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South Asia is vulnerable to a variety of hydrometeorological hazards, which are often cross-boundary in nature. Climate change is expected to influence many of these hazards. Thus, climate-related risks over South Asia make disaster risk reduction (DRR) and climate change adaptation (CCA) key policy goals. Recently there is an increasing consensus that DRR including CCA should be embedded in development planning. Disaster risk reduction including CCA has progressively gained importance in global governance. Across South Asia, however, such integration is only in a preliminary stage. This review was to assess the existing status and scope of DRR including CCA in development projects across South Asia, so that an effective and achievable deliberation may be made to regional policymakers. A total of 371 projects relevant to CCA and DRR were reviewed. The project inventory was diverse in nature with respect to location, scale, sectoral focus, and strategic importance. Bangladesh, India, and Bhutan were observed to be proactive in implementing DRR- and CCA-related projects. Meta-analysis of the project inventory suggests an urgent need for an individual and collaborative convergence of processes for DRR and CCA through policies, plans, strategies, and programs.