Health risks from climate change are increasing and becoming a critical global concern. Implementation of health adaptation policies is vital, particularly in settings with high socioeconomic vulnerability and physical exposure to climate-risks, such as the Philippines. We identified from the literature a set of reference principles and categories of barriers to the implementation of national health adaptation policy. These were then used to assess the extent to which these policy principles and barriers are evident in Philippine national health adaptation. This assessment was undertaken based on data and information from policy analysis, key informant interviews, and an expert workshop. The results suggest that the Philippines have made notable progress on health adaptation by establishing a strong policy framework. However, implementation remains challenging and requires continued commitment. The health adaptation policy principles identified in the Philippines are policy congruence, mainstreaming, multi-sectoral approach, multiscale approach, adaptive management, and evidence-based decision-making. The most important implementation barriers are uncertain leadership, appropriateness and longevity of the governance structures within the Department of Health, and data and evidence. The value of considering policy principles alongside implementation barriers is twofold. First, this enables understanding of how implementation barriers relate directly to policy principles. Second, it facilitates identification of future implementation barriers that may arise in relation to current policy principles. Multi-sectoral governance and the integration of evidence in decision-making arose as potential future challenges in the Philippines. These areas may require special consideration in future policy design and planning.

气候变化带来的健康风险正在增加，并成为全球关注的重要问题。健康适应政策的实施至关重要，尤其是在社会经济脆弱性和身体暴露于气候风险的环境中，例如菲律宾。我们从文献中确定了一套参考原则和实施国家健康适应政策的障碍类别。然后将这些用于评估这些政策原则和障碍在菲律宾国家健康适应中的明显程度。该评估是根据政策分析、关键知情人访谈和专家研讨会的数据和信息进行的。结果表明，菲律宾通过建立强有力的政策框架在健康适应方面取得了显着进展。然而，实施仍然具有挑战性，需要继续作出承诺。菲律宾确定的健康适应政策原则是政策一致性、主流化、多部门方法、多尺度方法、适应性管理和基于证据的决策。最重要的实施障碍是卫生部内治理结构的不确定性、适当性和寿命，以及数据和证据。在考虑实施障碍的同时考虑政策原则的价值是双重的。首先，这有助于了解实施障碍如何与政策原则直接相关。其次，它有助于识别与当前政策原则相关的未来实施障碍。菲律宾未来面临的潜在挑战是多部门治理和决策中证据的整合。在未来的政策设计和规划中，这些领域可能需要特别考虑。