What women and newborns need (2012)

381,000 PREGNANCIES A YEAR = HOW MANY EPISODES OF CARE
Togo - Number and distribution of pregnancies (2012)
Number and distribution of pregnancies (2012)
0
<0.09
0.10-0.19
0.20-0.49
0.50-0.99
1.00-1.49
1.50-1.99
2.00-2.49
2.50-10.00
>10.00
APPROX
PRE-PREGNANCY
(all women of reproductive age)
=
3,060,000
family planning visits
ANTENATAL
(pregnancies x 4)
=
1,524,000
routine visits
BIRTH
=
251,000
skilled birth attendance
POST-PARTUM
(births x 4)
=
1,005,000
routine visits
POSTNATAL
(newborns x 4)

Workforce availability (2012)

Country classification of star working in MNH
Time spent on MNH %
Midwives
396
100
Midwives, auxiliary
399
100
Nurse-midwives
na
na
Nurses
818
-
Nurses or nurse- midwives, auxiliary
569
-
Clinical ocers & medical assistants
378
-
Physicians, generalists
154
-
Obstetricians & gynaecologists
16
100
PRE-PREGNANCY
ANTENATAL
BIRTH
POST-PARTUM
POSTNATAL
ESTIMATED MET NEED=
45%
workforce time available
workforce time needed
Estimate of met need (national aggregate) based on available data

Geographic accessibility

Number of births with a skilled birth attendant (SBA) 2

Accessed a SBA
Did not access a SBA
No data on rural/urban SBA

MIDWIFERY EDUCATION 3

Minimum high-school requirement to start training
Grade 12 and above
Years of study required to qualify (rounded)
3
Standardized curriculum? Year of last update
Yes , -
Minimum number of supervised births in curriculum
75
Number of 2012 graduates/as % of all practising midwives
76 / 19
% of graduates employed in MNH within one year
-

MIDWIFERY REGULATION

Legislation exists recognizing midwifery as an autonomous profession
No
A recognized definition of a professional midwife exists
No
A government body regulates midwifery practice
Yes
A licence is required to practise midwifery
No
A live registry of licensed midwives exists
No
Number of EmONC basic signal functions that midwives are allowed to practise (out of a possible 7)
7
Midwives allowed to provide injectable contraceptives/intrauterine devices
Yes /Yes

PROFESSIONAL ASSOCIATIONS 4

Year of creation of professional associations
1966
Roles performed by professional associations:
Continuing professional development
Yes
Advising or representing members accused of misconduct
No
Advising members on quality standards for MNH care
Yes
Advising the Government onpolicy documents related to MNH
Yes
Negotiating work or salary issues with the Government
Yes
na = not applicable; - = missing data

PROJECTED NUMBER OF PREGNANCIES BY YEAR: URBAN VS. RURAL

ESTIMATES AND PROJECTIONS TO 2030

WHAT IF... Estimates of met need based on available data.

1
The number of pregnancies was reduced by 20% by 2030?
0.45 millón
CURRENT
0.36 millón
SCENARIO

Immediate increase in met need for pregnancy, birth, post-partum/postnatal care. Acceleration in met need for pre- pregnancy services from 2028 onwards.

2
The number of midwife, nurse and physician graduates doubled by 2020?
CURRENT
70 % MET NEED 2030
SCENARIO
97 % MET NEED 2030
3
Efficiency improved by 2% per year until 2030?
CURRENT
70 % MET NEED 2030
SCENARIO
93 % MET NEED 2030
4
Attrition was halved in the next 5 years (2012-2017)?
4 % leak
CURRENT
70 % MET NEED 2030
2 % leak
SCENARIO
81 % MET NEED 2030

CURRENT TRAJECTORY

70 % MET NEED 2030

WHAT IF... TRAJECTORY

100 % MET NEED 2030
1. These health worker categories include the following country titles - Midwives: includes midwives; Auxiliary midwives: includes accoucheuse auxiliaire; Nurses: includes infirmier diplômé d'etat.; Auxiliary nurse-midwives: includes infirmier auxiliaire; Generalist physicians: includes generalist physicians; Obstetricians & gynaecologists: includes gynéco-obstrétricien; Clinical officers & medical assistants: includes techniciens supérieurs de santé. Source: SoWMy 2014 or secondary sources (WHO Global Health Observatory; government policy documents).
2. Rural/urban SBA coverage is not available. Figure refers to rural/urban births only.
3. Information refers to the midwife cadre category.
4. National associations for midwifery and nursing.

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