2024 Performance Review of DPS Golfe

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Extract from the article: The Prefectural Health Directorate of Golfe organized its annual review of health facility activities from January 27 to 31, 2025, in Lomé, coupled with the development of microplans and the Operational Action Plan (PAO). The objective of this....

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The Prefectural Health Directorate of Golfe organized its annual review of health facility activities from January 27 to 31, 2025, in Lomé, coupled with the development of microplans and the Operational Action Plan (PAO). The objective of this meeting was to assess the health activities carried out in 2024 and to plan strategies for 2025. The opening session was attended by several dignitaries, including the Regional Director of Health for Greater Lomé, Dr. Nayo-Apetsianyi Josée, the representative of the Prefect of Golfe, and traditional leaders.

This review is part of the implementation of the 2023-2027 National Health Development Plan (PNDS). It also aims to evaluate the performance of the health system in the Golfe prefecture based on the Sustainable Development Goals (SDGs) and other indicators defined in the National Health Development Program (PNDS).

According to the Prefectural Director of Health of Golfe, Dr. Agbétiafa Koffi Vovolité, this exercise, based on the terms of reference set at the beginning of the year, made it possible to measure the progress achieved in providing care and services to the population. Each health facility presented its results, sharing successes and challenges. "Facilities that met their targets shared their best practices. For those that fell short, shortcomings were identified, and collective solutions were proposed. The year 2025 will be marked by a strengthened commitment to improving population health through action plans focused on three main areas: improving health services, enhancing user satisfaction, and valuing health personnel," he added.

Encouraging Results and Persistent Challenges
The 2024 review of activities carried out in the Golfe prefecture's health facilities highlighted several key findings:

• 89% of planned activities were completed.
• 88% of health facilities did not experience drug shortages.
• Only 39% of pregnant women attended all four (04) prenatal consultations before childbirth.
• 100% of children aged 0 to 11 months received all three doses of the Pentavalent vaccine.
• 93% of people living with HIV (PLHIV) were able to know their serological status for free.
• 93% of people with disabilities received appropriate care in rehabilitation services.
• 100% of reported epidemics received a rapid response within 14 days.

However, challenges remain, including insufficient personnel and material resources, as well as a decline in attendance at public health facilities in favor of private clinics.

Regional Health Director Dr. Nayo-Apetsianyi Josée called for intensified efforts in awareness-raising, hygiene, and sanitation to combat epidemics, particularly cholera. She also urged participants to improve patient reception in health facilities and eliminate non-compliant practices.

Inclusion of People with Disabilities
The theme for 2025 will focus on the inclusion of people with disabilities in all public health activities. "This decision is based on the desire to promote this often-marginalized population by highlighting their skills and potential. Planned actions include integrating people with disabilities into vaccination and drug distribution campaigns, assigning them suitable tasks such as administrative management or light logistics, and organizing panels and workshops to raise awareness among staff and the community," explained Dr. Agbétiafa Koffi Vovolité.

Testimonies from Health Officials
Dr. Talboussouma Prisca, Chief Medical Officer of the Golfe 4 Health District, stated that her health facility continued to provide health services to the population despite significant challenges. Projects such as "Wezou" and "School Assur" helped attract some populations back to the health center. "The identified problems include staff shortages due to transfers, staff movements, and departures related to public service exams. Although redeployments have been made, they remain insufficient. Additionally, there is a decline in attendance, as the population prefers private clinics, leaving public facilities underutilized. The lack of resources, including medical equipment and the need for rehabilitation of health facilities, also remains a challenge," she stated.

At the Adidogomé Medical Center (CMS), the objectives set for 2023-2024 were largely achieved, thanks to staff commitment and performance. Health coverage in the area has seen notable progress. "Despite this, challenges remain, such as early detection of malaria in children under five, prenatal care for pregnant women, delayed healthcare-seeking behavior—some populations take too long to seek medical attention—and limited resources, including a shortage of qualified personnel, infrastructure (observation rooms), and medical specialties," added Dr. Adzodo Elom Epse Komlanvi, Chief Medical Officer of the Golfe 5 Health District.

In 2025, the Prefectural Health Directorate of Golfe aims to continue strengthening the capacity of health facilities and promoting an inclusive and participatory approach. With the support of authorities, health personnel, and communities, it aspires to make health a pillar of local development.

Raymond DZAKPATA