Rising climate disasters underscore the overlooked impact of heat stress on health and productivity in densely populated Southeast Asia, particularly vulnerable coastal areas like India’s. This study in the Indian Sundarbans employs surveys and social network analysis to explore heat stress effects, community adaptation, and support networks. Recognizing community significance, it views resilience as a blend of agency, wisdom, and networks. The research unveils rural adaptive behaviours, co-occurring stress responses, and network use for health solutions. These insights aim to enhance health advisories and crisis responses, fostering resilience in communities facing escalating climate challenges. The research covered 747 households from nine village segments, examining heat stress adaptation and social support networks. Social Network Analysis revealed internal and external sources of support for heat stress-induced health issues. The study employed matrices and network analysis tools to represent co-occurrence patterns of adaptation strategies and support networks. Findings highlighted collective adaptive behaviour and the role of social connections in combating climatic stress. The study outlines dual interventions to mitigate heat stress impacts: enhancing endogenous community adaptability and optimizing social-institutional networks for external support. Occupational profiling, socio-economic context, and health access can identify vulnerable groups. Perceived impacts can serve as early health crisis indicators, though not always linked to adaptive actions. Diverse adaptive activities co-occur, reflecting collective behaviour, but less central actions require attention. Medical care usage for heat stress remains minimal. Social networks lack local health providers needing community-level provisions. A comprehensive mitigation plan for identified vulnerable communities aims to bridge knowledge gaps, promote equitable healthcare access, and strengthen adaptive capacity through informed interventions.