The National Heat-Health Action Plan (HHAP) of North Macedonia was developed in 2011 and approved in 2012, following the National Climate Change Health Adaptation Strategy and Action Plan. The HHAP aims to decrease morbidity and mortality connected with extreme temperatures and heatwaves. It foresees the implementation of a heat health warning system, currently in place, as well as a series of actions aiming at mainstreaming health protection in other relevant policies, raising the citizens and health sector workers’ awareness about consequences of climate change and mobilizing the resources for managing the heat effects on health.