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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 Uzbekistan, 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. Recent trends in water availability and the presence of drought in Uzbekistan have underscored these risks, as has the presence of agricultural pests that may not have previously been found in Uzbekistan. The need to adapt to climate change in all sectors is on the agenda of national governments and development partners. The capacity to adapt to climatic changes, both in mitigating risks and in taking advantage of the opportunities that climate change can create, is in part dependent on financial resources. As a result, development partners will continue to have an important role in enhancing the adaptive capacity of the Uzbekistan agriculture sector. In response to these challenges, the World Bank and the government of Uzbekistan embarked on a joint study to identify and prioritize options for climate change adaptation of the agricultural sector. This report provides a menu of practical climate change adaptation options for the agriculture and water resources sectors, along with specific recommendations, which are tailored to three distinct agro-ecological zones (AEZs) within Uzbekistan, as well as over-arching actions at the national level. This report is organized as follows: chapter one gives current conditions for Uzbek agriculture and climate; chapter two presents design and methodology; chapter three deals with impacts of climate change on agriculture in Uzbekistan; chapter four presents identification of adaptation options for managing risk to Uzbekistan's agricultural systems; chapter five presents cost-benefit analysis; and chapter six gives options to improve climate resilience of Uzbekistan's agriculture sector.