This working paper provides findings on the factors influencing how intermediate-level institutions in Nepal are responding to climate change and extreme climate events. Nepal has been ranked as the fourth most at risk country according to one Climate Change Vulnerability Index. The country is also experience transition as a post-conflict state. The paper presents a complex picture. It concludes that although there has been significant effort to localise the climate change and disaster agenda, most progress is at national governance level and amongst donor agencies and service providers. At meso-level, this still needs to be translated into detailed policy and programmatic instructions.