• Climate Adaptation, Health Governance, and Institutional Resilience: A Global Scoping Review

    Authors and Affiliations  

    Munir Ahmad
    Ph.D. Scholar
    Muslim Youth (MY) University, Islamabad, Pakistan
    Corresponding Author E-mail: munirahmadkhan967@gmail.com
    ORCID: 0009-0001-4769-6311

    Waseem Khokhar
    Dr.
    Assistant Professor, Muslim Youth (MY) University, Islamabad, Pakistan
    E-mail: waseem.khokhar@myu.edu.pk

    Sarbiland
    Dr.
    Assistant Professor, Muslim Youth (MY) University, Islamabad, Pakistan
    E-mail: dr.sarbiland@myu.edu.pk

    Keywords

    Climate Adaptation Healthcare Systems Institutional Resilience Health Governance Sustainable Development Climate Resilience Adaptation Strategies Policy Frameworks Healthcare Preparedness Scoping Review

    Abstract

    Climate change has emerged as one of the most significant global challenges affecting public institutions, social systems, and sustainable development. Healthcare systems are increasingly required to adapt to climate-related risks while strengthening their resilience, preparedness, and institutional capacity. Despite growing scholarly attention to climate adaptation, a comprehensive synthesis of adaptation strategies implemented across healthcare settings remains limited. This scoping review aims to examine global initiatives related to climate adaptation in healthcare systems, identify major thematic areas, explore geographical patterns, and highlight key research and policy gaps. The study follows the methodological framework of Arksey and O'Malley and adheres to the PRISMA-ScR reporting guidelines. A systematic search was conducted across PubMed, Scopus, Web of Science, CINAHL, and selected grey literature sources, covering publications from 2000 to 2024. Following screening and eligibility assessment, 147 sources were included in the review. The analysis identified six major adaptation domains: resilient healthcare infrastructure, climate-sensitive disease surveillance and early warning systems, workforce preparedness and capacity development, resilient medical supply chains, mental health adaptation, and governance and policy frameworks. The findings reveal considerable geographical disparities in adaptation research and implementation, with most evidence originating from high-income countries, while climate-vulnerable low- and middle-income countries remain underrepresented. The review suggests that climate adaptation within healthcare systems is advancing but remains uneven, fragmented, and insufficiently integrated into broader governance and sustainability frameworks. Strengthening institutional resilience, policy coordination, workforce preparedness, and long-term adaptation planning is essential for improving the capacity of healthcare systems to respond effectively to climate-related challenges.

    How to Cite

    Ahmad, M., Khokhar, W., & Sarbiland. (2026). Climate Adaptation, Health Governance, and Institutional Resilience: A Global Scoping Review. Science, Education and Innovations in the Context of Modern Problems, 9(8), 1–16.

    Publication History

    Received October 02, 2025
    Accepted May 13, 2026
    Published Online June 07, 2026

    Open Access and Licensing

    © 2026 The Author(s).

    Published by Science, Education and Innovations in the Context of Modern Problems (SEI) under the auspices of IMCRA – International Meetings and Conferences Research Association (Azerbaijan).

    This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0).

    CC BY 4.0 License

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