This Adaptation Insights report addresses how health systems can be made climate resilient to sustain value chains, healthcare services, and access to care. It introduces two complementary conceptual frameworks that provide a systematic basis for identifying disruptions and guiding adaptation. Together, they examine resilience from two perspectives: maintaining healthcare service provision, including facilities and assets, and ensuring sustained access to healthcare for patients, populations, and vulnerable groups, ultimately leading to actionable adaptation strategies.

This Adaptation Insight builds on GCA’s technical assistance under the Africa Adaptation Acceleration Program, which has influenced DCAS integration across 17 major agricultural investment projects across Africa with the potential to improve resilience for millions of smallholder farmers. It draws on the expertise and insights developed in deep collaboration and engagement with governments, international finance institutions, CGIAR and private sector partners to provide a practical roadmap for moving from scattered pilots to scalable, country-owned national systems.

This Adaptation Insights builds on GCA technical assistance to integrate green and grey adaptation measures into large-scale infrastructure investment programs under the Africa Adaptation Acceleration Program. It further draws on advanced research conducted by the Environmental Change Institute at the University of Oxford, in partnership with GCA, on the application of spatial analytics and financial frameworks to scale nature-based solutions for transport infrastructure resilience globally (Scaling Investments for NbS: GCA portal). The observations presented reflect cumulative evidence and experience derived from collaboration with multilateral development banks and implementation partners engaged in mainstreaming climate adaptation within infrastructure planning and finance.

This Adaptation Insights on Ports is the result of a collaborative effort between the Global Center on Adaptation (GCA) and Delft University of Technology (TU Delft), developed by Adele Cadario (Global Lead), Anne-Laure Solnon (Specialist), and Abraar Ahmad (Program Officer) from GCA, and Jasper Verschuur (Assistant Professor) from TU Delft, under the guidance of Nitin Jain (Sr. Director Programs, GCA).