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.

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.

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.