The heat exposure, sensitivity and adaptive capacity of informal settlement residents were assessed through a combination of climate analyses, semi-structured interviews with local government actors and informal settlement residents, unstructured interviews with health sector respondents, a health impacts literature review, and a stakeholder engagement workshop. This paper addresses this knowledge gap through a mixed-methods analysis of the heat-health vulnerability of informal settlement residents in Dar es Salaam, Tanzania. Little research has examined the heat vulnerability of urban informal settlements residents in Africa, even though surface temperatures across Africa are projected to increase at a rate faster than the global average. Cities have been recognized as areas of particular vulnerability to heat’s impacts on health, and marginalized groups, such as the poor, appear to have higher heat-related morbidity and mortality. Increases in temperature have been linked to both increasing mortality and morbidity. Heat has the potential to become one of the most significant public health impacts of climate change in the coming decades.

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