Samwel Victor Manyele, Honest Anicetus
ABSTRACT This study assesses Tanzanian healthcare facilities’ vulnerability to climate change and evaluates adaptation strategies for resilient health systems. Using mixed methods, it identifies major risks—floods, heatwaves and droughts—linked to weak infrastructure, poor WASH and unreliable energy. Retrofitting reduced disruptions by 50%–80% and was 60% more cost‐effective than rebuilding. Renewable energy and sustainable procurement lowered costs and emissions, though finance, expertise and enforcement remain barriers. Strengthening retrofitting, WASH, energy integration and partnerships is recommended.