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Here we introduce a demand-driven framework designed to implement climate services in the health sector, with a particular focus on the Caribbean region. Climate services are essential for supporting informed decision-making and response strategies in relation to climate-related health risks. Through collaborative efforts, we are co-producing a climate-driven dengue early warning system (EWS) to target vector-borne diseases effectively. While challenges exist in implementing such systems, EWSs provide valuable tools for managing epidemic risks by predicting potential disease outbreaks in advance. The scarcity of operational climate tools in the health sector underscores the need for increased investment and strategic implementation practices. To address these challenges, a demand-driven framework is proposed, emphasizing strategic planning focused on health intervention development, partnership building, data, communication, human resources, capacity building, and sustainable funding. This framework aims to integrate climate services seamlessly into health systems, thereby enhancing public health resilience and facilitating well-informed decision-making to effectively address climate-sensitive diseases.