This report aims to identify strategic actions to increase investment in nature-based solutions (NBS) for climate resilience in sub-Saharan Africa by evaluating over a decade of NBS project investment and assessing a range of policy, financial, institutional, social, and technical barriers to adoption. It examines historical and projected data for climate hazards in the region to provide background on the challenges the region faces. To establish a baseline of the status of NBS in the region and evaluate the types of projects being implemented, this report presents an inventory of NBS projects from across the region that were initiated between 2012 and 2023. In addition, the team conducted over 50 interviews with project developers, funders, and investors of NBS projects in sub-Saharan Africa to gain insights on the key barriers to NBS project investment and implementation. This report synthesizes results from the analysis and interviews to offer targeted recommendations for how actors such as governments and multilateral organizations can effectively scale up NBS in the region.