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The review of 15 African and Asian countries reveals consistent adaptation priorities in agriculture, fresh water, and human health, with significant activity in the agriculture sector. While most countries have initiated National Adaptation Plan (NAP) processes and integrated climate change into national development plans, progress is limited in subnational mainstreaming and the establishment of monitoring and evaluation systems.

The document analyzes adaptation efforts in 15 countries across Africa and Asia, highlighting a universal prioritization of the agricultural sector and significant gaps in subnational planning and monitoring systems. While national-level policy frameworks are advancing, the review identifies a persistent lack of adaptation programming in health, forestry, and fisheries, and notes that progress is driven more by political leadership and donor priorities than by development status or climate risk levels.