There is increasing evidence that global climate change has adverse effects on human health, mainly among the poorest people in developing countries. Bangladesh is a low-lying country, and Bangladesh is considered one of the most climate-vulnerable countries in the world. As the most vulnerable climatic region in the country, Chottogram Metropolitan is increasingly experiencing climate-change-induced urban problems. For instance, occupancy by climate migrants, drainage congestion, water logging, and reduced freshwater availability are increasing concerns. This study explores the climate vulnerability, heat stress, and health disorders of urban slum dwellers of Chottogram Metropolitan. This study noted that Sexual and Reproductive Health risks of adolescents and women increased from unhygienic and overcrowded living conditions and water and sanitation problems. The slum dwellers often suffer from waterborne diseases, undernutrition and micronutrient deficiencies. Though Sexual and Reproductive Health issues are overreaching, there are no specific interventions in policy to practice level towards sexual and reproductive health rights (SRHR) considering climate vulnerability in urban slums. The study was conducted through a multidisciplinary approach and Methodology, including primary and secondary data. Secondary information was collected from reviewing policies, strategies, and action plans of GoB in terms of climate change and health services in Bangladesh. Primary information was collected through a household questionnaire survey, focus group Discussion, and key informants interview from stakeholders involved with climate-resilient health delivery services. The multi-hazard risk was analyzed using artificial intelligence in the study area. The study reveals that SRHR is far away in Bangladesh in terms of policy and practice for climate-resilient urban health delivery services in Bangladesh.