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This paper presents the results of a detailed review of the research literature on how nomadic pastoralists are being affected by climate change, how they are adapting, and challenges with using traditional knowledge in adaptation. It focuses on research that investigates local, and particularly traditional, knowledge of water, pasture, their variability, and livestock. This knowledge underpins nomadic livelihoods, so is a foundation for effective adaptation. Changes in the total amount of precipitation, and particularly shifts in its timing, and increases in the frequency and intensity of extreme events, are having the greatest impacts on herding livelihoods. Herders in drylands worldwide face common adaptation challenges: declining traditional water sources and pasture degradation. Herders’ adaptation strategies fall into five major categories: movement to areas with better water and pasture, improving seasonal access to …