Climate-Driven Water Scarcity and Its Public Health Implications: A Multi-Regional Assessment Across Vulnerable Socio-Ecological Systems

Climate change is reshaping global hydrological cycles, intensifying scarcity and heightening health risks in vulnerable regions. This study examines the health impacts of climate-driven water scarcity across the Middle East, South Asia, and Sub-Saharan Africa using data on water availability, climate variability, and health outcomes. The study uses a multi-regional mixed methods approach that brings together climate, hydrology, governance, and health data to explore how climate-driven water scarcity affects public health in South Asia, Sub-Saharan Africa, and the MENA region. It combines quantitative climate and health indicators with qualitative evaluations of water system vulnerability to compare exposure pathways and health outcomes across regions. Findings show that rising temperatures, altered rainfall, declining groundwater, and recurrent droughts undermine water security, leading to increased disease burdens through four pathways: (1) waterborne illnesses from unsafe or insufficient supplies; (2) reduced hygiene due to limited access; (3) food insecurity from crop failures; and (4) mental health stress, conflict, and displacement from water competition. Women, children, and low-income households face disproportionate impacts. Current adaptation measures are fragmented, highlighting the need for integrated water governance to build climate resilience. Recommended strategies include community-based water safety planning, digital water monitoring, and embedding health metrics in climate–water policies. This cross-regional analysis supports equitable, climate-resilient health systems and informs interventions to mitigate water scarcity under accelerating climate change. This study directly supports global policy agendas by providing evidence that advances the objectives of the Sustainable Development Goals and international frameworks on climate resilience, water security, and food and health protection.