This report is an independent, end-of-phase evaluation of the “Scaling up Locally Led Adaptation, Nature-based Solutions, and Financing for Adaptation Programme”, conducted by GOPA Meta Meta. The Programme is under the Bangladesh Climate and Environment Programme (BCEP), funded by the FCDO. 

The Climate Resilient Water Services Masterclass is a practical training programme developed by the Global Center on Adaptation, in collaboration with IRC WASH, to strengthen the capacity of water and sanitation professionals to address climate risks in service planning, infrastructure and operations.

This report presents healthcare as a complex system of systems—a network of interdependent components including water, energy, waste, digital and transport services, all susceptible to climate-related hazards. This interconnectedness makes health infrastructure especially vulnerable to climate change, as disruptions in one area can trigger cascading effects across the entire system. By mapping these interdependencies, this report identifies targeted adaptation strategies to prevent such chain reactions and ensure the continuous delivery of healthcare services.