]]</sup> . Incorporating multiple forms of indigenous and local knowledge is an important element of CBA, as shown for instance in the Arctic region (see Chapter 4, Section 4.3.5.5, Box 4.3, Cross-Chapter Box 9) (Apgar et al., 2015; Armitage, 2015; Pearce et al., 2015; Chief et al., 2016; Cobbinah and Anane, 2016; Ford et al., 2016) <sup>[[#fn:r131|131]]</sup> . Indigenous and local knowledge can be synergistic with achieving SDGs 2, 6 and 10 (Ayers et al., 2014; Lasage et al., 2015; Regmi and Star, 2015; Berner et al., 2016; Chief et al., 2016; Murtinho, 2016; Reid, 2016) <sup>[[#fn:r132|132]]</sup> . There are clear synergies between adaptation options and several SDGs, such as poverty eradication, elimination of hunger, clean water and health ( ''robust evidence, high agreement'' ), as well-integrated adaptation supports sustainable development (Eakin et al., 2014; Weisser et al., 2014; Adam, 2015; Smucker et al., 2015) <sup>[[#fn:r133|133]]</sup> . Substantial synergies are observed in the agricultural and health sectors, and in ecosystem-based adaptations. However, particular adaptation strategies can lead to adverse consequences for developmental outcomes ( ''medium evidence, high agreement'' ). Adaptation strategies that advance one SDG can result in trade-offs with other SDGs; for instance, agricultural adaptation to enhance food security (SDG 2) causing negative impacts for health, equality and healthy ecosystems (SDGs 3, 5, 6, 10, 14 and 15), and resilience to heat stress increasing energy consumption (SDGs 3 and 7) and high-cost adaptation in resource-constrained contexts ( ''medium evidence, medium agreement'' ). <span id="adaptation-pathways-towards-a-1.5c-warmer-world-and-implications-for-inequalities"></span>
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