Afghanistan regularly experiences extreme weather and geological hazards resulting in a high burden of mortality, health systems impacts, and economic damage. With climate change and seismic risks, Afghanistan’s health system must adapt by identifying vulnerabilities and enhancing preparedness.

This research reviewed the existing tools for assessing health facility preparedness. In addition, through expert involvement, a simplified assessment tool was developed for health facilities to identify gaps in preparedness and recommending ‘low-hanging fruit’ solutions.