The Green Climate Fund (GCF) is a key institution in the global architecture for responding to the challenges of climate change. It advances and promotes a paradigm shift towards low-emission and climate-resilient development, supporting countries and their development partners in doing so, as per the objectives and targets set by the global community. GCF funding and financing are delivered to support the achievement of both mitigation and adaptation results, in line with the global and national priorities articulated in the United Nations Framework Convention on Climate Change (UNFCCC) and the 2015 Paris Agreement on climate change. The GCF delivers programmes and projects targeting eight mitigation and adaptation result areas (RAs), identified for their “potential to deliver a substantial impact on mitigation and adaptation” (Green Climate Fund, 2021b). As outlined in relevant Board decisions, the RAs were to serve as a basis for the GCF and its stakeholders to pursue a strategic approach to developing programmes and projects. The GCF Secretariat divisions and programming teams provide guidance and support for RA(s) selection for funding proposals (FPs) and facilitate result monitoring and management. These eight mitigation and adaptation RAs provide some guidance to the GCF and its stakeholders for producing impact from their collective investments. In 2024, the GCF’s Independent Evaluation Unit (IEU) undertook the Independent Evaluation of the GCF’s Result Area “Health and Well-being, and Food and Water Security” (HWFW) in line with its Board-approved 2024 work plan. The HWFW result area is one of the four GCF adaptation results areas.1 The evaluation assessed the GCF’s approach to and portfolio of the HWFW result as well as the GCF’s result management system, against the GCF’s evaluation criteria, including relevance, effectiveness, country ownership, coherence and complementarity, results and impact, and sustainability of results.