Climate change drives socio-environmental shifts in Sub-Saharan Africa, disproportionately impacting marginalized groups. This scoping review aims to document the impacts of climate change, explore its effects on gender, migration, and sexual and reproductive health (SRH), while also mapping adaptation strategies.

A systematic approach was employed to review peer-reviewed articles, gray literature, and relevant policy documents sourced from major academic databases and authoritative international organizations. The inclusion criteria focused on studies published between 2000 and 2025 that addressed climate change and its associated impacts in Sub-Saharan Africa and explored intersections with gender, migration, or SRH. Data were extracted using a standardized form and synthesized thematically to identify patterns, disparities, and interconnections in climate-related vulnerabilities across affected populations.

Findings from the 22 included studies revealed that climate change disproportionately affects women, girls, and adolescents in Sub-Saharan Africa. These impacts are reflected in the deepening of existing gender inequalities, significant disruptions to SRH service availability and accessibility, and heightened vulnerability during migration and displacement events. Though limited in scale and depth of implementation, studies have also documented gender-responsive adaptation strategies, such as community-led resilience initiatives, local coping mechanisms, and targeted policy interventions, highlighting emerging models of localized adaptation and response.

Climate change presents a significant and multifaceted threat to adolescents, youth, and women, particularly in relation to SRH, gender inequality, and migration. Effectively addressing these challenges requires integrated, multidisciplinary approaches and inclusive policies that prioritize vulnerable populations.