With Togo’s health system being underfunded, infrastructure is often inadequate or outdated and there is a shortage of suitable staff. This situation is leading to poor-quality treatment for the population and decreasing demand for health care services. About a third of the people suffering from illnesses do not visit health centres. Climate change and the altered temperature and rainfall patterns are spreading diseases further: for instance heavy rainfall is making malaria more prevalent. Food supply is reduced by droughts and rising temperatures, making the population more vulnerable to illnesses.
In 2014 the National Adaptation Plan (NAP) of Togo was developed. This plan is the basis for any further sectorial action plans. Implementing the recommendations of the NAP for the health sector means to:
Integrate climate change adaptation into planning documents;
Develop emergency medical services; and
Develop and implement a national health monitoring plan.
The GIZ Programme “ProSanté” is introducing a quality management system for selected health centres in the Kara region, working closely with the regional office and the district authorities of the Ministry of Health. In this context, an initial vulnerability analysis shall be developed to identify the challenges that climate change poses for the health of the Togolese people.
The objective of the vulnerability study is to identify and analyse the health risks caused by the impacts of climate change and to assess the adaptability of the health system. The results of this assessment will be used to identify sensitive climatic diseases and develop a health sector adaptation plan to strengthen the capacity of health systems to protect and improve public health in the face of instability and climate change, thus making it more robust for coping with climate change more effectively.
Three international short-terms experts are provided to carry out the following tasks:
Coordination of the entire study process.
Preparation and moderation of workshops; development of protocols of results and materials for workshops.
In-depth preparation of the vulnerability analysis involving the adaptation of the methodology to the context of Togo’s health sector in a completed version, the inventory of available data and vulnerability assessments in Togo, presentation of the adapted methodology in the form of a methodological guide for vulnerability assessment in Togo.
Conducting the vulnerability assessment: operational plan for the implementation of the vulnerability analysis, impact chains and indicators, vulnerability maps for each region indicating vulnerable areas ("hotspots") with information on marginalized groups and women, illustrating current and future health vulnerability.
Data collection and analysis.
Assessment of the stakeholders' adaptive (response) capacity as well as the economic cost of past and projected impacts per unit of exposure.
Proposal of adaptation options to climate change and development of indicators for monitoring effects.
Development of methodologies, training and coordi¬nation in the use of the methodology for data collection and conduct of the vulnerability analysis; support in the interpretation of the results of the vulnerability analysis, for example through mapping.