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Agricultural production is inextricably tied to climate, making agriculture one of the most climate-sensitive of all economic sectors. In countries such as the Former Yugoslav Republic (FYR) of Macedonia, the risks of climate change for the agricultural sector are a particularly immediate and important problem because the majority of the rural population depends either directly or indirectly on agriculture for their livelihoods. Climate impacts can therefore undermine progress that has been made in poverty reduction and adversely impact food security and economic growth in vulnerable rural areas. In order to be effective, a plan for adapting the sector to climate change must strengthen both human capital and physical capital in their capacity. The need to adapt to climate change in all sectors is now on the agenda of national governments and development partners. As a result, development partners will continue to have an important role in enhancing the adaptive capacity of the Macedonian agricultural sector. Another key factor for FYR Macedonia's development of an adaptation plan for agriculture is furthering FYR Macedonia's work toward European Union (EU) accession, for which FYR Macedonia has been a candidate since 2005. The Macedonian government has already begun to focus on required EU reforms, including work on the agriculture strengthening and accession project with the World Bank. Along with these needed reforms, the EU encourages action toward climate change preparedness and adaptation. This report provides a menu of climate change adaptation options for the agriculture and water resources sectors, along with specific recommendations for adaptation actions that are tailored to distinct agro-ecological zones (AEZs) within FYR Macedonia. This report is structured as follows: chapter one gives current conditions for Macedonian agriculture and climate; chapter two presents design and methodology; chapter three deals with impacts of climate change on agriculture in FYR Macedonia; chapter four deals with identification of adaptation options for managing risk to FYR Macedonia's agricultural systems; chapter five presents cost-benefit analysis; and chapter six gives options to improve climate resilience of FYR Macedonia's agricultural sector.