PAI’s Population and Climate Change Program produced this working paper which reviews 41 National Adaptation Programmes of Action (NAPAs) for Climate Change submitted by least developed countries (LDCs) to the United Nations Framework Convention on Climate Change as of May 2009. The review found that 37 of the NAPAs link high and rapid population growth to climate change. However, only six plans clearly mention consideration for slowing population growth or investing in reproductive health/family planning (RH/FP) among their adaptation priority responses. Only two country NAPAs propose integrating FP and RH elements with priority adaptation interventions. The working paper presents conclusions and five recommendations for LDC governments to consider as they refine and implement the NAPAs, such as adopting multisectoral approaches to adaptation projects and offering both short and long term projects. The paper also provides an annex describing the NAPA process, including guidelines for development, implementation and financing of the plans.