The Global Center on Adaptation (GCA) is supporting the Islamic Development Bank (IsDB) in integrating climate adaptation and resilience into Sokoto State’s health system through the Sokoto Climate Resilient Healthcare Infrastructure Project.

This report identifies, evaluates, and prioritizes green and grey adaptation and resilience measures that address the key climate risks to the Sokoto Health system in Nigeria, identified as extreme heat, wildfires and pluvial flooding. The proposed adaptation measures include asset-level interventions tailored to different facility archetypes, as well as system-level strategies focused on energy resilience, asset management and lifecycle planning, road connectivity resilience, and institutional strengthening. The report also outlines an implementation roadmap spanning the immediate (0–2 years), short-term (2–5 years), and medium-term (5–15 years) horizons.