A Cross-sectional Analysis of the National Response against COVID-19 in Togo

Objectives: To describe the strategic, operational, and tactical aspects of the response to COVID-19 in Togo. Study Methods: This was a cross-sectional descriptive study, both qualitative and quantitative, conducted from January 1, 2020, to June 30, 2023. It involved analyzing documents related to the response and conducting a direct questionnaire addressed to key informants. Results: The principle of the health response was surveillance, case management, and prevention of COVID-19. The preparation phase of the response was marked by increased cooperation with African and West African health actors. This included strengthening border surveillance and points of entry, drafting response plans, and training stakeholders in all health districts. A state of health emergency was declared on April 1, 2020, and the government established response bodies, including the crisis committee led by the President of the Republic and the national coordination for managing the COVID-19 response, which was the cornerstone of the response. Aside from the difficulties encountered, a number of specific measures had been adopted in Togo. Conclusion: The involvement of the highest political authorities, the establishment of a dedicated coordination for the response, and a comprehensive health system alongside the existing healthcare system enabled an effective response to COVID-19 in Togo. It is important to capitalize on the lessons learned from this response.