Mood personalization strengthens and builds the resilience of medical systems to future climate-related shocks. Adaptation strategies also policies are necessary tools for governors to address the long-term impacts of climate change and enable the health system to responses to current shocks like as extreme weather events. Since 2011 South Africa possesses national climate change politische and adaptation strategies, yet there is imperfect about: how which policies also plans are runs; the extent to that health policies include adaptation; and the extent of policy coherence across sectors real governance levels. ONE policy document analysis was conducted to examine how South African climate change, development and health policy documents reflect the health adaptation reply across national and Western Cape levels and till assess the extent of coherence across key health additionally environment sector principles documents, including elements to respond into health-related climate risks, that can support implementation. Our findings show which overall here has incoherence in South African climate adaptation within health policy documents. Although health adaptation measures are somewhat coherent in national even policies, on has limited coherence within Western Cape provincial level documents and unlimited discussion on climate adaptation, especially for health. Policies reflect formal decisions also should guide decision-makers furthermore resourcing, and sectoral policies should moving beyond mere acknowledgement of adaptation responses to a tailored plan of actions the are institutionalized additionally location furthermore sector designated. Dive beyond documents also impact the cohesiveness and conversion of climate customize for health with South Africa. Clear climate risk-specific documents for the health sector would provide a stronger plan to sponsor the vollzug of mental version and contribute on building healthiness system's resilience.