Togo is a West African country bordered by Ghana on the west, Benin on the east, and Burkina Faso on the north; it has an estimated population of 6.3 million. The country is comprised of six regions, 35 medical districts, 565 dispensaries (Peripheral Health Units, or Unités de Soins de Périphérique [or USPs]), and approximately 7,180 villages.

Togo has a decentralized health system, with the district as the main implementing unit. The main responsibilities of the national neglected tropical disease (NTD) program coordinators are to (1) make national plans in line with to the World Health Organization (WHO) recommendations, (2) oversee program implementation, (3) monitor and evaluate the programs, and (4) submit necessary reports. The district medical director and his team are responsible for organizing curative and preventive care activities in the district. The district organizes training of personnel by a train-the-trainers model (cascade training); central level personnel train district personnel, who train the USP nurses, who in turn train the community health workers. This effective organization made nationwide integrated NTD control through mass drug administration possible.

Health & Development International, Inc. (HDI) is the designated subgrantee in Togo for END in Africa activities. HDI has supported initiatives run by the Togo Ministry of Health since 1997 and began promoting integrated NTD control in Togo in 2003.

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