Eastern Africa faces recurrent droughts, floods, and heat extremes that interact with fragility, conflict, displacement, and poverty. This article argues for integrated anticipatory risk governance through Anticipatory Action (AA), climate and disaster risk financing and insurance (CDRFI), and stronger institutions. When early warning, pre-planned action, and pre-assigned finances are integrated, countries can reduce losses, protect livelihoods, lower emergency-response costs, substantially reduce humanitarian needs and their impacts, and strengthen long-term resilience.