Distribution du personnel de soins du Togo selon le genre en 2014 100% 50% 82% 76% 18% 65% 35% 24% 0% Médecins Infirmiers TS Fém Masc Source: Developed from data 193. However, the Chart above reveals the disparity in the categories of nurses, highlevel health technicians and doctors. It would have been expected that the competitive examination for recruitment would take into account gender in defining the criteria for the selection of candidates. 194. Generally, the health system is bedevilled with inadequate human resources (HR), both in quality and quantity. This lack of human resources is essentially related to the low rate and irregularity of recruitment exercises, deaths and the brain drain without replacements and the low rate of capacity development of available human resources (HR). 195. In order to reduce the gap, the following measures have been considered: - Reform of HHR (Health Human Resources) management and production systems since 2012, with the establishment of the directorate of HHR including tools and management mechanism; - Capacity strengthening through diploma-based training as well as specialised and qualifying courses for some health professionals and HHR managers with the support of the financial partners (2012-2014) ; - Regionally-based recruitment of 1107 new employees (medical and paramedical staff) in 2014. - Conduct of a market survey on the employment of health workers in Togo in July, 2015 with the support of the WHO culminated in the formulation of a new development and management plan for Health Human Resource (PDRHS 20162020), which is in the process of validation, the objective of which is to have adequate, highly motivated, performing, evenly distributed human resources, in both quality and quantity, to ensure universal health coverage at all levels of the health system by 2020. 59