In Togo, the limited access of populations, especially women, young

girls and children to Reproductive Health (RH), Family Planning,

treatment of sexually transmissible infections (STI) and struggle

against HIV quality services is responsible for the continuously low

indicators in these areas. To remedy the problem, UNFPA Togo, in

partnership with the Department of Family Health, the Health districts

and the NGOs 3ASC and ATBEF, support the initiative of the Mobile

Clinic to bring RH/FP/STI/HIV quality services closer to the women,

the young girls and children living in rural areas in its intervention

areas, with the aim of reaching MDG 4 and 5.

 

Despite the efforts made, maternal and child health indicators

remain unsatisfying. The maternal and child mortality rates are

respectively assessed to 401 maternal deaths for 100.000 live

births and 49 deaths for 1000 infants less than one year (EDSTIII). In

2013, less than 3 health units nationwide could provide emergency

obstetrical neonatal care (EONC), the standard being a minimum of

5 for 500.000 inhabitants.

 

The modern contraceptive prevalence was 17.2% with unsatisfied

needs of 37.2% and a high fecundity rate (4.7%) characterized by

its earliness, especially in rural environments. Globally, the fecundity

rate is assessed to 85‰ between 15-19 years; when one leaves

the urban areas for the rural environment, the teenagers’ fecundity

rate doubles, which shows an earlier fecundity in rural areas than

in urban ones.

 

Besides, the country undergoes a generalized epidemic of HIV with a

national prevalence of 2.5%. Among youth aged 15-24, only 54.6%

have exact and full knowledge about HIV and 48.8% stated they had

used a condom in their last risky intercourse in 2010.