Climate change has adverse effects on ecosystems and several socio-economic sectors including health. Indeed, infrastructure, continuity of medical services, and the hospital environment are all directly affected by the effects of climate-related risks. This study aims to describe the observations of the effects of climate change risks on health systems in the Greater Lomé health region of Togo. We used an interview guide and a questionnaire to collect information. The observations allowed us to assess the effects caused by climate risks. According to the results, 84.62% of respondents attest that health centers experience flooding during rainy periods and damage caused by strong winds is noticeable among 76.92% of respondents. More than 25.40% and 61.86% respectively of respondents mention that droughts and floods have effects on health systems. The results of this study will allow health system managers to become aware of how to plan useful actions to facilitate the management of climate-related risks in health facilities in the Greater Lomé health region. In view of all these results, it is necessary that measures be taken to strengthen the resilience of health systems through awareness campaigns and training of actors throughout the health pyramid.

The freight transport chain brings together several types of players, particularly upstream and downstream players, where it is connected to both nodal and linear logistics infrastructures. The territorial anchoring of the latter depends on a good level of collaboration between the various players. In addition to the flow of goods from various localities in the area, the Autonomous Port of Lomé generates major flows to and through the port city of Lomé, which raises questions about the sustainability of these various flows, which share the road with passenger transport flows. The aim of this study is to analyse the challenges associated with the sustainability of goods flows. The methodology is based on direct observations of incoming and outgoing flows in the Greater Lomé Autonomous District (DAGL) and semi-directive interviews with the main players in urban transport and logistics. The results show that the three main challenges to the sustainability of goods transport are congestion (28%), road deterioration (22%) and lack of parking space (18%).

This study examines the contentment and commitment of rural residents from three different perspectives. The first is environmental management, followed by municipal services and finally territorial planning. The study’s objective is to analyze the causal relationships between the expected quality and perceived quality concerning perceived value, satisfaction and citizen loyalty to provide tools for decision-making to public managers. This research proposes a structural equation model to evaluate and validate five hypotheses. For this study, household-level surveys were implemented to a population sample of 450 families in the rural area of Tenguel in Ecuador. The results suggest that the public policies exercised by territorial managers significantly influence citizens’ perceived value, satisfaction, and loyalty, which impacts social welfare. This research shows that there are deficient areas that negatively impact perceived locality, which decreases the perceived value. Such as firefighting service, municipal police, veterinary services, preservation of historical and cultural assets and activities, and facilities for community use.

Urban mobility in Grand Lomé is affected by several negative externalities, including road congestion, insecurity and environmental pollution. Traffic jams cause considerable economic losses, estimated at more than 13,000 CFA francs per month for some public officials, and represent a financial drain of several million CFA francs per day on the Togolese economy. These challenges are accentuated by rapid urbanization and a dizzying increase in the number of vehicles, especially motorcycle taxis. These factors not only cause economic losses, but also to the deterioration of the quality of life of the inhabitants. On average, motorists lose up to 49.5 min per day in traffic jams, with fuel and time costs estimated at hundreds of thousands of CFA francs per year for each user of the main boulevards. Through an in-depth analysis of the impacts of these negative externalities on mobility and sustainable development, this study reveals that traffic congestion, combined with the lack of road infrastructure, generates considerable economic and environmental costs. These traffic jams also worsen air pollution, making the transport sector responsible for 80% of greenhouse gas emissions. These proposed solutions include: 1) The modernization of road infrastructure, culminating in the construction of new lanes entirely dedicated to public and non-motorized transport. 2) The regulation of motorcycle taxis, inspired by regional examples, to improve safety and efficiency. 3) The introduction of rapid transit systems, such as Bus Rapid Transit (BRT), to make travel more fluid. 4) The implementation of strict environmental standards and regular technical controls to reduce greenhouse gas emissions. These proposals aim to reduce social and economic costs, while promoting sustainable mobility and a better quality of life for residents.

Climate change is causing serious impacts, especially in sub-Saharan Africa, where poverty rates could increase by 2050 if climate and development measures are not taken. The health consequences are diverse and include transmissible and non-transmissible diseases. The objective of this study is to analyze the strategies implemented in health facilities in the Greater Lomé health region to cope with the impacts of climate change. The survey was carried out in 23 health facilities in 2022. It was a descriptive cross-sectional study which was carried out from July to September 2022. Qualitative and quantitative approaches were used. Non-probability sampling method and purposive choice technique were used. Four techniques made it possible to collect the data, namely documentary analysis, survey, interview and observation. The collected data were processed with Excel software and exported to SPSS for analysis. In total, 112 people were surveyed out of 161 planned. According to the results, 52.68% of health facilities did not implement adaptation strategies, 47.32% used adaptive strategies depending on to their means. Strategies exist but at low percentages due to limited technical and financial resources and the insufficiency of innovative policies. These strategies need to be supported in order to make them more effective. The study provides a basis for adopting innovative strategies and encouraging financing for adaptation actions.