Togo

Projects led by IntraHealth International, a Global Communities partner, are working synergistically with local partners to advance uptake of maternal, newborn, and child health, nutrition, family planning and noncommunicable disease services.

Global Communities partner IntraHealth International’s current work in Togo focuses on implementing a model that integrates essential maternal, newborn, and child health (MNCH) services to increase accessibility and use and collaborating with local officials and community leaders to increase the uptake of family planning services through high-impact interventions and resource mobilization.

IntraHealth is also implementing a project to address prevention, care, and treatment of noncommunicable diseases (NCDs) such as hypertension and diabetes in the cities of Lomé and Sokodé. Previous work in Togo included assisting the government to strengthen its health workforce information system using the free, open source iHRIS software developed by IntraHealth.

Current Programs

INSPiRE

Through this regional award from the Bill & Melinda Gates Foundation, Global Communities/IntraHealth is working to accelerate family planning uptake and improve MNCH indicators in the critical pre- and post-pregnancy period through integrated client-centered postpartum family planning (PPFP), MNCH, and nutrition services delivered at scale in Francophone West Africa. INSPiRE is demonstrating that providing a comprehensive package of essential services to mother and child during the same visit—at four entry points: antenatal care, delivery, postpartum care, and essential newborn care/Immunization—improves utilization, quality, and cost-effectiveness of services.

As of June 2025, INSPiRE’s integration model is being implemented in 14,826 health facilities in Burkina Faso, Côte d’Ivoire, Guinea, Mali, Mauritania, Niger, Senegal, and Togo, through synergistic coordination with the Francophone Africa Regional Community of Practice for Integrated PPFP/MNCH-N, chaired by the West African Health Organization, which supports resource and partner mobilization for scale-up. Since 2019, demonstration sites of the project have seen a 275% increase in PPFP use in supported health facilities along with a 380% increase in well-baby visits for growth monitoring.

Togo 2
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The Challenge Initiative (TCI)

TCI is a global program led by the William H. Gates Sr. Institute for Population and Reproductive Health at the Johns Hopkins Bloomberg School of Public Health. Since 2016, TCI has been implemented in Francophone West Africa by Global Communities partner IntraHealth, which serves as the regional hub. Funded by the Bill & Melinda Gates Foundation and Bayer AG, TCI works to expand access to high-quality family planning services across the region.

To achieve TCI’s vision of healthier cities at scale, the Francophone West Africa hub partners with local governments in 29 cities to rapidly expand a core package of proven, high-impact interventions. The hub also works to strengthen political and technical leadership, as well as the management and coordination of local health systems. Cities self-select into the program through a competitive process and are required to contribute their own resources to implement activities. With TCI’s support, cities in Benin, Burkina Faso, Côte d’Ivoire, Niger, Senegal, and Togo have mobilized the political will, investments, and resources needed to expand access to family planning. As a result, the number of additional contraceptive users rose from 66,225 in the first phase (2016–2020) to 273,114 during the NextGen phase (as of June 2025). Over the same period, local government contributions increased from 42% ($423,924) to 54% ($952,222).

Care4CVD

Through the Strengthening NCD Services in Togo’s Health Facilities project (also known as Care4CVD), funded by Sanofi, IntraHealth is working to improve access to quality prevention, care, and treatment of cardiovascular diseases (CVDs), focusing on the cities of Lomé and Sokodé. Recognizing the significant burden of hypertension (30%) and diabetes (5%) in Togo, as highlighted by the 2021 World Health Organization STEPS survey, the project is working to:

  • Strengthen health workforce capacity by training at least 500 doctors and nurses on the management of hypertension and diabetes and equipping them with data-driven decision-making skills
  • Empower community health workers by building their capacity to identify and manage cardiovascular risk factors
  • Expand early detection and diagnosis by reaching community members with prevention messages, decentralizing screening services, and facilitating timely referrals to health facilities.

Previous Programs

Ouagadougou Partnership Coordination Unit (OPCU)

After the pivotal family planning conference in Ouagadougou, Burkina Faso, in 2011, multiple donors joined nine governments to initiate the Ouagadougou Partnership, committed to elevate family planning in West Africa. With support from the William and Flora Hewlett Foundation and the Bill & Melinda Gates Foundation, IntraHealth managed the Ouagadougou Partnership Coordination Unit (OPCU) from 2012 to 2022, which raised the partnership’s visibility and helped member countries develop and implement costed implementation plans for family planning. Between 2012 and 2015, the partnership was responsible for 1.18 million new users of modern family planning, a 40% regional increase. Building on this success, the nine governments embarked on an acceleration phase and had reached 7.1 million users by 2022. IntraHealth transferred the OPCU to Senegal-based Speak Up Africa in 2021.

Other past IntraHealth programs

  • iHRIS Togo (World Food Program), 2024
  • Evidence to Action (E2A) (USAID), 2011-2019
  • iHRIS (Govt. of Togo/Global Fund), 2017
  • Capacity Project (USAID), 2004-2009

Impact

99%

Percentage of antenatal care visits
during which family planning counseling
and nutritional advice were offered

92%

Percentage of women who received family planning services within 48 hours after giving birth
with GATPA and whose newborn was breastfed
within one hour of birth

92%

Percentage of women admitted to CPoN
who received family planning services
and EI counseling