Climate change is creating new risks to already burdened human health in the Federated States of Micronesia (FSM), in particular through increasing the exposure of humans to vector-,water- and food-borne diseases. The project will build on the National Climate Change and Health Action Plan (NCCHAP) to transition from the current, highly vulnerable situation to a climate-resilient and sustainable health system with the capacity to prepare for and manage changing human health risks associated with vector-, water- and food-borne diseases over coming decades. To do so, the project will (i) enhance policies, capacities and interdisciplinary collaboration to mainstream and manage these climate- sensitive health risks; (ii) develop integrated climate and health information systems; (iii) and implement on-ground adaptation interventions in priority vulnerable communities to cope with vector-, water- and food-borne diseases.