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.

Brown, O., & Crawford, A. (2008). Climate change: A new threat to stability in West Africa? Evidence from Ghana and Burkina Faso. African Security Review, 17(3), 39–57. https://doi.org/10.1080/10246029.2008.9627482

Campbell-Lendrum, D.; Manga, L.; Bagayoko, M.; Sommerfeld, J. Climate change and vector-borne diseases: What are the implications for public health research and policy? Philos. Trans. R. Soc. B Biol. Sci. 2015, 370, 20130552. [CrossRef] [PubMed]

Carrin, G., & Hanvoravongchai, P. (2003). Provider payments and patient charges as policy tools for cost-containment: How successful are they in high-income countries? Human Resources for Health, 1(1). https://doi.org/10.1186/1478-4491-1-6

Ekhaese EN, Mohammed IA, Akindoyin PO. (2024). Bioclimatic design strategies and energy efficiency in an orthopaedic hospital in Nigerian cities: A cross-sectional study. Journal of Infrastructure, Policy and Development. 8(7): 2736.

Gautam A., GP Shivakoti, Evolution and Impacts of Community Based Forest Management in the Hills of Nepal, Asian Institute of Technology Thailand, 2001.

GIEC, 2007: Bilan 2007 des changements climatiques, Contribution des Groupes de travail I, II et III au quatrième Rapport d’évaluation du Groupe d’experts intergouvernemental sur l’évolution du climat (Équipe de rédaction principale, Pachauri, R.K. et Reisinger, A.), publié sous la direction de GIEC, Genève, Suisse, 103 p.

Houghton, J.T.; Ding, Y.; Griggs, D.J.; Noguer, M.; van der Linden, P.J.; Dai, X.; Maskell, K.; Johnson, C.A. Climate Change 2001:The Scientific Basis; Contribution of Working Group I to the Third Assessment Reportof the Intergovernmental Panel on Climate Change, (IPCC), Cambridge University Press: Cambridge, UK, 2001; Volume 881. Available from: https://www.researchgate.net/publication/216811760_Climate_Change_2001_The_Scientific_Basis [accessed November 18, 2024].

Houssou SC, Boko NPM, FK Medeou, Vissin EW, Gibigaye M., (2015). Bioclimatic weather type and population health in coastal towns of Benin.

INSEED, (2022). Final results of the fifth General Census of the Human Population of Togo, URL: https://inseed.tg/presentation-des-principaux-resultats-definitifs-du-rgph-5/ (accessed April 17, 2023)

Redaud L., Gillet M., Chartier-Touzé N., (2009). Adaptation au changement climatique dans le domaine de l’eau : où en est la France ? Techniques Sciences Méthodes (TSM) numéro 1/2 - 2009 - 105e année, p. 77-90. https://astee-tsm.fr/Umbraco/Surface/Articles/GetArticlePdfFile?articleId=4212. (accessed September 12, 2022)

Jafino, B. A.; Walsh, B.; Rozenberg, J.; Hallegatte, S. Revised Estimate soft he Impact of Climate Change on Extreme Poverty by 2030; Working Paper; Work Bank: Washington, DC, USA, 2020.

Josep, F., Martin, M., Suszy, L., et al. (2008). Health systems, health and wealth: assessing the case for investing in health systems: background document 3. World Health Organization. Regional Office for Europe, European Observatory on Health Systems and Policies. pp. 1-80.

Kouamé PK, Fokou G, Koffi AJD, Sani A, Bonfoh B, Dongo K. Assessing Institutional Stakeholders’ Perception and Limitations on Coping Strategies in Flooding Risk Management in West Africa. Int J Environ Res Public Health. 2022 Jun 6;19(11):6933. doi: 10.3390/ijerph19116933.

Monday, I. F. Investigating Effects of Climate Change on Health Risksin Nigeria. In Environmental Factors Affecting Human Health; Uher, I., Ed.; Intech Open: Rijeka, Croatia, 2019; Chapter2. [CrossRef]

Oyedepo, S. O., Dirisu, J. O., Udoye, N. E., Fayomi, O. S. I. (2022). Progresses on green and smart materials for multifaceted applications, In: Hussain, C. M., Di Sia, P. (editors). Handbook of Smart Materials, Technologies, and Devices. Springer.

Parihar, R.S.; Bal, P.K.; Saini, A.; Mishra, S.K.; Thapliyal, A. Potential future malaria transmission in Odisha due to climate change. Sci. Rep. 2022, 12, 9048. [CrossRef]

Parihar, R.S.; Bal, P.K.; Thapliyal, A.; Saini, A. Climate Change Projections and its Impacts on Potential Malaria Transmission Dynamics in Uttarakhand. J. Commun. Dis. 2022, 54, 47–53. [CrossRef]

PNACC, (2017). National Plan for Adaptation to Climate Change in Togo https://www4.unfccc.int/sites/NAPC/Documents%20NAP/Togo%20NAP.pdf accessed September 12, 2023

Ministry of Health and Public Hygiene and Universal Access to Healthcare (MSHP), 2019. National plan for adaptation of the health sector to the effects of climate change in Togo. https://www.giz.de/en/downloads/plan-national-dadaptation-dusecteur-de-la-sante.pdf [accessed November 18, 2024]

Rother, H. A. Controll in gand preventing climate-sensitive no ncommunicable diseases in urbansub-Saharan Africa. Sci.Total Environ.2020,722,137772. [CrossRef][PubMed]

Schleussner, C.F.; Donges, J. F.; Donner, R. V.; Schellnhuber, H. J. Armed-conflict risks enhanced by climate-related disaster sin ethnically fractionalized countries. Proc. Natl. Acad.Sci.USA2016,113,9216–9221. [CrossRef]

Solomon, S., Qin, D., Manning, M., Chen, Z., Marquis, M., Averyt, K.B., Tignor M., and Miller, H.L. (eds.) Contribution of Working Group I to the Fourth Assessment Report of the Intergovernmental Panel on Climate Change, 2007 Cambridge University Press, Cambridge, United Kingdom and New York, NY, USA. archive.ipcc.ch/pdf/assessment-report/ar4/wg1/ar4_wg1_full_report.pdf [accessed November 18, 2024].

Sorgho R, Quiñonez CAM, Louis VR, Winkler V, Dambach P, Sauerborn R, Horstick O. Climate Change Policies in 16 West African Countries: A Systematic Review of Adaptation with a Focus on Agriculture, Food Security, and Nutrition. Int J Environ Res Public Health. 2020 Nov 30;17(23):8897. doi: 10.3390/ijerph17238897. PMID: 33265971; PMCID: PMC7731384.

Szivós E, Hegedűs M, Balogh S, et al. (2024). Impact of changes of hospital integrations spanning a decade in Hungary: Modern diagnostic services: CT care based on a Hungarian sample. Journal of Infrastructure, Policy and Development. 8(6): 4215. https://doi.org/10.24294/jipd.v8i6.4215

WHO, (2021) Countries commit to develop climate-smart health care at COP26 UN climate conference. Available online, URL : https://www.who.int/fr/news/item/09-11-2021-countries-commit-to-develop-climate-smart-health-care-at-cop26-un-climate-conference (accessed november 20, 2023)

Weijian Zhang , Li Y, Guo P, Guo X. (2024). Effects of urban green space (UGS) quality on physical activity (PA) and health, controlling for environmental factors. Journal of Infrastructure, Policy and Development. 8(4): 3162. https://doi.org/10.24294/jipd.v8i4.31 62

WHO, 2021: Conférence des Nations Unies sur le climat COP26, les pays s’engagent à concevoir des soins de santé respectueux du climat.

WHO,2019 : rapport de situation sur la mise en œuvre du cadre pour l’adaptation de la santé publique au changement climatique dans la région africaine

WMO. Climate Change Triggers Food Insecurity, Poverty and Displacement in Africa. 2021. Available online: https://www. un.org/africarenewal/magazine/climate-change-triggers-food-insecurity-poverty-and-displacement-africa(accessed February14, 2023).

Xhexhi, K. (2023). Ecovillages and Ecocities. Springer International Publishing.

Zakaria, Z., Kamarudin, S. K., Abd Wahid, K. A., et al. (2021). The progress of fuel cell for malaysian residential consumption: Energy status and prospects to introduction as a renewable power generation system. Renewable and Sustainable Energy Reviews, 144, 110984. https://doi.org/10.1016/j.rser.2021.110984