Performance review 2024 of the Grand Lomé Health Region

---

Extract from the article: From 19 to 21 March 2025, the Grand Lomé Regional Health Department will assess its 2024 performance indicators. The aim is to take stock of the activities carried out, assess the results achieved and map out the prospects for the coming year. The wo

---

From 19 to 21 March 2025, the Grand Lomé Regional Health Department will assess its 2024 performance indicators. The aim is to take stock of the activities carried out, assess the results achieved and map out the prospects for the coming year. The workshop is part of the implementation of the new National Health Development Plan (PNDS) 2023-2027. The workshop was opened by Mrs Zouréhatou Kassah-Traoré, Governor of the Greater Lomé Autonomous District (DAGL).

During the workshop, the participants will follow the 2024 annual activity report of the Greater Lomé regional directorate, the 2 prefectoral health directorates and the hospitals in the region. The results obtained will be used to measure the performance of the Greater Lomé region in terms of its contribution to achieving the indicators for implementing the PNDS.

Results obtained in 2024

Simple malaria, acute upper respiratory tract infections and anaemia were the top 3 causes of outpatient consultations; severe malaria, bacterial infections in newborns and prematurity were the top 3 causes of hospitalisation; bacterial infections in newborns, strokes and cerebral abscesses were the top 3 causes of death. A number of performance indicators have improved, including: the percentage of births assisted by qualified personnel is 61.36%, compared with 58.44%; the percentage of children aged 0-11 months who have received 3 doses of pentavalent vaccine (DTP-HepB-Hib) is 105%, compared with 87%; the percentage of pregnant women who have received 3 doses of IPT during pregnancy is 73.39%, compared with 69%; and the percentage of functional SMCs is 66.67%, compared with 48%.

Other indicators, on the other hand, showed a decline, in particular: the rate of use of curative care was 54.85% compared with 55.10%, and the percentage of pregnant women having had at least 4 antenatal care contacts was 41.68% compared with 60%. The Operational Action Plans for the districts and the region were 7% financed from the State budget, 88% from health facility cost recovery funds and 5% from Technical and Financial Partners.

The Greater Lomé Regional Health Director, Dr Josée Nayo-Apétsianyi, congratulated all those involved for their efforts to achieve the objectives of improving people's health. She reiterated the need to raise people's awareness of the factors that contribute to non-communicable diseases. She called on everyone to make themselves available for the provision of continuous, integrated and patient-centred care.

The permanent secretary of the PNDS, Dr Kokou Sika Dogbé, emphasised that this PNDS 2023-2027 provides all players in the health sector with strategic guidelines for the development of health actions. It is a strategic reference document organised around high-impact interventions focusing on maternal, newborn and child health, and the fight against the main diseases that cause disability and mortality. These high-impact interventions also focus on the determinants of health inequalities of social, environmental and economic origin, and on strengthening the health system to move towards Universal Health Coverage (UHC). 

The 2023-2027 PNDS has taken into account the new themes of the day, in particular gender, non-communicable diseases, health and the environment, increasing the number of tracer indicators monitored from 34 in the previous PNDS to 57 in the 2023-2027 PNDS, which augurs well for new, adapted tools for monitoring these indicators.

William O.