AGP Executive Report

Mental Health Access: Togo is taking steps to tackle a serious shortage of mental health specialists, with WHO noting fewer than 10 licensed psychiatrists for a population of over 8 million, while reforms and a national mental health strategic plan aim to improve care and reduce delays and stigma. Hospital Upgrade Push: The Ministry of Health is urging urgent rehabilitation and re-equipping of Nkwanta South Government Hospital in Oti Region, citing broken infrastructure and equipment gaps that limit diagnostics and increase referrals. Emergency Preparedness: Togo launched “Mia Dzrado 2026,” a multi-hazard simulation in Bas-Mono to test flood response and readiness for cholera outbreaks, accidents, fires, chemical spills and radiological incidents. Regional Health Funding: Togo will benefit from a new $14.26m West African health systems strengthening grant, including a cross-border “One Health” lab and stronger disease surveillance across ECOWAS. Food Security Ahead of Lean Season: WFP and the government are preparing for the lean season in northern Togo, warning that up to 332,000 people could face acute food insecurity without assistance. Public Health & Trade Links: Tunisia and Togo signed a framework for cooperation that includes digital health, research, training and medical tourism.

Mental Health Care: WHO notes Togo has fewer than 10 licensed psychiatrists for over 8 million people, leaving Zébé-Aného Psychiatric Hospital overcrowded and care uneven across regions. Hospital Upgrades: Health officials are urging urgent rehabilitation and re-equipping of Nkwanta South Municipal Hospital, citing broken infrastructure and equipment gaps that force referrals and limit quality care. Health Systems Funding: Togo is set to benefit from a $14.26m West African health program approved by the African Development Fund, including a cross-border “One Health” lab and stronger disease surveillance. Disaster Preparedness: Togo tested its national multi-hazard emergency response with “Mia Dzrado 2026,” covering floods, cholera risks, accidents, fires, chemical spills and more. Food Security (Lean Season): WFP and the government are stepping up support in northern Togo as projections warn nearly 332,000 people could face acute food insecurity without assistance. Digital Health Cooperation: Tunisia and Togo signed a framework for regular consultations, highlighting digital health, research, training and medical tourism.

Mental Health Access: Togo is tackling a serious shortage of mental health specialists, with WHO noting fewer than 10 licensed psychiatrists for a population of over 8 million, while Zébé-Aného Psychiatric Hospital strains beyond capacity and stigma still delays care. Hospital Upgrades: Calls are growing to rehabilitate and re-equip Nkwanta South Government Hospital in Ghana’s Oti Region, including modern theatre and X-ray diagnostics, as infrastructure decay and equipment gaps limit quality treatment for patients from both sides of the border. Regional Health Funding: Togo is set to benefit from a new $14.26 million West African health systems strengthening grant, including a cross-border “One Health” lab in Togo and stronger disease surveillance and emergency preparedness across ECOWAS. Food Security for the Lean Season: WFP and the Togolese government are preparing for the June–August lean season in northern Togo, warning that up to 332,000 people could face acute food insecurity without assistance. Disaster Preparedness: A national multi-hazard simulation exercise, “Mia Dzrado 2026,” is testing flood, cholera, accidents, fires, chemical spills and radiological response coordination in Bas-Mono. Public Health & Safety Planning: These efforts come as Togo continues building resilience through health system reforms and emergency readiness.

Mental Health Care: Togo is moving to tackle a deep shortage of specialists, with fewer than 10 licensed psychiatrists for a population of over 8 million and long travel burdens for patients; reforms include a 2024–2027 mental health strategic plan and efforts to integrate care beyond stigma. Hospital Upgrades: The Ministry’s technical advisor is urging urgent rehabilitation and re-equipping of Nkwanta South Government Hospital (the facility also serves communities across the border in Togo) to improve diagnostics, reduce referrals, and meet international standards. Health Funding & Disease Control: Togo is set to benefit from a new $14.26 million West African health systems strengthening grant approved by the African Development Fund, including a cross-border “One Health” lab in Togo and stronger regional disease surveillance. Food Security (Lean Season): As the lean season approaches, WFP and the Togolese government are scaling up support in northern Togo after projections warned that about 332,000 people could face acute food insecurity without assistance. Disaster Preparedness: A national multi-hazard simulation exercise (“Mia Dzrado 2026”) in flood-prone Bas-Mono is testing coordination for scenarios including floods, cholera outbreaks, fires, chemical spills, and radiological incidents. Health Diplomacy: Tunisia and Togo signed a framework for regular foreign-ministry consultations, with cooperation priorities that include digital health, medical tourism, and research.

Mental Health Care: Togo is moving to tackle a serious shortage of mental health specialists, with WHO noting fewer than 10 licensed psychiatrists for a population of over 8 million and uneven access to care; reforms include a National Mental Health Strategic Plan (2024–2027) and efforts to expand services beyond stigma and long travel distances. Hospital Upgrades: The Ministry of Health is urging urgent rehabilitation and re-equipping of Nkwanta South Government Hospital in Oti Region, citing broken infrastructure and equipment gaps that limit diagnostics and increase referrals. Regional Health Funding: Togo is set to benefit from a new $14.26 million West African health systems strengthening grant approved by the African Development Fund, including a cross-border “One Health” laboratory and stronger regional disease surveillance. Food Security (Lean Season): WFP and the Togolese government are preparing for the lean season in northern Togo, projecting up to 332,000 people could face acute food insecurity without assistance, while stressing no crisis alert has been issued. Disaster Preparedness: A national multi-hazard simulation exercise, “Mia Dzrado 2026,” is testing flood, cholera, accidents, fires, chemical spills and radiological response coordination in Bas-Mono. Access to Care for Special Needs: New Horizon Special School (Ghana) announces Open House Week (June 22–26) to showcase specialized education, therapies and vocational training for children and adults with special needs.

Mental Health Access: WHO notes Togo has fewer than 10 licensed psychiatrists for a population of over 8 million, while Zébé-Aného Psychiatric Hospital regularly holds 165–170 patients against a 120-bed capacity—fueling long waits and stigma. Health System Strengthening: The African Development Fund approved a $14.26 million grant for Togo and six ECOWAS neighbors to improve healthcare quality, emergency preparedness, and regulation, including a cross-border “One Health” lab in Togo and stronger disease surveillance. Hospital Upgrade Needs: Health Ministry technical advisor Dr. Williams Koku Awoonor urged urgent rehabilitation and re-equipping of Nkwanta South Government Hospital (theatre, X-ray and diagnostics) to cut referrals and meet international standards. Disaster Preparedness: Togo tested its multi-hazard crisis response with “Mia Dzrado 2026” in flood-prone Bas-Mono, simulating floods, cholera outbreaks, accidents, fires, chemical spills and radiological incidents. Food Security (Lean Season): WFP and the government plan early action in northern Togo as projections estimate up to 332,000 people could face acute food insecurity between June and August 2026 without support. Cross-border Health & Research Links: Tunisia and Togo signed an MoU for 2026–2027 cooperation, highlighting digital health, medical tourism, research and training.

Mental Health Access: Togo is moving to tackle a deep shortage of mental health specialists, with WHO noting fewer than 10 licensed psychiatrists for a population of over 8 million and uneven regional access that fuels delays and stigma. Hospital Upgrades: The Ministry of Health is calling for urgent rehabilitation and re-equipping of Nkwanta South Government Hospital in Oti Region, citing broken infrastructure and equipment gaps that force unnecessary referrals. Regional Health Funding: Togo is set to benefit from a new $14.26 million West African health systems strengthening grant (WAHO) aimed at better emergency preparedness, regulation, and cross-border “One Health” lab work. HIV Treatment Watch: Despite strong viral suppression (about 85%), early signs of dolutegravir resistance among Togolese children and adolescents are raising concerns about long-term treatment sustainability. Food Security Ahead of Lean Season: WFP and the government are scaling up support in northern Togo as projections warn nearly 332,000 people could face acute food insecurity between June and August 2026 without assistance. Disaster Preparedness: A national multi-hazard simulation exercise (“Mia Dzrado 2026”) is testing flood, cholera, accidents, fires, chemical spills and more in Bas-Mono to strengthen emergency coordination. Diplomacy & Health Cooperation: Tunisia and Togo signed a framework for 2026–2027 consultations, including digital health, research, medical tourism, and cybersecurity.

Mental Health Workforce: Togo is pushing to tackle a severe shortage of mental health specialists, with WHO noting fewer than 10 licensed psychiatrists for a population of over 8 million, while Zébé-Aného Psychiatric Hospital regularly exceeds its 120-bed capacity. HIV Drug Resistance Watch: Despite strong viral suppression (about 85%) among people living with HIV, early signs of resistance to dolutegravir have been reported in young patients, raising concerns about long-term treatment sustainability. Hospital Upgrade Call: Health officials are urging urgent rehabilitation and re-equipping of Nkwanta South Municipal Hospital in Oti Region—fixing deteriorating buildings and adding modern theatre and diagnostic equipment to reduce referrals and improve care. Regional Health Funding: Togo is set to benefit from a new $14.26 million West African health systems strengthening grant, including a cross-border “One Health” lab and stronger disease surveillance. Lean Season Food Security: As the lean season approaches, WFP and the Togolese government are scaling up support in northern Togo, warning that up to 332,000 people could face acute food insecurity without assistance. Disaster Preparedness: A national multi-hazard simulation exercise, “Mia Dzrado 2026,” is testing flood, cholera, accidents, fires, chemical spills and other emergency response systems in Bas-Mono. Public Health & Safety Planning: (Cross-border cooperation) Tunisia and Togo signed a framework for regular consultations that includes digital health and medical tourism.

Mental Health Workforce: WHO says Togo has fewer than 10 licensed psychiatrists for over 8 million people, leaving long waits and heavy pressure on Zébé-Aného Psychiatric Hospital (often beyond its 120-bed capacity), while stigma and uneven access delay care. Health Facility Upgrades: The Ministry of Health is urging urgent rehabilitation and re-equipping of Nkwanta South Government Hospital—modern theatre and X-ray/diagnostic tools—to cut referrals and improve outcomes for patients from Nkwanta South and nearby districts. Regional Health Funding: Togo is set to benefit from a new $14.26m West African health systems strengthening grant (WAHO), including a cross-border “One Health” lab and stronger disease surveillance and regulation across seven ECOWAS countries. HIV Treatment Watch: Despite strong HIV viral suppression (about 85%), early signs of dolutegravir resistance among children and adolescents are raising concerns about long-term treatment sustainability. Food Security (Lean Season): WFP and the government are stepping up support ahead of the lean season in northern Togo, warning that nearly 332,000 people could face acute food insecurity without assistance. Disaster Preparedness: A multi-hazard emergency simulation (“Mia Dzrado 2026”) in flood-prone Bas-Mono is testing coordination for floods, cholera, accidents, fires, chemical and radiological incidents. Plastics Policy Impact: Polystyrene foam ban plans are triggering demands from manufacturers for an extension and compensation over projected job and investment losses.

West African Health Funding: Togo is set to benefit from a new $14.26 million West African health systems strengthening grant approved by the African Development Fund, aiming to boost healthcare quality, emergency preparedness, and regional disease surveillance, including a cross-border “One Health” lab in Togo. HIV Treatment Watch: Togo reports strong HIV viral suppression (85%) but researchers warn of early signs of dolutegravir resistance among children and adolescents, urging tighter monitoring as funding declines. Disaster Preparedness: Togo launched “Mia Dzrado 2026,” a multi-hazard emergency simulation in flood-prone Bas-Mono, testing responses to floods, cholera outbreaks, accidents, fires, chemical spills, and radiological incidents. Hospital Infrastructure Needs: Nkwanta South Municipal Hospital in Oti Region faces urgent rehabilitation needs, with major building deterioration and equipment shortages affecting patient care. Food Security Ahead of Lean Season: WFP and Togo are stepping up support in northern Togo as projections warn nearly 332,000 people could face acute food insecurity during the June–August lean period without assistance. Population Data Planning: Census experts in Lomé are preparing for the 2030 Population and Housing Census cycle, focusing on digital data collection, privacy protection, and stronger demographic planning.

Regional Health Funding: Togo is set to benefit from a new $14.26 million West African health systems strengthening grant approved by the African Development Fund, aiming to boost care quality, emergency preparedness, and regional regulation across seven ECOWAS countries. A key plan is a cross-border “One Health” laboratory in Togo to strengthen disease surveillance and help curb cross-border outbreaks. Disaster Preparedness: Togo is running “Mia Dzrado 2026,” a multi-hazard emergency simulation in flood-prone Bas-Mono, testing coordination for scenarios including floods, cholera outbreaks, accidents, fires, chemical spills, and radiological incidents. HIV Treatment Watch: Despite strong HIV viral suppression progress (about 85%), researchers report early signs of dolutegravir resistance among some Togolese children and adolescents, urging continued vigilance as funding tightens. Food Security Ahead of Lean Season: WFP and the government are scaling up support in northern Togo as projections warn nearly 332,000 people could face acute food insecurity during the lean season without assistance. Nutrition & Training for Coaches: Boxing Is Love and Wisdom Boxing Gym held a Fuel For Fight workshop in Accra for coaches from Ghana and Togo, focusing on sports nutrition and injury prevention.

HIV Treatment Watch (Togo): CARESP reports early signs of dolutegravir resistance among Togolese children and adolescents, even as the country maintains strong viral suppression (about 85%). Food Security (Togo): WFP and the Togolese government are stepping up support ahead of the lean season in northern Togo, warning that up to 332,000 people could face acute food insecurity without assistance. Neglected Tropical Diseases (Kenya): WHO validated Kenya as the 10th African country to eliminate human African trypanosomiasis (“sleeping sickness”) as a public health problem. Regional Health & Trade (Tunisia–Togo): Tunisia and Togo signed a cooperation framework that includes digital health, research, and higher education, alongside AfCFTA trade priorities. Governance for Health Outcomes (World Bank, Togo): Lomé hosted a World Bank capacity-building session on fraud and corruption risks in development projects, stressing that integrity failures can directly affect services like hospitals and schools. Labour Health & Safety (Gulf rules): Kuwait’s Interior Ministry tightened domestic worker recruitment, banning many African source countries including Togo, raising concerns for migrant worker protection.

HIV Treatment Watch: Togo reports strong HIV viral suppression (about 85%) but researchers have detected early signs of dolutegravir resistance in children and adolescents, raising concerns about how long current gains can last. Food Security: As Togo’s lean season approaches, WFP and the government are scaling up support for northern communities after projections warned that nearly 332,000 people could face acute food insecurity between June and August 2026 without assistance. Digital Health & Research Ties: Tunisia and Togo signed a new framework for regular foreign ministry consultations, with priority areas including AfCFTA trade and cooperation in digital health, higher education, and research. Public Finance Oversight: The World Bank opened a Lomé capacity-building session for project implementers and oversight bodies, focusing on fraud and corruption risks, accountability, and better use of development funds in Togo. Nuclear Safety Moves: Togo’s lawmakers approved bills on accession to key nuclear and radiological safety conventions, aiming to strengthen national oversight and protect people and the environment. Regional Health & Security Planning: At the World Bank’s Fragility Forum, Togo highlighted a prevention-first approach—early warning, security operations, and community resilience programs that include health and water projects.

HIV Treatment Watch (Togo): Togo’s HIV control gains are real, with an 85% viral suppression rate, but new early signs of resistance to dolutegravir among children and adolescents are raising alarms about long-term effectiveness and the need for tighter monitoring. Nuclear Safety (Togo): Togo’s National Assembly has approved bills on accession to key nuclear and radiological safety conventions, aiming to strengthen prevention, monitoring, and emergency response to better protect lives and the environment. Community Health via Resilience (Togo): At the World Bank’s 2026 Fragility Forum, Togo highlighted an integrated “anticipation–protection–community resilience” approach, citing hundreds of completed community projects that include healthcare, water access, and education. Boxing & Nutrition Training (Ghana/Togo): A boxing coaching and physiotherapy workshop in Accra brought together 40 coaches from Ghana and Togo, focusing on sports nutrition, injury prevention, and science-based training—plus plans for school donations and related health programmes. Air Pollution Risk (West Africa): Scientists traced a chemical pollution pattern in the sky to seasonal farm and household fires across six West African countries, linking dry-season burning to lung-irritating nitrogen dioxide and smog formation. Water Safety (Ghana): Ghana deployed 200 community-based water safety guards and launched a “no life jacket, no travel” policy with 20,000 life jackets to cut preventable lake and river accidents, including on the Volta Lake.

HIV Treatment Watch (Togo): Togo’s HIV gains are real, but new CARESP surveillance flags early signs of resistance to dolutegravir among children and adolescents—about 80% still have undetectable viral loads, yet nearly 10% showing treatment failure carry signs of resistance, raising the stakes for careful monitoring and sustained access to effective therapy. Universal Health Coverage (Togo): CNSS has launched a nationwide drive to issue AMU universal health insurance cards for retired workers and dependents, including people receiving pensions through CNSS-Togo from other West African countries; registration runs until Oct 15, with benefits set to start Jan 1, 2026. Border Health Preparedness (Ghana): With Ebola concerns in the region, Ghana’s deputy health minister inspected Aflao and Elubo border posts and found gaps in PPE, staffing, and degraded border health facilities, stressing readiness to detect and contain any importation. Water Safety (Ghana): Ghana commissioned 200 water safety guards and ordered 20,000 life jackets to enforce “no life jacket, no travel” on inland lakes and rivers—aimed at reducing preventable accidents that also affect access to health services. Training for Infectious Disease Labs (Ghana/JICA): NMIMR and JICA are training eight healthcare professionals from six African countries in modern lab techniques (parasitology, bacteriology, virology) to strengthen infectious disease diagnosis and lab quality practices.

HIV Drug Resistance Watch (Togo): Togo’s HIV gains are real, but new CARESP surveillance among 264 children and adolescents found early signs of dolutegravir resistance—about 80% still had undetectable viral loads, while nearly 10% of those with virological failure showed resistance—raising the need for tighter monitoring as funding declines. Universal Health Coverage (Togo): Togo’s National Social Security Fund (CNSS) is rolling out Universal Health Insurance (AMU) cards nationwide for retired workers and dependents, including people with cross-border work histories; registration runs until Oct 15, with benefits effective Jan 1, 2026. Border Health Preparedness (Ghana/DRC Ebola): Ghana’s deputy health minister flagged gaps at Aflao and Elubo border posts during Ebola preparedness checks—especially inadequate PPE, staffing, and degraded facilities—while noting no suspected cases in Ghana. Cross-Border Trade Safety (Ghana–Togo): A women-led Trans-Border Business Network workshop in Aflao trained 300+ traders on tax compliance and safe, legal border practices, warning that using unapproved routes can trigger harsh customs penalties. Sports Nutrition & Physiotherapy (Ghana/Togo): A “Fuel For Fight” workshop at Accra Sports Stadium trained 40 boxing coaches from Ghana and Togo on sports dieting, hydration, rest, and physiotherapy drills to support safer performance. Nuclear & Radiology Oversight (Togo): Togo’s lawmakers approved bills on joining key nuclear safety and radiological emergency conventions, aiming to strengthen national prevention, monitoring, and risk management.