Urbanization in Togo has led to rapid growth of informal settlements as a result of rural-urban migration and economic opportunities. The research employs qualitative methods including semi-structured interviews and participant observation among residents of informal settlements in Lomé, Togo’s capital city. Data analysis focuses on thematic coding and content analysis. Interviews revealed that over 70% of residents reported difficulties accessing healthcare services due to inadequate infrastructure and financial constraints. Informal settlements in Lomé present significant social welfare challenges, particularly in healthcare access, which are exacerbated by economic inequalities. Public health initiatives should prioritise community outreach programmes targeting informal settlements to improve accessibility of healthcare facilities. Urbanization, Informal Settlements, Social Welfare, Healthcare Access, Togo