Climate change is occurring more quickly and has more complex effects than expected. The well-being of populations in general and financial resources have been impacted by climate change in recent years. Children, pregnant women and the elderly bear the brunt of the impacts caused by climate-related risks. This research aims to assess the perceptions of health personnel and clients on climate change as well as these impacts in the Greater Lomé health region in Togo. Furthermore, this research examines the differences between the perceptions of caregivers, patients and scientific observations in this area. Based on field observations, an interview guide and a questionnaire, the information collected shows that nearly 75.95% of those questioned perceived climate change, particularly in the form of an increase in precipitation concentrated on a cost duration causing floods and the scarcity of rain at the end of the year leading to droughts. More than 25.40% and 61.86% respectively perceive that droughts and floods impact their livelihoods, but do not fully understand the causes. The results are useful for planning useful actions to facilitate the management of climate-related risks in health establishments in the Greater Lomé health region. It is therefore important to carry out awareness campaigns, train stakeholders and take necessary measures to make health systems resilient.

Introduction: Food well-being of the population is one of the priorities of the Togolese government, which relies on the agricultural investment and food security Programme to increase national food production. In addition, the country relies on food imports to make up the shortfall. At the same time undernourishment and malnutrition remain high among the country’s population. This research analyzes food supply and its implications for household consumption in Grand Lomé, Togo. [Methods] The methodology used documents, a survey of 963 heads of household randomly sampled households and semi-structured interviews with 10 households and with Togolese food safety agency (ANSAT). Quantitative data were processed and analyzed using Excel spreadsheets R and R-Studio, while content analysis was applied to the verbal applied to the verbal statements collected. Results: Firstly, the results show that domestic agricultural production contributed an average of 91% of food supply between 2014–2017. The deficit is made up by food imports, which rose from 13.5% in 2014 to 15.4% in 2017. This translated into an acceptable food energy consumption of 2337 Kcal/head/day in 2017. Secondly, 81% of respondents recognize a strong food presence at consumer markets, except that the chi-square test applied to the data at the 5% threshold shows (p-value < 2.2 × 10⁻¹⁶), indicates that this satisfaction is a function of place of residence. Despite this, persistent shortages affect more staple crops, livestock and dairy products, leading households to deprive themselves and buy food at affordable prices. Finally, we observe non-diversified diets marked by regular consumption of “cereals/legumes”, vegetables and beverages to the detriment of “tubers/roots”, “meat/fish”, “fruit” and “dairy products”. Conclusion: This research shows that food supply, although adequate, is not sufficient to ensure balanced, nutritious and culturally appropriate food consumption by urban households. Recommendations: To meet these challenges, the central government, in collaboration with urban communes and consumer advocates, must mobilize resources to create urban agricultural farms, strengthen food protection systems, distribute staple products directly to households and limit the importation of food that is hazardous to health.

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.

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.

More and more urban studies researchers and students are using images. This choice often stems from the need to illustrate, analyse and understand territories and urban phenomena. This contribution seeks to demonstrate, on the basis of examples drawn from scientific productions in Greater Lomé, how the photographic approach makes it possible to apprehend the urban phenomenon. Three forms of image use can be identified in the documents consulted. On the one hand, images are a source of data to support information received through observation. On the other hand, photography is a technique for collecting metadata which, when triangulated with several sources, enables a query to be answered. Finally, the diachronic and chronological analysis of images of a social reality enables us to detect the visible and the invisible in order to take a critical look at the social world and the dynamics of social relationships.

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.