Seventy percent of natural disasters in Kenya are attributable to extreme climatic events, including drought and flood. Access to comprehensive sexual and reproductive health and rights (SRHR) is an essential ingredient in building resilient, healthy communities that can adapt, recover, and thrive in the face of the climate crisis. However, sparse evidence exists on the impact of climate change on local health systems and the SRHR of communities living in Kenya’s arid and semi-arid lands. With this research, we aimed to understand the perceived resilience of communities and health systems in Samburu County to the climate crisis. Our findings show the numerous pathways by which men, women, and youth in Samburu County experience climate change impacts—and that healthy people and communities are more resilient to these impacts.