205. One of the strategies adopted by the Togolese government in this area is the
Campaign for Accelerated Reduction of Maternal Mortality in Africa (CARMMA),
launched in 2010 by the Head of State, which is entitled “No Woman Must Die
While Giving Birth”. Against this backdrop, several actions have been carried out:
Grant to support caesarean section operations since 2012. According to estimates
of the United Nations Population Fund (UNFPA), the average cost of the said
activity is valued at 80.000 CFA francs with 90% taken care of by the State.
About 94 % of caesarean section operations were subsidised in 2014;
Formulation and implementation of a strategic plan to eliminate fistula;
Conduct of 8 screening campaigns and cure of cases of obstetrical fistula between
2011 and 2014 helped in managing 236 women in 2011, then 32 in 2014;
Provision of health facilities with caesarean kits made up of 14,024 kits in 2014
comprising of 11.490 kits for spinal anaesthesia and 2.534 general anaesthesia
trays;
Financial and technical support by the State to 22 public health facilities for the
implementation of the caesarean section subsidy;
Evaluation of emergency obstetrical and neonatal needs (SONU);
Mapping of provision of SONU services provided in 2013;
Formulation and implementation of FP repositioning Plan (2013-2017) helped to
mobilise several financial partners for the acquisition of contraceptive products in
2014.
5.3-Status of Immunisation:
206. According to EDST III data (2013-2014), 55% of children have received all the
eight doses of vaccines under the Expanded Programme on Immunisation (EPI)
before their first anniversary whilst 43% were fully immunised before their first
anniversary. At the same time, 4% of children have not received any dose of
vaccination. Specifically, 95 % of children have been vaccinated against BCG. For
polio3, DTC-HepB-Hib3 and measles, the coverage rates are 73 %, 82 % and 66
%respectively. This immunisation coverage conceals the gender disparities (59 % for
girls as against 64 % for boys) and depending on the communities (59 % in rural
communities as against 66 % in urban areas).
207. Through support provided by the Global Alliance for Vaccines and
Immunisation (GAVI), Togo has since 2008 incorporated into the routine EPI the
pentavalent DTC-HepB-Hib vaccine against diphtheria, whooping cough, tetanus,
hepatitis B and haemophilia influenzae type BB infections (Hib) and hepatitis B (Hep
B) in addition to DTCoq.
63