Category of Staff
2013
Public
395
Doctors
1.238
Nurses (IDE+IAE)
High-level healthcare 672
Technicians
Midwives/ Auxiliary 753
Midwives
TOTAL Tracer Staff 3.058
2014
Private
64
136
113
Total
459
1.374
785
Public
408
1.435
784
Private
136
478
261
Total
544
1.913
1.045
54
807
909
303
1.212
367
3.425
3.536
1.179
4.715
Source : Management Performance Report 2014 (Ministry of Health/Directorate of
Human Resources)
185. The main health ratios (population/staff) in 2014, are as follows:
7 medical doctors per 100,000 inhabitants in 2013 as against 8 medical doctors
in 2014;
21 nurses per 100.000 inhabitants in 2013 as against 28 nurses per 100,000
inhabitants in 2014;
12 midwives per 100,000 inhabitants in 2013 as against18 midwives in 2014;
12 high-level healthcare technicians per 100,000 inhabitants in 2013 as against
15 high-level healthcare technicians in 2014.
69 tracing workers per 100,000 inhabitants in 2014.
186. International standards earmark a density of 100 tracer employees per 100,000
inhabitants (1 worker per 1.000 inhabitants). In the light of these standards, the
country with a density lower than or equal to 77 (doctors-nurses-midwives) per
100,000 inhabitants are countries with very low densities 4 ; which places Togo
among countries with very low density in terms of tracer staff.
187. It can be inferred from this situation that wide variances exist in these standards.
This lack of healthcare personnel, especially specialists, affects the quality of care
and services provided to the Togolese population. An effort therefore needs to be
made to improve the density of healthcare tracer staff in the health system in Togo.
188. The distribution of medical and paramedical staff (healthcare tracers) reveals not
only the inadequacy of staff but also regional disparities. Thirty-six per cent (36.51%)
4
Feasibility Study: Health Sector Support Project in Togo, 15 Sept. 2009 (P. 15)
57