Flood-Adaptive Primary Care Clinics with Smart Microgrids and Rapid-Deploy MedTech

Extreme hydro-meteorological events are intensifying under climate change, disproportionately disrupting last-mile healthcare in flood-prone geographies.In this study, floodadaptive primary care clinics (FAPCCs) integrated with islandable smart microgrids and a rapid-deploy medical technology stack (MedTech) are developed and evaluated to ensure continuity of essential services (triage, maternal and child health, vaccination cold-chain, minor procedures, diagnostics, and telemedicine) during fluvial, pluvial, and coastal flooding.Evidence on resilient health facilities, microgrid architectures, distributed energy resources, and modular clinical systems is presented in a multi-layer systems design: (1) a modular, amphibious, and elevatable clinic chassis; (2) a photovoltaic-battery-diesel hybrid system with demand-aware energy management; (3) redundant connectivity long-term evolution/fifth-generation, satellite, and very high frequency; (4) a rapid-deploy MedTech kit including point-of-care diagnostics, low-temperature cold-chain, negative-pressure isolation, and sterilization modules; and (5) flood-aware logistics using unmanned aerial vehicle/unmanned surface vehicle.A mixed-integer linear programming sizing is formulated and dispatched with a continuity-of-care reliability metric that couples energy availability to clinical throughput.Simulation across three archetypal sites (peri-urban delta, inland riverine, coastal estuary) shows that FAPCCs achieve the service availability of higher than 99.5% across 7-day grid outage scenarios while reducing fuel use by 62-81% relative to diesel-only baselines, maintaining vaccine temperatures within 2-8 • C with