1. AFP PARTNERS MEETING Nairobi, July 2016 HIGHLIGHTS FROM TOGO Presented by : M. Adji Kossi AHADJI, Programs Director, ATBEF/IPPF Policy Design, Management and Evaluation Specialist / FP/RH Programs Professor and Researcher at the University of Lomé

2. PRESENTATION OVERVIEW 1.Brief overview of Togo 2.Accomplishments 3.Lessons learned 4.Challenges and opportunities

3. OVERVIEW OF TOGO

4.  Maternal mortality rate: 478 /100,000 living births (1998 DHS Togo) ; 401 / 100, 000 living births (2013 DHS Togo)  Child mortality rate: 60 % o (2003) ; 42 % o (2013) DHS 2013 Togo  Contraceptive prevalence rate: 13.2 % (MICS 4 in 2010) ; 17.1% (2013 DHS Togo)  Unmet needs for FP: 35% (2010) ; 25% in 2013  Total fertility rate: 5.4 (DHS Togo 1998) ; 4.8 (2013 DHS Togo) Area: 56,600 Km2 Population: 6,191,155 (4 th Census in 2010) KEY INDICATORS

5. Main innovation : community-based provision of injectables USAID/AWARE II Project Since 2011, efforts were undertaken through several innovations Political support with MoU signed 2011 Pilote phase in 2011 in Haho and Blitta districts ATBEF Contributed 19% to national CYP 2012 Since 2012 Scale up in 11 districts FP TASK-SHARING PROCESS IN TOGO

6. OPPORTUINITY FUND/AFP-SUPPORTED ACCOMPLISHMENTS 1.Drafting of a plan to reposition FP in 2013, with 24% CPR in 2017 (AFP) 1.National Policy for Community -Based Interventions reviewed in 2015, integrating task sharing (Opp. Fund) 2.Drafting of the strategic plan for Community -Based Interventions in 2015, taking in account task sharing (AFP) 3.Drafting of the IBC Procedures Manual in 2016 (Opp. fund)

7. LESSONS LEARNED 1. Regional or sub-regional commitments are opportunities to improve the policy environment in countries. 2. To meet the objectives and declarations of the Ouagadougou Partnership and FP2020, the West African States must make their policies much more favorable to the scaling up of high-impact contraceptive practices, such as the community- based injectable.

8. LESSONS LEARNED 3. The engagement of civil society organizations (CSO) is crucial while building on existing platforms, orders and societies 4. Involving all stakeholders and the first persons involved (CHW) quickly opens dialogue and allows to reach a consensus.

9. LESSONS LEARNED 5. CSO’s positioning, such as the ATBEF’s piloting of the movement based on evidence and results, leads to shared responsibility with the State and technical and financial partners.

10. CHALLENGES 1.Stockouts of contraceptive supplies 2.Weak financing of FP using own funds (100 millions CFA en 2016) 3.Mobilisation of resources for scaling up and sustainability of task-sharing 4.Policy, Norms and Protocol review still needs to integrate task-sharing

11. OPPORTUNITIES 1.Development of a sustainable stimulus strategy for CHW (ongoing) 2.Advocacy to provide financial support for youth and adolescents-friendly service provision (ongoing) 3.Research exists on challenges related to task- sharing sustainability 4. Decentralisation (ongoing) for sub-national and local resource mobilisation

12. NPCBI validation workshop opening ceremony, february 2015 in Kpalimé

13. Participants at the NPCBI validation workshop in february 2015

14. Validation workshop of the CBI Procedure handbook, Notsè, Juin 2016

15. In the middle, Dr AGBETIA, traditional leader and director of the health district of VO, representant of the traditional chiefs of Togo The Président of the traditional health practicioners in Togo

16. Community mobilisation and FP service provision by CHW

17. AKPE kaka THANK YOU VERY MUCH