Annual review of CHP Aného's 2024 activities

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Extract from the article: The Prefectural Hospital (CHP) in Aného organised its annual review of 2024 activities from 29 to 30 January 2025. The aim was to identify the bottlenecks that have hampered the implementation of activities and to come up with solutions for improving

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The Prefectural Hospital (CHP) in Aného organised its annual review of 2024 activities from 29 to 30 January 2025. The aim was to identify the bottlenecks that have hampered the implementation of activities and to come up with solutions for improving indicators in 2025.

The meeting brought together members of the CHP Aného administration, doctors, heads of the hospital's various departments, resource persons, staff representatives, representatives of the Secretary General of the Ministry of Health and the Regional Director of Health for the Maritime Region. The review provided an opportunity to assess the implementation of activities under the 2024 micro-plans in all departments of the CHP Aného, to measure the extent to which the main performance indicators have been achieved at the level of the health facility, and to identify strengths, areas for improvement and constraints relating to the implementation of certain activities. The participants proposed solutions and recommendations for dealing with the problems and shortcomings.

The participants presented data on the various activities of the different departments. These included activities related to consultations, hospitalisations and various other activities or procedures.They assessed the performance of the various medical and paramedical teams, analysed logistical difficulties, shortages of medicines and equipment, and management and funding challenges. The discussions also highlighted the need for medical equipment, technology and training.

The Director of the CHP Aného, Kossi Agbokanzo, explained that the purpose of the review was to take stock of the activities carried out by the health structure during 2024. «We discussed and measured the progress made, the challenges encountered and also identified areas for improvement.  We must do everything we can to achieve the objectives we have set for 2025. We encouraged the various players in the health sector to promote better coordination of actions and continuous adaptation to the needs of the population », he says.

Activity report 2024

Resource data showed that the number of staff increased to 191 (in December 2024) from 178 (in January 2024). Staff were divided into 6 categories, with medical staff accounting for 5,76% and paramedical staff for 40,84%. Staff costs accounted for 32,46% of total expenditure. Among other problems, we note the shortage of staff and an increase in the staff workload, which has led management to rely on trainees to achieve its objectives and fill the gap left by retirements, postings and deaths.

Data from the general medicine department show an increase in consultation and hospitalisation activities and a decrease in the mortality rate, from 7,2% in 2023 to 4,9% in 2024, most of which is due to strokes and heart disease.

The cardiology department has also seen an increase in the number of consultations and paraclinical examinations, such as electrocardiography (ECG) and various ultrasounds (cardiac and vascular).Improvements to the technical platform are underway, with Professor Pessinaba installing equipment for the treatment of cardiac rhythm and conduction disorders.

Other equipment will soon be available, such as the automatic blood pressure monitor (MAPA) and the Holter ECG, to broaden the range of services offered and also for the good of the population.

The paediatrics department has also seen an increase in activity and a reduction in infant mortality from 3.97% in 2023 to 2.52% in 2024, and in neonatal mortality from 4.3% to 2.59%.

In obstetrics and gynaecology, there has been an increase in the number of deliveries, the number of PNCs and the number of obstetric and pelvic ultrasounds performed compared with 2023. There has also been an increase in the admission rate. All women undergoing caesarean section have benefited from the government subsidy, and all maternal deaths have been audited. The surgery department has seen an increase in general consultations and hospital admissions compared with previous years, a high recovery rate of 98%, and a high bed occupancy rate.

During 2024, the hospital received several missions and campaigns. These included: two free surgical missions carried out by the German NGO ‘Dentistes Sans Frontière’ in April and October 2024 for the Odonto-stomatology department. The hospital also hosted a surgery fair campaign organised by the Togolese Surgical Society (SOTOCHIR) in April 2024 for the treatment of surgical pathologies, including those of the eyes, a campaign organised by the national eye care programme in June 2024 for the treatment of eye pathologies, and a campaign organised by the Ministry of Health in collaboration with the national eye care programme in October 2024 as part of International Sight Day (cataract consultation and surgery).

The representative of the Secretary General of Health and the Regional Director of Maritime Health, in turn, congratulated the healthcare staff on their efforts and expressed their gratitude to the government, which is sparing no effort to promote quality services with a view to improving the health conditions of the population. They invited the participants to highlight the shortcomings observed in order to set objectives accordingly.Aného's health professionals, supported by the local authorities, once again demonstrated their commitment to improving the health of the population.

Thanks to this positive dynamic, the CHP Aného is ready to meet the challenges of tomorrow and offer quality care to all the region's inhabitants.

Esther KOLANI (Intern)