Moreover, the mutual healthcare financing systems which are the only ones to ensure
access to health services for all, have not yet been implemented in all localities except
in a few health districts.
1.4.1-Budgetary allocations to the health sector between 2011 and 2015
Year 2011: 29.338.241.000 F CFA, i.e. 5,35% i.e. of the overall budget;
Year 2012: 38.644.228.000 F CFA, i.e. 5,88% of the overall budget;
Year 2013: 46.171.458.000 F CFA, i.e. 5,87% of the overall budget;
Year 2014: 45.838.882.000 F CFA, i.e. 5,52% of the overall budget;
Year 2015: 45.547.347.000 F CFA, i.e. 5,60% of the overall budget.
2- Benefits and Use of Services
2.1- Administrative Organisation
172. The health system in Togo has been organised in the form of a health pyramid at
three levels: central, intermediate and peripheral. According to Decree No. 2012006/PR of 7 March, 2012, on the organisation of Ministerial Departments, the
Ministry of Health consists of the following departments:
The central or national level which comprises of: the office of the Minister of
Health and the relevant departments, institutions and organisations;
The central administration consisting of the Office of the Permanent Sectretary,
general and central directorates;
The intermediate level which comprises 6 regional directorates of health (DRS);
The peripheral level represented by 40 health districts.
2.2- Provision of services
2.2.1-The public health sector
173. It comprises of 963 healthcare facilities, inclusive of all categories, 79
pharmaceutical establishments, unevenly distributed across the country with a more
or less comprehensive technical platform. In addition to all these structures, the
following can also be mentioned:
- At the central level, the National Blood Transfusion Centre (CNTS), the National
Hygiene Institute (INH) which is a National Reference Laboratory (LNR) and the
National Orthopaedic Equipment Centre (CNAO);
- At the regional level, the following facilities exist : the Regional Blood
Transfusion Centre in the Central region and four (4) regional orthopaedic
equipment centres (Atakpamé, Sokodé, Kara and Dapaong).
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