Building the resilience of Togo's national health system and vulnerable communities to climate-sensitive health outcomes

Togo faces growing climate-related health risks from increasing temperatures and heatwaves, rain variability and more frequent extreme weather events. The effects of such climate hazards are felt most acutely in the northern regions of Centrale, Kara, and Savanes, home to around 2.9 million people. They face an increase in cases of malaria, diarrhoeal disease, and heat-related risks to mothers, newborns, and children, compounded by a lack of access to WASH facilities, a gap in health surveillance, and a deteriorating health infrastructure.

The project will strengthen the resilience of Togo's national health system and its communities through an integrated climate-health approach built on four reinforcing components: strengthen surveillance of climate-sensitive health outcomes; build an enabling environment for climate-resilient health governance; improve the resilience of health infrastructure, technologies, supply chains, and service delivery; and enhance community adaptation and engagement. 

The project is expected to benefit around four million people in total, approximately 51 per cent of whom are women. It will enable earlier, data-driven responses to climate-sensitive disease and heat risk, and cut roughly 986 tCO2eq emissions through low-carbon technologies.

Implemented by GIZ, with the Ministry of Health and the National Meteorological Agency (ANAMET) as executing entities, the project is designed to move the health system toward an institutionally anchored, data-driven, and climate-resilient model. Aligned with Togo's Nationally Determined Contributions, National Adaptation Plan, and health-sector priorities, the project advances GCF's objective to build the adaptive capacity of the most vulnerable and its strategic emphasis on early warning systems, resilient infrastructure, and community level preparedness.