Building climate resilient healthcare systems through interventions in Gujarat India

Climate change poses significant challenges to healthcare systems, particularly in maintaining service delivery during extreme weather events. Healthcare facilities (HCFs) must become climate-resilient to sustain essential services amidst these disruptions. This study aimed to identify existing gaps at the HCFs regarding preparedness for climatic hazards and handholding healthcare facilities in developing an understanding and implementing interventions for building climate resilience in line with various global and national guidelines. This study assessed the preparedness of 31 public HCFs across eight districts in Gujarat, India, spanning diverse climatic risk zones. A digital assessment tool was developed, using a mixed-method approach to evaluate key domains: water management, energy conservation, waste management, and infrastructure. Quantitative data captured compliance across 51 indicators, while thematic analysis of interviews provided qualitative insights into facility-level challenges and resilience strategies. Findings revealed moderate compliance with energy conservation practices and significant gaps in water management and waste disposal mechanisms. Facility-specific action plans addressed rainwater harvesting, solarization, herbal gardens, and capacity-building measures. Implemented interventions included handholding support for technical upgrades, fostering community collaborations, and demonstrating improved compliance in critical areas. This study emphasizes the need for tailored, context-specific strategies to strengthen HCF resilience against extreme events. It emphasizes the role of leadership, multisectoral collaboration, and sustained investment in infrastructure and workforce capacity for long-term climate resilience in healthcare.