This field note discusses the risks of climate change and the adaptation measures that need to be taken to minimize these risks. Adaptation can be seen as an opportunity to improve current systems of working, enhance policy and design procedures, and bring communities together as they face a common problem. In this report, the major issues of climate change as they affect rural and urban water supply and sanitation in India are addressed through a risk screening of the WSP’s work during 2009-10. In addition, recommendations on adaptation measures, and a draft action plan, are also presented.