HE2AT Centre
HE2AT Center Data Ecosystem

Environmental Exposure Catalogue

Comprehensive documentation of climate and environmental exposure variables for understanding heat-health impacts across Sub-Saharan Africa. This catalogue serves as both a technical reference for statisticians and a data inventory for the HE2AT Center research projects.

Total Participants
74,483
Study Sites
9 Countries
Exposure Categories
9 domains, 45+ variables
Temporal Coverage
2003-2024
Burkina Faso
2,362
Ethiopia
2,547
Ghana
1,997
Kenya
25,139
Malawi
14,037
South Africa
11,534
Tanzania
1,856
The Gambia
2,987
Zambia
12,024

The Heat and Health African Transdisciplinary Center

The world's climate is changing rapidly, with global temperatures having risen more than 1°C since the industrial revolution. Heat waves and rising temperatures have major, though underappreciated, health implications, particularly for vulnerable populations in low-income settings.

The HE2AT Center is developing innovative data science solutions to mitigate the health impacts of climate change in Africa. We are systematically building a data ecosystem containing biomedical data integrated with weather, air quality, and other environmental data to understand the relationships between heat exposure and health outcomes.

Individual Participant Data

Reusing data from cohorts and trials among pregnant women and neonates conducted across Sub-Saharan Africa since 2000, integrated into a harmonized platform.

Climate Integration

Environmental exposures linked to participant records through geolocation and temporal matching, enabling analysis of heat-health relationships.

Health Outcomes

Focus on maternal and child health including preterm birth, birth weight, pre-eclampsia, and heat-related morbidity in vulnerable populations.

Exposure Assignment Methodology

Environmental exposures are assigned to study participants through systematic linkage of climate data to individual records. Each participant receives daily exposure values for their entire observation period, enabling analysis of exposure-outcome relationships at multiple temporal scales.

01

Patient Exposure Days

Generate individual-level exposure records containing Patient ID, location coordinates, and all exposure dates from pre-conception through post-delivery periods (90 days pre-conception + gestational period + 28 days post-delivery).

02

Climate Data Extraction

Extract environmental variables from multiple data sources (reanalysis products, satellite imagery, geospatial databases) for each unique location-date combination in the study.

03

Data Integration

Merge climate-enriched location data with patient records, producing complete exposure profiles for epidemiological analysis across trimester-specific and cumulative windows.

01
🌡

Temperature Exposure

3 indicators | Primary Research Focus
Assigned
Mean Temperature
Near-Surface Air Temperature at 2m (°C)
Burkina Faso28.6 [28.3, 31.1]
Ethiopia18.9 [18.8, 20.8]
Ghana27.7 [26.5, 28.1]
Kenya20.4 [20.2, 26.1]
Malawi23.1 [21.4, 25.5]
South Africa15.9 [15.6, 20.7]
Tanzania25.8 [25.7, 26.0]
The Gambia29.5 [27.8, 29.9]
Zambia21.9 [21.5, 23.1]

Dataset

ECMWF CAMS EAC4 Global Reanalysis
Variable: tas (Near-surface air temperature)
Temporal resolution: 3-hourly
Original units: Kelvin (K), converted to Celsius

Methodology

Daily mean temperature is calculated by averaging all 3-hourly observations at the nearest grid point to each participant's location. Values are converted from Kelvin to Celsius and extracted for each day in the participant's exposure window.

Health Relevance

Ambient temperature is a critical determinant of heat-related morbidity. Elevated mean temperatures during pregnancy have been associated with increased risk of preterm birth, low birth weight, and stillbirth.

Assigned
Maximum Temperature
Daily Maximum Air Temperature (°C)
Burkina Faso34.7 [34.5, 37.3]
Ethiopia24.3 [24.0, 26.4]
Ghana31.1 [30.9, 32.3]
Kenya25.1 [24.6, 29.5]
Malawi27.9 [26.8, 30.4]
South Africa20.1 [17.3, 27.8]
Tanzania27.7 [27.6, 27.8]
The Gambia36.0 [34.4, 36.5]
Zambia27.5 [27.0, 28.5]

Dataset

ECMWF CAMS EAC4 Global Reanalysis
Derived from 3-hourly tas values

Health Relevance

Peak daily temperatures capture acute heat stress events. Maximum temperatures exceeding physiological thresholds trigger thermoregulatory responses that can affect placental blood flow and fetal development.

Assigned
Minimum Temperature
Daily Minimum Air Temperature (°C)
Burkina Faso23.3 [23.1, 25.9]
Ethiopia14.5 [14.2, 15.8]
Ghana25.2 [23.3, 25.6]
Kenya16.6 [16.4, 23.3]
Malawi19.0 [16.8, 21.3]
South Africa13.9 [12.2, 18.0]
Tanzania24.2 [24.1, 24.4]
The Gambia24.2 [22.9, 24.7]
Zambia17.1 [16.8, 20.4]

Health Relevance

Persistently elevated minimum temperatures ("warm nights") indicate conditions where cooling relief is limited, potentially compounding cumulative heat stress over multiple days.

02
🍃

Air Quality & Atmospheric Conditions

8 indicators
Assigned
PM2.5 (Fine Particulate Matter)
Particulate Matter <2.5μm (μg/m³)
Burkina Faso44.6 [36.3, 59.3]
Ethiopia57.7 [47.6, 59.4]
Ghana30.3 [27.3, 86.4]
Kenya69.7 [39.6, 77.0]
Malawi22.4 [18.9, 45.2]
South Africa18.8 [9.88, 51.3]
Tanzania16.1 [15.9, 16.8]
The Gambia49.9 [43.8, 60.9]
Zambia25.7 [24.3, 29.9]

Dataset

ECMWF CAMS EAC4 Global Reanalysis
Variable: pm2p5
Original units: kg/m³, converted to μg/m³ (×10⁹)

Health Relevance

Fine particulate matter can penetrate deep into the lungs and cross the placental barrier, affecting fetal development. Exposure during pregnancy is associated with preterm birth, reduced birth weight, and gestational hypertension.

Assigned
Nitrogen Dioxide (NO2)
Atmospheric Surface Concentration (ppb)
Burkina Faso3.18 [3.10, 3.64]
Ethiopia7.65 [5.89, 8.05]
Ghana1.67 [1.54, 5.73]
Kenya11.8 [6.73, 12.5]
Malawi2.84 [2.58, 5.06]
South Africa5.71 [4.67, 20.5]
Tanzania0.924 [0.901, 0.977]
The Gambia2.08 [1.99, 3.21]
Zambia3.80 [3.66, 4.35]

Dataset

ECMWF CAMS EAC4 Global Reanalysis
Variable: no2as
Original units: kg/kg, converted to ppb

Health Relevance

NO2 is a marker of traffic-related air pollution. Short-term exposure has been associated with increased risk of spontaneous abortion and adverse birth outcomes.

Assigned
Total Aerosol Optical Depth
AOD at 550nm (dimensionless)
Burkina Faso0.317 [0.292, 0.427]
Ethiopia0.249 [0.239, 0.309]
Ghana0.461 [0.441, 0.705]
Kenya0.248 [0.187, 0.357]
Malawi0.153 [0.137, 0.186]
South Africa0.0831 [0.0774, 0.201]
Tanzania0.176 [0.173, 0.187]
The Gambia0.376 [0.335, 0.436]
Zambia0.165 [0.159, 0.211]

Dataset

ECMWF CAMS EAC4
Variable: aod550

Health Relevance

AOD is an integrated measure of atmospheric aerosol loading. Elevated AOD indicates poor air quality and serves as a proxy for particulate matter exposure.

Assigned
Black Carbon Aerosol Optical Depth
BC AOD at 550nm (dimensionless)
Burkina Faso0.0102 [0.00881, 0.0135]
Ethiopia0.0102 [0.00992, 0.0115]
Ghana0.0243 [0.0227, 0.0433]
Kenya0.0097 [0.00727, 0.0162]
Malawi0.0150 [0.0135, 0.0212]
South Africa0.00507 [0.00431, 0.0108]
Tanzania0.0103 [0.00956, 0.0114]
The Gambia0.0100 [0.00907, 0.0143]
Zambia0.0180 [0.0170, 0.0261]

Dataset

ECMWF CAMS EAC4
Variable: od550bc

Health Relevance

Black carbon results from incomplete combustion. Sources in African settings include vehicle emissions, cooking fires, and agricultural burning. Associated with cardiovascular and respiratory effects.

Assigned
Dust Aerosol Optical Depth (Near-source)
Dust AOD at 550nm — non-absorbing (dimensionless)
Burkina Faso0.173 [0.158, 0.259]
Ethiopia0.0263 [0.0246, 0.0395]
Ghana0.0882 [0.0795, 0.168]
Kenya0.00695 [0.00542, 0.0166]
Malawi0.00117 [0.00101, 0.00195]
South Africa0.00402 [0.00335, 0.0164]
Tanzania0.00417 [0.00398, 0.00634]
The Gambia0.216 [0.180, 0.244]
Zambia0.00139 [0.00126, 0.00188]

Dataset

ECMWF CAMS EAC4
Variable: duaod550_nc (Dust Aerosol Optical Depth at 550nm, non-absorbing)

Health Relevance

Dust aerosols are major contributors to particulate matter in West and East African settings. Elevated dust loading is linked to respiratory and cardiovascular effects, particularly in the Sahel region.

Assigned
Dust Extinction Aerosol Optical Depth
Total Dust Extinction AOD (dimensionless)
Burkina Faso0.285 [0.257, 0.460]
Ethiopia0.0492 [0.0457, 0.0664]
Ghana0.234 [0.199, 0.443]
Kenya0.0192 [0.0162, 0.0336]
Malawi0.00560 [0.00526, 0.00841]
South Africa0.00729 [0.00693, 0.00881]
Tanzania0.0162 [0.0154, 0.0215]
The Gambia0.314 [0.248, 0.341]
Zambia0.00577 [0.00546, 0.00855]

Dataset

ECMWF CAMS EAC4
Variable: duexttau (Dust Aerosol Optical Depth — total extinction)

Health Relevance

Total dust extinction AOD integrates the full dust aerosol column. Important for quantifying dust burden in Sahelian countries (Burkina Faso, The Gambia) where values are substantially higher than southern African sites.

Assigned
Dust Surface Mass Density (PM2.5)
Dust Mass Concentration at Surface (μg/m³)
Burkina Faso46.2 [38.7, 68.8]
Ethiopia7.37 [6.67, 10.5]
Ghana25.2 [21.6, 60.4]
Kenya2.95 [2.34, 5.94]
Malawi0.496 [0.385, 0.942]
South Africa0.661 [0.594, 1.37]
Tanzania1.37 [1.14, 1.87]
The Gambia45.9 [37.1, 60.0]
Zambia0.657 [0.622, 0.945]

Dataset

ECMWF CAMS EAC4
Variable: dusmass25 (Dust PM2.5 surface mass density)

Health Relevance

Surface dust mass in the fine particle fraction directly contributes to respiratory PM2.5 exposure. West African sites experience values comparable to total PM2.5, indicating dust as the dominant aerosol source.

Assigned
Dust Column Mass Density
Vertically Integrated Dust Mass (μg/m²)
Burkina Faso432,000 [397,000, 721,000]
Ethiopia73,700 [68,300, 99,900]
Ghana337,000 [284,000, 608,000]
Kenya27,000 [22,800, 48,300]
Malawi7,020 [6,570, 10,500]
South Africa10,100 [9,610, 12,900]
Tanzania21,600 [20,500, 29,000]
The Gambia484,000 [384,000, 526,000]
Zambia7,200 [6,810, 10,900]

Dataset

ECMWF CAMS EAC4
Variable: ducmass (Dust Aerosol Column Mass Density)

Health Relevance

Column-integrated dust mass provides an indication of total atmospheric dust loading. Useful for understanding regional dust transport patterns affecting Sahelian and West African populations.

03
🌡

Thermal Comfort Indices

10 indicators | Heat Stress Metrics
Assigned
Universal Thermal Climate Index
UTCI (°C)
UTCI Min — Median [IQR]
Burkina Faso18.2 [17.8, 23.0]
Ethiopia10.4 [9.74, 12.8]
Ghana23.9 [22.8, 24.6]
Kenya14.6 [13.6, 21.1]
Malawi15.6 [11.4, 19.1]
South Africa5.39 [4.77, 11.1]
Tanzania21.8 [21.6, 22.2]
The Gambia19.7 [19.2, 20.3]
Zambia11.2 [10.6, 17.4]
UTCI Mean — Median [IQR]
Burkina Faso27.9 [27.6, 30.5]
Ethiopia18.7 [18.4, 20.7]
Ghana29.1 [28.5, 29.7]
Kenya22.0 [21.2, 26.2]
Malawi23.0 [19.8, 26.5]
South Africa14.2 [13.6, 18.9]
Tanzania26.8 [26.6, 27.2]
The Gambia28.7 [27.5, 29.2]
Zambia19.7 [19.4, 24.0]
UTCI Max — Median [IQR]
Burkina Faso39.7 [39.4, 42.5]
Ethiopia29.0 [28.3, 30.3]
Ghana37.8 [37.5, 39.0]
Kenya31.1 [29.9, 33.9]
Malawi31.4 [29.9, 35.1]
South Africa24.4 [23.7, 30.7]
Tanzania33.9 [33.7, 34.3]
The Gambia40.2 [38.5, 41.0]
Zambia30.4 [30.1, 31.3]

Health Relevance

UTCI accounts for air temperature, humidity, wind speed, and radiation. Values above 32°C indicate strong heat stress. Broadly used in climate-health research for its physiological grounding.

Assigned
Wet Bulb Globe Temperature
WBGT (°C)
Burkina Faso38.3 [38.0, 41.4]
Ethiopia24.9 [24.0, 27.1]
Ghana33.9 [33.5, 35.5]
Kenya28.2 [27.1, 32.0]
Malawi28.8 [28.0, 32.7]
South Africa23.4 [22.7, 31.2]
Tanzania31.1 [30.9, 31.5]
The Gambia38.2 [36.9, 39.1]
Zambia28.4 [28.1, 29.2]

Health Relevance

WBGT is the international standard for occupational heat stress assessment. Used to set work-rest cycles for pregnant women and outdoor workers.

Assigned
Heat Index
Apparent Temperature (°C)
Burkina Faso35.3 [35.0, 36.9]
Ethiopia23.3 [22.7, 25.1]
Ghana34.5 [33.1, 35.2]
Kenya26.5 [25.6, 31.9]
Malawi26.9 [26.3, 31.6]
South Africa22.2 [21.6, 27.1]
Tanzania31.8 [31.4, 32.1]
The Gambia35.9 [35.2, 36.4]
Zambia26.6 [26.4, 27.3]

Health Relevance

Heat index represents perceived temperature combining air temperature and relative humidity. Values above 32°C indicate caution; above 41°C is dangerous.

Assigned
Mean Radiant Temperature
MRT (°C)
MRT Min — Median [IQR]
Burkina Faso15.2 [14.8, 19.3]
Ethiopia6.11 [5.70, 9.14]
Ghana19.7 [19.4, 20.3]
Kenya11.4 [10.5, 17.9]
Malawi11.5 [8.4, 17.7]
South Africa3.37 [2.82, 8.75]
Tanzania18.4 [18.2, 18.6]
The Gambia16.7 [15.7, 17.4]
Zambia8.9 [8.6, 15.0]
MRT Mean — Median [IQR]
Burkina Faso33.8 [33.5, 36.7]
Ethiopia23.2 [22.9, 26.1]
Ghana33.7 [33.3, 35.0]
Kenya27.2 [26.5, 32.8]
Malawi28.4 [26.6, 32.1]
South Africa22.4 [21.7, 26.9]
Tanzania33.3 [33.0, 33.7]
The Gambia34.6 [33.0, 35.3]
Zambia26.9 [26.6, 30.3]
MRT Max — Median [IQR]
Burkina Faso59.6 [59.4, 62.7]
Ethiopia47.9 [47.6, 50.9]
Ghana56.2 [55.9, 58.5]
Kenya49.7 [48.8, 55.1]
Malawi51.4 [50.7, 54.6]
South Africa46.6 [45.9, 54.7]
Tanzania54.6 [54.2, 55.1]
The Gambia59.9 [57.6, 60.9]
Zambia51.6 [51.3, 52.2]

Health Relevance

MRT represents the uniform temperature of surroundings causing the same radiant heat loss as the actual environment. Critical for understanding outdoor thermal comfort and solar radiation effects.

Assigned
Wet Bulb Temperature
Tw (°C)
Burkina Faso21.3 [20.9, 24.9]
Ethiopia16.2 [15.2, 17.4]
Ghana24.7 [24.2, 25.0]
Kenya19.6 [18.4, 23.1]
Malawi18.6 [18.1, 22.5]
South Africa15.4 [14.8, 18.8]
Tanzania23.7 [23.6, 24.0]
The Gambia22.1 [21.9, 22.8]
Zambia17.7 [17.5, 20.9]

Health Relevance

Values above 32°C are dangerous for prolonged exposure; above 35°C approaches the theoretical human survivability limit. Pregnant women are especially vulnerable due to increased metabolic demands.

Assigned
Humidex
Perceived Temperature (°C)
Burkina Faso38.4 [38.0, 41.5]
Ethiopia24.5 [22.9, 27.0]
Ghana40.2 [38.7, 40.8]
Kenya30.4 [28.8, 37.5]
Malawi29.5 [28.9, 36.8]
South Africa23.4 [22.8, 29.1]
Tanzania37.7 [37.5, 38.1]
The Gambia39.3 [38.9, 39.7]
Zambia28.7 [28.4, 32.5]

Health Relevance

Values 30–39°C cause discomfort; 40–45°C cause great discomfort; above 45°C is dangerous. Humidex is widely used in public health heat communications.

Assigned
Apparent Temperature
AT (°C)
Burkina Faso34.8 [34.5, 36.9]
Ethiopia21.6 [20.6, 24.0]
Ghana34.6 [33.9, 35.2]
Kenya26.7 [25.0, 30.6]
Malawi25.6 [25.0, 31.8]
South Africa18.8 [18.1, 23.9]
Tanzania30.6 [30.4, 31.0]
The Gambia35.1 [34.6, 35.5]
Zambia24.7 [24.4, 27.9]

Health Relevance

Combines effects of air temperature, humidity, and wind speed on thermal comfort. Represents the temperature perceived by an average person under given conditions.

Assigned
Net Effective Temperature
NET (°C)
Burkina Faso27.5 [27.3, 29.1]
Ethiopia17.9 [17.1, 19.6]
Ghana26.7 [26.4, 27.1]
Kenya21.7 [20.4, 24.3]
Malawi20.7 [20.2, 25.0]
South Africa15.1 [14.4, 20.2]
Tanzania24.0 [23.8, 24.3]
The Gambia27.9 [27.3, 28.3]
Zambia20.0 [19.7, 22.3]

Health Relevance

NET accounts for the combined effects of temperature, humidity, and air movement on thermal sensation. Used in bioclimatic assessments.

Assigned
Wind Chill Index
Perceived Temperature (°C)
Burkina Faso38.1 [37.7, 41.3]
Ethiopia23.4 [22.4, 26.0]
Ghana34.0 [33.6, 35.2]
Kenya27.7 [26.4, 32.5]
Malawi28.3 [27.2, 32.8]
South Africa22.1 [21.2, 29.6]
Tanzania31.5 [31.2, 31.9]
The Gambia38.5 [37.5, 39.4]
Zambia27.7 [27.4, 28.7]

Health Relevance

Wind chill combines air temperature and wind speed to estimate the cooling effect of wind on exposed skin. In hot climates, it serves as an indicator of how much ventilation mitigates heat exposure — values close to air temperature indicate still, hazardous conditions.

Assigned
Simplified WBGT
Simple Wet Bulb Globe Temperature (°C)
Burkina Faso30.1 [29.8, 32.4]
Ethiopia22.1 [21.1, 23.5]
Ghana31.8 [31.0, 32.2]
Kenya25.7 [24.7, 30.0]
Malawi25.1 [24.7, 29.5]
South Africa21.4 [21.0, 24.8]
Tanzania30.3 [30.2, 30.6]
The Gambia30.7 [30.5, 30.9]
Zambia24.5 [24.3, 27.0]

Health Relevance

The simplified WBGT (0.567×Tdb + 0.393×e + 3.94) uses dry-bulb temperature and vapour pressure, making it computable from standard meteorological data without solar radiation inputs. It provides a rapid screen for occupational heat stress and is widely used in epidemiological analyses.

04
🌬

Meteorological Conditions

3 indicators
Assigned
Wind Speed
Surface Wind (m/s)
Burkina Faso2.54 [2.49, 3.19]
Ethiopia1.54 [1.24, 2.37]
Ghana1.63 [1.57, 2.25]
Kenya2.39 [2.00, 4.49]
Malawi2.66 [2.52, 3.04]
South Africa4.70 [4.54, 5.45]
Tanzania4.25 [4.21, 4.37]
The Gambia2.88 [2.68, 3.07]
Zambia3.21 [3.13, 3.52]

Health Relevance

Wind speed affects thermal comfort by enhancing evaporative cooling. Important modifier in heat stress calculations across all study sites.

Assigned
Dew Point Temperature
Td (°C)
Burkina Faso11.3 [10.6, 21.4]
Ethiopia11.5 [10.6, 14.0]
Ghana21.5 [21.2, 22.2]
Kenya15.7 [13.8, 19.5]
Malawi13.9 [12.3, 18.7]
South Africa11.4 [5.90, 15.1]
Tanzania20.7 [20.5, 21.2]
The Gambia13.7 [13.0, 15.6]
Zambia11.9 [11.4, 17.6]

Health Relevance

High dew points (>20°C) impair the body's ability to cool through sweating. Dew point is often a better predictor of heat-related illness than relative humidity alone.

Assigned
Relative Humidity
Near-Surface Relative Humidity (%)
Burkina Faso41.7 [40.5, 69.8]
Ethiopia64.4 [60.9, 80.9]
Ghana69.9 [69.1, 80.3]
Kenya73.4 [66.0, 83.1]
Malawi59.3 [56.3, 74.1]
South Africa75.4 [50.2, 79.7]
Tanzania73.9 [72.9, 75.9]
The Gambia45.0 [43.0, 52.1]
Zambia56.2 [54.6, 71.5]

Dataset

ECMWF CAMS EAC4 Global Reanalysis
Variable: r (Near-surface relative humidity)
Derived from specific humidity and temperature

Health Relevance

High relative humidity impairs the body's ability to cool through sweating. Combined with high temperature, humid conditions create dangerous heat stress situations for pregnant women and outdoor workers. Burkina Faso and The Gambia show wide IQRs reflecting strong seasonal dry–wet cycles.

05
🌿

Precipitation & Vegetation

2 indicators
Assigned
Precipitation
Daily Rainfall (mm)
Burkina Faso1.81 [1.32, 3.92]
Ethiopia4.10 [3.78, 5.76]
Ghana3.60 [3.29, 5.63]
Kenya4.97 [3.16, 9.02]
Malawi2.32 [1.90, 3.80]
South Africa1.35 [1.06, 1.99]
Tanzania2.89 [2.63, 3.47]
The Gambia1.81 [1.45, 2.45]
Zambia2.07 [1.77, 3.81]

Health Relevance

Seasonal precipitation affects food availability, vector-borne disease transmission, and healthcare access. Rainfall anomalies have been associated with adverse birth outcomes across Sub-Saharan Africa.

Assigned
NDVI (Vegetation Index)
Normalized Difference Vegetation Index (-1 to 1)
Burkina Faso0.233 [0.226, 0.373]
Ethiopia0.302 [0.268, 0.390]
Ghana0.272 [0.254, 0.419]
Kenya0.458 [0.217, 0.555]
Malawi0.314 [0.277, 0.412]
South Africa0.210 [0.192, 0.300]
Tanzania0.184 [0.160, 0.267]
The Gambia0.260 [0.248, 0.310]
Zambia0.203 [0.164, 0.316]

Health Relevance

Residential greenness is associated with improved pregnancy outcomes. NDVI serves as a proxy for green space exposure which can mitigate urban heat island effects and reduce air pollution.

06
🌱

Geographic & Soil

6 indicators (static)
Assigned
Elevation
Altitude Above Sea Level (meters)
Burkina Faso294 [294, 341]
Ethiopia2,270 [2,180, 3,190]
Ghana118 [118, 320]
Kenya1,290 [1,230, 1,720]
Malawi1,090 [482, 1,320]
South Africa45.2 [27.6, 1,460]
Tanzania38.6 [28.3, 120]
The Gambia22.6 [22.6, 31.7]
Zambia1,210 [1,210, 1,270]

Dataset

MERIT DEM v1.0.3
Google Earth Engine: MERIT/DEM/v1_0_3
Resolution: ~90m

Health Relevance

Elevation influences atmospheric pressure, temperature patterns, and air quality. High-altitude environments are associated with adverse reproductive outcomes including low birth weight due to reduced oxygen availability.

Assigned
Soil Nitrogen (N)
Total Nitrogen (mg/kg)
Burkina Faso36 [36, 47]
Ethiopia108 [102, 143]
Ghana92 [92, 101]
Kenya86 [75, 93]
Malawi67 [61, 73]
South Africa78 [74, 92]
Tanzania69 [65, 70]
The Gambia65 [55, 65]
Zambia60 [60, 64]

Dataset

iSDAsoil Africa v1
ISDASOIL/Africa/v1/nitrogen_total
Band: mean_0_20 (0–20cm depth)

Health Relevance

Soil nitrogen affects food crop protein content and agricultural productivity. Low nitrogen contributes to maternal malnutrition and adverse pregnancy outcomes.

Assigned
Soil Phosphorus (P)
Extractable Phosphorus (mg/kg)
Burkina Faso21 [21, 22]
Ethiopia23 [23, 29]
Ghana23 [20, 23]
Kenya27 [24, 30]
Malawi27 [24, 29]
South Africa26 [26, 28]
Tanzania24 [24, 25]
The Gambia22 [22, 24]
Zambia24 [23, 24]

Dataset

iSDAsoil Africa v1
ISDASOIL/Africa/v1/phosphorus_extractable

Health Relevance

Phosphorus is essential for root development and crop yield. Deficient soils reduce agricultural productivity and affect household food security during pregnancy.

Assigned
Soil Organic Carbon
Organic Carbon Content (g/kg)
Burkina Faso43 [42, 43]
Ethiopia55 [54, 61]
Ghana46 [45, 46]
Kenya53 [49, 59]
Malawi51 [48, 52]
South Africa47 [46, 56]
Tanzania46 [46, 50]
The Gambia40 [40, 42]
Zambia47 [46, 47]

Dataset

iSDAsoil Africa v1
ISDASOIL/Africa/v1/carbon_organic
Band: mean_0_20 (0–20cm depth)

Health Relevance

Soil organic carbon is a key indicator of soil fertility and water retention capacity. It affects food crop quality and micronutrient availability, which in turn influence maternal nutritional status during pregnancy.

Assigned
Soil Potassium (K)
Extractable Potassium (mg/kg)
Ethiopia55.0 [55.0, 57.0]
Ghana46.0
Kenya53.0 [49.0, 56.0]
Malawi51.0 [50.0, 51.0]
South Africa47.0 [46.0, 50.0]
Zambia47.0 [46.0, 47.0]

Health Relevance

Potassium regulates water uptake and disease resistance in crops, affecting agricultural productivity and food security.

Assigned
Soil Calcium (Ca)
Extractable Calcium (mg/kg)
Ethiopia73.0 [72.0, 73.0]
Ghana69.0
Kenya72.0 [69.0, 75.0]
Malawi66.0 [66.0, 70.0]
South Africa68.0 [64.0, 69.0]
Zambia65.0 [65.0, 66.0]

Health Relevance

Calcium is critical during pregnancy for fetal bone development and blood clotting. Maternal calcium deficiency has been associated with pre-eclampsia and low birth weight.

07
📈

Socioeconomic Context

1 indicator
Assigned
Relative Wealth Index
RWI (standardised, unitless)
Burkina Faso-0.571 [-0.571, 0.013]
Ethiopia0.273 [-0.090, 1.10]
Ghana1.25 [1.24, 1.25]
Kenya0.729 [0.564, 1.45]
Malawi0.349 [-0.250, 1.52]
South Africa1.17 [0.937, 1.25]
Tanzania1.32 [1.22, 1.82]
The Gambia0.504 [-0.015, 0.504]
Zambia1.83 [1.31, 1.91]

Dataset

Meta / Facebook Relative Wealth Index
Chi et al. (2022) Nature Communications
Resolution: ~2.4 km tiles

Methodology

The RWI is derived from satellite imagery and mobile connectivity data using machine learning, calibrated against survey-based wealth indices. Positive values indicate relative wealth; negative values indicate relative poverty compared to the regional mean.

Health Relevance

Socioeconomic status modifies heat vulnerability — lower wealth is associated with reduced access to cooling, poor housing, and outdoor labour. RWI enables adjustment for wealth as a confounder in heat-health analyses and helps identify high-risk populations.

08
🏙

Urbanization & Built Environment

1 indicator
Assigned
GHSL Urban Degree
Settlement Model Grid (SMOD code, unitless)
Burkina FasoVery Low Density Rural (88%)
EthiopiaUrban Centre (51%)
GhanaUrban Centre (78%)
KenyaUrban Centre (35%)
MalawiUrban Centre (32%)
South AfricaUrban Centre (73%)
TanzaniaUrban Centre (100%)
The GambiaDense Urban Cluster (61%)
ZambiaUrban Centre (93%)

Dataset

Global Human Settlement Layer (GHSL)
JRC/GHSL/P2023A/GHS_SMOD
Available years: 2000, 2005, 2010, 2015, 2020, 2025

SMOD Code Reference

30 = Urban Centre 23 = Dense Urban Cluster 21 = Semi-Dense Urban Cluster 12 = Low Density Rural 11 = Very Low Density Rural

Code Distribution by Site

Burkina Faso: SMOD code 11 (88%) — Very Low Density Rural Ethiopia: SMOD code 30 (51%) — Urban Centre dominant Ghana: SMOD code 30 (78%) — Urban Centre Kenya: SMOD code 30 (35%) — Urban Centre Malawi: SMOD code 30 (32%) — Urban Centre South Africa: SMOD code 30 (73%) — Urban Centre Tanzania: SMOD code 30 (100%) — Urban Centre The Gambia: SMOD code 23 (61%) — Dense Urban Cluster Zambia: SMOD code 30 (93%) — Urban Centre

Health Relevance

Urbanization level influences exposure to air pollution, urban heat islands, and noise — all affecting pregnancy outcomes. GHSL provides consistent classification across African settings.

09
🌎

Climate Classification

1 indicator
Assigned
IPCC Climate Zone
Climate Classification (categorical)
Burkina FasoCold — code 4 (100%)
EthiopiaTropical — code 1 (84%)
GhanaTemperate — code 3 (100%)
KenyaTropical — code 1 (89%)
MalawiTemperate — code 3 (39%)
South AfricaTropical — code 6 (91%)
TanzaniaTemperate — code 3 (99%)
The GambiaTemperate — code 3 (61%)
ZambiaTropical — code 1 (93%)

Dataset

IPCC Climate Zones Raster
Based on temperature and precipitation patterns
Code: 1=Tropical, 3=Temperate, 4=Cold, 5=Polar, 6=Boreal/other

IQR of Zone Code by Site

Burkina Faso: code 4 [4, 4] Ethiopia: code 1 [1, 5] Ghana: code 3 [3, 3] Kenya: code 1 [1, 4] Malawi: code 3 [1, 4] South Africa: code 6 [6, 6] Tanzania: code 3 [3, 3] The Gambia: code 3 [3, 4] Zambia: code 1 [1, 3]
10

Pending Exposure Variables

3 indicators awaiting assignment
Awaiting Assignment
Extreme Heat Days
Days exceeding threshold (%)
StatusTo be calculated
PriorityHigh — Acute heat exposure

Health Relevance

Percentage of exposure days exceeding the local 95th percentile. Studies show trimester-specific effects of extreme heat on preterm birth risk.

Awaiting Assignment
Land Surface Temperature
Surface Temperature (°C)
StatusData source identified
PriorityMedium — Urban heat islands

Planned Dataset

MODIS LST (MOD11A1/MYD11A1)
Landsat thermal bands

Health Relevance

LST captures the actual thermal environment at ground level and is useful for identifying localized heat exposure in urban settings.

Awaiting Assignment
Diurnal Temperature Range
Daily Temperature Variation (°C)
StatusTo be calculated
PriorityMedium — Temperature variability

Health Relevance

Large day-night temperature swings may stress thermoregulatory systems. Preconceptional and prenatal exposure to high diurnal variation is associated with adverse pregnancy outcomes.

Supporting Literature

1. Chersich MF, et al. Associations between high temperatures in pregnancy and risk of preterm birth, low birth weight, and stillbirths: systematic review and meta-analysis. BMJ. 2020;371:m3811.
2. Bekkar B, et al. Association of Air Pollution and Heat Exposure With Preterm Birth, Low Birth Weight, and Stillbirth in the US. JAMA Netw Open. 2020;3(6):e208243.
3. Zhang Y, et al. Temperature exposure during pregnancy and birth outcomes: An updated systematic review. Environ Pollut. 2017;225:700-712.
4. Li F, et al. Effects of PM2.5 exposure on perinatal complications: systematic review and meta-analysis. BMC Pregnancy Childbirth. 2025;25(1):686.
5. Gasparrini A, et al. Mortality risk attributable to high and low ambient temperature: a multicountry observational study. Lancet. 2015;386(9991):369-375.
6. Grace K, et al. Linking climate change and health outcomes: temperature, precipitation and birth weight in Africa. Glob Environ Change. 2015;35:125-137.

Funding Acknowledgement

The research is supported by the Fogarty International Center, the National Institute of Environmental Health Sciences (NIEHS), the Data Science for Health Discovery and Innovation in Africa (DS-I Africa) and the Office of Strategic Coordination (OSC) of the National Institutes of Health under Award Number U54TW012083. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.