Use of gynaecological care by young women in Togo: focus on students and analysis of the determinants at the University of Lomé.

Objectives: The study aims to gain a better understanding of the needs and health behaviours of young women at the University of Lomé (Togo) with regard to gynaecological care.

Study Design: The data comes from a self-administered online survey.

Methods: A logistic regression was applied to model the likelihood of non-use of gynaecological care.

Impacts of unconditional cash transfers on health care utilisation in informal sector households in Togo.

Background: Most Togolese population earns their income from informal sector, and they are very often exposed to health outcomes. Cash transfers impact healthcare utilization by improving household's social capital, socio-economic status, lifestyle choice, and physical health. The aim of this paper was to analyse the impact of unconditional cash transfers on health care utilisation in informal sector households.

Effets de la COVID-19 sur la variation du revenu et la sécurité alimentaire des ménages au Togo.

L'objectif de ce papier est d'analyser les effets de la COVID-19 sur la variation des revenus, la modification de la consommation alimentaire et les stratégies d'adaptations des ménages au Togo. Pour se faire, les modèles probit et logit multinomiale ont été utilisés en se basant sur des données collectées auprès de 1405 ménages dans 44 districts des 6 régions sanitaires. Les résultats révèlent que les ménages dans lesquels le chef a perdu son emploi sont plus exposés à une baisse de revenu et donc à une réduction de leur consommation alimentaire pendant la pandémie.

Does the type of health insurance enrollment affect provider choice, utilization and health care expenditures?

Background: Two of the objectives of Universal Health Coverage are equity in access to health services and protection from financial risks. This paper seeks to examine whether the type of health insurance enrollment affects the utilization of health services, choice of provider and financial protection of households in Togo.

Methods: Data were obtained from a cross-sectional, representative household survey involving 1180 insured households that had reported either illness in the household in the 4 weeks preceding the survey or hospitalization in the 12 months preceding the survey.

Women's empowerment and fertility preferences in high fertility countries in Sub-Saharan Africa.

Background: Nearly all countries with fertility levels of more than five children per woman are in Sub-Saharan Africa. Prestige, insurance in old age, and replacement in case of child deaths are related to preferences for large families. In this paper, we examine the association between women's empowerment and fertility preferences of married women aged 35 years and above in four high fertility Francophone Sub-Saharan Africa (FSSA) countries, namely Burkina Faso, Mali, Niger and Chad.

Health shocks in sub-Saharan Africa: are the poor and uninsured households more vulnerable?

Background: In developing countries, health shock is one of the most common idiosyncratic income shock and the main reason why households fall into poverty. Empirical research has shown that in these countries, households are unable to access formal insurance markets in order to insure their consumption against health shocks. Thus, in this study, are the poor and uninsured households more vulnerable from health shocks? We investigate the factors that lead to welfare loss from health shocks, and how to break the vulnerability from health shocks in three Sub-Saharan Africa (SSA) countries, namely, Burkina Faso, Niger and Togo.

Extension of mandatory health insurance to informal sector workers in Togo.

Background: About 90.4% of Togolese workers operate in the informal sector and account for between 20 and 30% of Togo's Gross Domestic Product. Despite their importance in the Togolese economy, informal sector workers (ISW) do not have a health insurance scheme.

The impacts of migration on maternal and child health services utilisation in Sub-Saharan Africa: evidence from Togo.

Objectives: Togo is experiencing a growing phenomenon of migration and consequently receives remittances from international migrants back to their relatives. Remittances represent about 9.4% of the gross domestic product (GDP), placing Togo in the top 10 recipients of remittances in the world in 2014.

Porous safety net: catastrophic health expenditure and its determinants among insured households in Togo.

Background: In Togo, about half of health care costs are paid at the point of service, which reduces access to health care and exposes households to catastrophic health expenditure (CHE). To address this situation, the Togolese government introduced a National Health Insurance Scheme (NHIS) in 2011. This insurance currently covers only employees and retirees of the State as well as their dependents, although plans for extension exist.

Sustaining Gains in Health Programs: Technical Efficiency and its Determinants in Malaria Programs in Sub-Saharan Africa.

Background: Since the year 2000, Africa has made significant progress in the fight against malaria. Between 2000 and 2015, the incidence and death from malaria fell by 42 and 66%, respectively. However, the African region still accounts for most global cases of malaria.