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This report, produced by the International Institute for Sustainable Development (IISD) for the UNDP, evaluates climate risks and management capacities within Nicaragua's health sector. It identifies a strong correlation between extreme weather events—such as floods and droughts—and the prevalence of waterborne and vector-borne diseases, while highlighting systemic vulnerabilities in water access, sanitation, and health infrastructure. The document recommends integrating climate risk management into national health policies and improving inter-institutional coordination to protect public health and achieve broader development goals.