AXA Climate Mid-size African cities are often overlooked by major international climate resilience programs. However, they face tenfold challenges: not only do they experience the same problems as large cities, in particular repeated flooding, but they must also orchestrate rapid urban expansion by avoiding building in high-risk areas. How to map climate risk, and in particular the risk of flooding, in intermediary African cities? How to account for the present risk, but also the risk in 2030 or 2050 according to the latest IPCC hypotheses? What adaptation measures can be implemented? How to prioritize all possible adaptation measures? And, above all, how to finance them? These are the main questions we will try to answer. The objective of the session is to inform the mayors about the existing solutions for adaptation to the risk of flooding, but also, beyond information, to give them the possibility of mobilizing international expertise to carry out city-specific studies funded by international donors. With a resolutely policy-oriented perspective, this session will provide an overview of key methods for recommending effective, efficient and equitable adaptation measures for all citizens. Finally, we will highlight the possible role of parametric insurance in providing cities with the means to act immediately in the event of a natural disaster, without depending on the deadlines imposed by the central government or the vagaries of international aid. By transferring the financial risks associated with disasters to a third party, climate insurance thus makes it possible to secure the budgets of cities over the long term. Ultimately, this session will help to develop a simple and pragmatic roadmap to strengthen the resilience of African intermediary cities in the face of natural hazards.