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A climate vulnerability and capacity assessment in Chad

Categories: Action Line 1: Surveillance and monitoring, Climate-transformative leadership and governance, Health systems wide resilience

Country: Chad

Organizations: Climate Action Accelerator

The intervention

Chad is highly vulnerable to climate change, posing significant threats to health systems and population health. In Ngouri, a rural area in the Lac Region, these climate stressors have led to worsening health outcomes and strained healthcare services. Without adaptation measures, facilities will struggle to maintain essential services amid escalating climate pressures. This case study presents a facility-adapted climate vulnerability and capacity assessment (VCA) for a rural hospital in Chad, identifying key risks and prioritising solutions to enhance climate resilience. This case study describes the development and implementation of a facility-adapted climate VCA in a high-vulnerability, low-resource setting and outlines prioritised solutions for an actionable adaptation plan. 

Success factors

The success of the climate VCA in Chad was driven by its participatory, multidisciplinary, and context-adapted design. The project brought together hospital leaders, health workers, government agencies, NGOs, and technical experts under a shared governance structure that fostered ownership and coordination. Using WHO frameworks as a foundation, the team adapted assessment tools to local realities through focus groups, storytelling, and pictorial materials, ensuring accessibility and cultural relevance. Stakeholder workshops were then used to prioritise feasible actions, while progress was monitored through routine hospital reporting systems - embedding resilience planning directly into facility operations and staff culture. 

Recommendations

Replication of this intervention requires grounding assessments in local context while maintaining alignment with global tools and standards. Participatory prioritization workshops help identify interventions that are feasible and cost-effective. Establishing inclusive, multidisciplinary teams ensures that the assessment and adaptation planning are technically sound and locally owned. Finally, aligning facility-level action plans with national health and climate strategies helps secure long-term financing and institutionalize climate resilience within the health system. 

Key resources

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