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The Regional Network for Equity in Health in East and southern Africa (EQUINET) identifies health equity as being affected by conditions and actions across multiple thematic areas. It sought to understand the intersect between climate change and health equity through the outcomes of five webinars and two rapid reviews and an online review meeting organised to explore these intersects. The webinars and briefs focused on selected thematic areas EQUINET has identified as central to health equity in the region, including health rights, food systems, urban health, extractives and health, trade and health, primary health care and tax justice. This synthesis report presents a thematic analysis of the briefs from the webinars and rapid reviews (separately available on the EQUINET website), and from an online review meeting on the findings. It outlines how climate change is intersecting with the various dimensions of health equity, including social inequalities and vulnerabilities in health, and the approaches underway or proposed to address these impacts and to promote health equity in the face of climate change, including for future work in EQUINET. It is shared as an interim product that we will update following EQUINET’s ongoing work in 2025.