The project follows a multi-phase, mixed-methods implementation research design across selected hospitals representing diverse climatic settings. 

Key activities include: 

• Linking high-resolution climate data with retrospective and prospective hospital health records.  

• Conducting Climate–Health Vulnerability Assessments (CHVA) at the hospital level.  

• Assessing facility-level vulnerabilities related to infrastructure, energy, water, sanitation, waste management and other relevant domains.  

• Developing and operationalising Hospital Climate Action Plans (H-CAPs).  

• Engaging relevant hospital departments, including clinical services, public health, hospital administration, engineering and maintenance, infection control, biomedical waste management and information technology.  

• Piloting feasible climate adaptation and mitigation measures, including heat management, climate-resilient WASH and waste systems, energy efficiency and workforce safety measures.  

• Undertaking stakeholder engagement, capacity-building activities, workshops and simulation/mock exercises as part of implementation.  

• Monitoring, documentation and evaluation of implementation activities and outcomes.  

• Using a centralised data collection and monitoring platform to support standardised tracking and documentation across participating hospitals.