Climate change poses increasing health risks across Africa, yet health remains underrepresented in most countries’ national adaptation agendas. This brief examines the extent to which health considerations are integrated into the climate change agendas of eight countries in sub-Saharan Africa and offers actionable recommendations to guide governments and key stakeholders in building climate-resilient health systems. The cross-country assessment reveals varying levels of progress, offering valuable insights into what works and where further support is needed. Some countries in this study have begun incorporating health considerations into climate adaptation efforts through the development of Health National Adaptation Plans (HNAPs), establishment of One Health initiatives, and implementation of climate-smart health pilot projects. Weak cross-sectoral coordination, narrow recognition of health–climate linkages, and limited financing for mental health, pollution-related illnesses, and community-based services remain key gaps. To strengthen resilience, countries should mainstream health into their adaptation strategies, introduce health tagging in budgets, build institutional capacity, and invest in data systems for inclusive, evidencebased climate–health planning.