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This study provides an analysis of the current level of integration of disaster risk reduction (DRR) and climate change adaptation (CCA) in the region, with an emphasis on the institutional and policy environment. The analysis presented includes seven Pacific island countries (Cook Islands, FSM, Fiji, Palau, Samoa, Tonga, and Vanuatu). The study shows that despite the fact that there is typically a low level of integration at the operational level, countries are making efforts to develop Joint National Action Plans (JNAPs) for DRM and CCA, as well as move towards integrating their institutional platforms for DRR and CCA.