Generally, a reduction has been observed in infant-child mortality though the targets were not achieved. This significant reduction became possible as result of awareness raising campaigns carried out by the Ministry of Health with funding from the Togolese government and financial partners such as the United States Agency for International Development (USAID), the United Nations Population Fund (UNFPA), the United Nations Children’s Fund (UNICEF), the African Development Bank (AfDB) and the United Nations Development Programme (UNDP).  The maternal mortality rate has reduced slightly from 478 per 100.000 live births in 2008 to 401 per100,000 (EDST3, 2013-2014). This rate is below the projected target of 160 per 100.000 live births in the PNDS 2015. The poor performance of this indicator could be the explanation for the persistence of childbirths at home, since a lot of maternity homes are handled by unqualified health staff, including inadequate skills in SONU and lack of appropriate, the unavailability of essential medicines, blood products and the inadequate organisation of the referral and counter-referral system.  The percentage of assisted births per qualified health staff has reduced by 59% (EDST 2013-2014). The proportion of mothers having benefitted from antenatal consultations is 73 % (EDST 2013-2014) as against 83.8% in 2010 (MICS4). 202. Most of the maternal and child health indicators improved slightly between 2008 and 2014. This slight improvement could be due to progress made in the immunisation coverage and that of prevention and treatment of malaria, capacity building for SONUB and SONUC in equipment and skills, improvement in the availability of midwives, assistant midwives from 2012 through voluntary work and strengthened in 2014 by the recruitment of 105 State-registered midwives into the civil service. 203. In the area of family planning, among women using contraceptive methods, 17% opted for modern methods according to the 2013-2014 EDST. However, the unmet needs in family planning persist, even though a reduction of between 40.6% to 34% has been noted between 2010 (MICS4) and 2013 according to the Demographic and Health Survey of Togo (EDSTIII) inclusive of all methods. 204. At the strategic level, the country aims at making reproductive health services available and accessible; and by this approach at meeting all the needs. Towards this end, a multi-annual FP repositioning plan (2012-2017) has been put in place. The health activities earmarked for the youth and adolescents can be summarised in the form of services offered in the health facilities, in particular those that include reproductive health. 62