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2 Click to play the video

3 Supporting Health Care in Togo Judith Sunderland Rosa Benato Ros Bryar

4 Outline of the afternoon Chair s introduction Overview of Vision Togo Representatives from the Togolese Embassy Presentation On Needs Assessment Visit To Togo, April 2016 Presentation on Life for African Mothers Round Table Discussion Feedback from Groups and Next Steps Summary and Thanks

5 Introduction to Vision Togo Jamie Goode

6 A HEALTHCARE PLATFORM IN TOGO

7 WHO IS VISION TOGO?

8 Why Togo?

9 CURRENT PROJECT Why Togo? STATUS: PROJECT DESIGNED WITH TOGO PARTNERS PILOT FUNDING OBTAINED $300,000 IMPLEMENTATION PHASE

10 MOBILE CLINIC PROJECT (SAMSUNG)

11 MEDICAL CALL CENTRE PROJECT (FORD FOUNDATION) and (COMPUTER AID INTERNATIONAL)

12 LOCAL PARTNER of CITY UNIVERSITY LONDON in TOGO

13 STRATEGIC PARTNERSHIPS FORMED

14 HOW CAN YOU HELP? IMMEDIATELY City-Togo-Partnership Medical equipment and consumables MID TERM Volunteer opportunities LONG TERM Finance and Scale up Togo

15 Special Thanks

16 His Excellency Mr Yackoley Kokou Johnson Welcome to the representative of the Ambassador of the Togolese Republic: Mrs Abra Dackey, Minister Councillor to The Togolese Embassy

17 Project Visit Context The School of Health Sciences, City University London was approached in 2014 by Vision Togo To identify and support educational needs of nurses and midwives in Togo Partnership development grant from Tropical Health and Education Trust (THET) Needs assessment visit undertaken in April 2016.

18 Where is Togo?

19 Visits in Togo

20 Needs Assessment Visit to Togo: Country Context Small nation in sub-saharan Africa 12 th poorest nation in the world (World Bank, 2014). Population: 7million, Life expectancy: 56 Maternal mortality: 450 per 100,000 live births Under 5 mortality: 78 per 1,000 live births 2.7 nurses and midwives per 10,000 population. Regional African average of 12/10,000, UK average of 88/10,000 One of 49 priority countries identified by WHO in 2010 where the health workforce numbers are below the critical figure of 23/10,000 population needed to achieve improvements in maternal and child health

21 Visit Framework Framework of questions to guide collection of information was devised based on the Primary Health Care Workforce Development Roadmap (Bryar et al., 2012). Education Competencies Regulation Leadership Managerial Support Skill-Mix Health and Safety Incentives

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23 Site Visits and Meetings Ecole Nationale d Auxiliaires Medicaux (ENAM) Lomé and Kara Ecole Nationale Sage Femmes, Lomé and Kara Rural clinics Ministry of Health

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41 Friday afternoons..

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50 Identified Needs Books, journals and learning resources Reciprocal teacher, student and clinical mentor exchange Teaching qualification: a lecturer development programme at Masters level Transport for rural clinical visits: fundraising Clinical equipment: fundraising

51 Next steps Partnership agreement between City University London and the Ministry of Health, Togo Apply for funding to support partnership Recruit partners and mentors from local trusts Adapt City s MA Academic Practice for Togo

52 Short film about the partnership

53 Any questions or comments?

54 And now. Welcome to Angela Gorman, from Life For African Mothers

55 Helping to reduce maternal and neonatal mortality in Sub-Saharan Africa City Togo Partnership Meeting Friday 27th May Angela Gorman CEO

56 HANNAH GRANVILLE:

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58 Why are women dying in such numbers?

59 Women are not dying because of diseases we cannot treat. They are dying because society decides that they are not worth treating (Reproductive Health in Emergencies Conference, Kampala, Uganda, June 18 th -20 th 2008.)

60 UNITED NATIONS MILLENNIUM DEVELOPMENT GOALS: MDGs Goals set forward by governments around the world to be achieved by End Poverty and Hunger 2. Universal Education 3. Gender Equality 4. Child Health 5. Maternal Health 6. Combat HIV/AIDS 7. Environmental Sustainability 8. Global Partnership

61 Causes of maternal mortality for which we have highly effective interventions Indirect Causes (8%) 8 23 Hypertensive Disorders (14%) & Haemorrhage (34%) Other Direct Causes (8%) Unsafe Abortion (13%) 8 Obstructed Labour (8%) & Sepsis (15%)

62 Life for African Mothers: What we do! Supply Magnesium Sulphate to treat Eclampsia (14% of Deaths) Supply Misoprostol to prevent Post Delivery Haemorrhage (34% of Deaths) Provide medical skills exchange visits

63 What do they cost? Magnesium Sulphate: 1 per ampoule - a woman would need 3-5 ampoules Misoprostol: 17p per tablet - a women would need 3-4 tablets

64 What we do!

65 Brian This is baby Brian from Uganda, his mother died because she couldn t afford the Misoprostol that would have saved her life. LFAM offers all medication and services free of charge and anonymously so that people in these countries feel that their country values their lives.

66 It Can be Done. Requests to LFAM to provide the medications are increasing. In 2015, LFAM sent >400,000 units of medication. This represents more than 100,000 women being treated free of charge.

67 Redemption Hospital

68 Angela Alice

69 Maternal Death Report at Redemption: September 2013

70 THANK YOU I AM HAPPY TO TAKE ANY QUESTIONS YOU MIGHT HAVE.

71 Working for mothers and their babies in Sub-Saharan Africa Visit our website follow us on Facebook &

72 Next: Tea Then round table discussions