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The document details a project by the Mahila Housing Trust (MHT) and Selco Foundation to upgrade the home of Dipika ben Malik, a seamstress in the Bhagwatinagar slum of Ahmedabad. The original structure, featuring an asbestos roof and low plinth, caused productivity losses and increased electricity costs during heatwaves and flooding. The intervention replaced the roof with PUF panels, raised the plinth level, and solarized appliances, creating a climate-resilient environment that protects the resident's income and living conditions.

In Iloilo City, Philippines, a long-term partnership between the local government and the Homeless People’s Federation of the Philippines Inc. (HPFPI) has transitioned vulnerable residents from informal settlements in flood-prone waterways to secure, centrally located housing. This participatory approach replaced previous forced evictions and underdeveloped relocation sites with community-driven planning and innovative financing. The program has supported 1,250 households in resettlement and established over 560 collective savings groups to provide low-interest loans for land and construction, bypassing traditional finance schemes that often exclude the lowest income segments. The initiative has integrated urban poor representatives into city government boards for resettlement, disaster risk, and land use planning.

The Urban Wage Employment Initiative (UWEI) was launched by Odisha's Housing and Urban Development Department in 2020 to combat unemployment and poverty among urban poor and migrant workers during COVID-19 lockdowns. The program employed 700,000 workers and paid $12 million in wages, focusing on climate-resilient public works such as rainwater harvesting and flood mitigation. By utilizing community organizations as 'alternative service providers' instead of professional contractors, the program ensured benefits remained local and reached marginalized groups. The success of UWEI led to its conversion in February 2021 into a permanent program called MUKTA (Mukhyamantri Karma Tatpara Abhiyan), establishing a precedent for pro-poor urban employment schemes in India.

This report section analyzes the increasing vulnerability of the urban poor to extreme heat across 54 high-impact countries in 2022, highlighting a rise in the population at high risk due to lack of access to cooling.

The South Asia Regional Resilience Dialogue emphasizes the need to reposition local actors, particularly women and youth, as agents of change rather than victims. It identifies systemic barriers such as top-down interventions, limited recognition of women's efforts, and inflexible financial architectures. The document advocates for decentralized finance delivery, the co-creation of knowledge, and the mobilization of diverse funding sources, including private sector investment and microfinance, to ensure climate resources reach the most vulnerable populations.

Cooling access gaps for the rural and urban poor grew across all analyzed regions in 2021. In Africa, 776 million people across 31 high-impact countries face cooling challenges, with 215 million urban poor at highest risk. In Asia and the Middle East, the population at highest risk rose to 645 million in 2021, with significant rural poor increases in India and Bangladesh. In Latin America and the Caribbean, the number of people at highest risk in six high-impact countries reached 48.8 million, with the majority being the urban poor.

The report examines climate variability and projections for Kampala, finding that while annual rainfall has remained stable, temperatures rose by approximately 1ºC between 1979 and 2005. Future projections suggest temperature increases of 1.5ºC (RCP 4.5) to 3ºC (RCP 8.5) by 2095. The study highlights that flooding is the most significant climate impact, exacerbated by the encroachment of human settlements into wetlands and poor urban drainage. Economic estimates indicate that annual flood damages could rise from US$1.3–7.3 million in 2013 to US$33.2–101.7 million by 2050 under a business-as-usual scenario. The cost of climate-proofing buildings and roads between 2015 and 2050 is estimated at US$3.2 billion (RCP 4.5) to US$3.7 billion (RCP 8.5), with residential buildings accounting for 72% of these costs. A cost-benefit analysis of drainage improvements in four catchments showed mixed results, with only two projects yielding a positive net present value. The report recommends revising building codes and the Kampala Physical Development Plan, strengthening the enforcement of Environmental Impact Assessments to protect wetlands, and integrating informality into climate resilience strategies.