Abstract
Abstract
We live in an era where climate considerations are becoming increasingly significant, particularly those that significantly undermine development efforts. Climate change ranks among the major challenges, and Africa is among the regions most affected. In light of these challenges, adaptation appears to be an absolute priority. This article explores key adaptation measures for the health sector in Niger. Through two complementary analyses (SWOT and DEA), it highlights strategies to respond to immediate crises and strengthen resilience to climate change. The results highlight strengths and opportunities to be seized, including risk awareness, health development planning, the potential for international funding, lessons learned, and best practices at the regional level. However, they also point to threats and weaknesses that hinder the system’s performance (only 47%). These are linked to the evolving context of climate change, scientific uncertainty, stakeholders’ limited adaptive capacities, and insufficient funding for the sector.