Healthcare infrastructure in Fiji is undoubtedly vulnerable to climatic driver impacts. These impacts range from direct damages caused by extreme weather events to more diffuse impacts of changes in vector-borne diseases, causing pressure on local healthcare infrastructure. Climatic impacts also create vulnerabilities in infrastructure domains, such as human resources. This paper quantitatively and systematically reviews 25 empirical papers examining climate-induced risks, vulnerabilities, and impacts on the Fijian healthcare infrastructure and following PRISMA guidelines. Researchers published their findings in 21 journals, primarily in the fields of ecology and public health. A Systematic Quantitative Literature Review (SQLR) was conducted to assess the state of knowledge in the literature and address the research questions. The SQLR was chosen due to its rigorous and transparent approach, following PRISMA guidelines. A total of 457 studies were screened, and 25 studies were included in the review after exclusions and review. Nearly all articles (80%) were risk, vulnerability, or impact assessments, and the methods used were evenly distributed between quantitative and qualitative. Extreme weather events, including floods and tropical cyclones, were the focus of most papers (70%). In Fiji, coastal Viti Levu was the most studied location (56%). Most papers (68%) focus on climatic impacts on facilities and human resources. This review underscores the urgent need for additional research to enhance the resilience of Fiji's healthcare facilities. Based on the results of this systematic review, the scientific literature must test and review several climate resilience pathways.