Togo

Under article 34 of the Constitution, the State recognizes to citizens the right to health and works towards its promotion.

Under article 84 of the Constitution, the law sets the rules concerning, among others, health and population.

The main goal of the "Politique Nationale de Santé Horizon 2030" is to improve the health and well-being of the Togolese population by ensuring equitable access to quality health services for all (pages 6 and 24).

The document highlights several priorities and objectives, including improving availability and use of health services by mothers, children, youth, adolescents and the elderly; combating communicable and non-communicable diseases; strengthening the health system's resilience to emergencies; and improving access to essential health services, medicines, vaccines and quality health products especially by the most vulnerable (page 24).

The background and situation analysis sections detail the legislative framework supporting the health sector. Some of the documents listed include: Constitution of the IVth Republic of Togo, Law No. 2001 on Pharmacy and Medicine (Loi sur la Pharmacie et le Médicament au Togo), Law No. 2001 on Traditional Medicine (loi relative à̀ l’exercice de la médecine traditionnelle), Law No. 2004-005 on Social Protection for Disabled Persons (loi relative à̀ la protection sociale des personnes handicapées), Law No. 2006-010 on the Labor Code (loi portant Code du Travail), Law No. 2007-005 on Reproductive Health (loi sur la santé́ de la reproduction), Law No. 2007-017 on the Child Code (loi portant Code de l’enfant), Law No. 2009-007 on Public Health Code (loi portant Code de la Santé Publique de la République Togolaise), Law No. 2010-004 on Water Code (loi portant Code de l’Eau), Law No. 2010-017 on the production, commercialization, and consumption of cigarettes and other tobacco products (loi relative à̀ la commercialisation, à la consommation des cigarettes et autres produits du tabac), Law No. 2010-018 on protection of persons living with HIV/AIDS (loi portant protection des personnes en matière du VIH/SIDA), Law No. 2011-003 on Mandatory Health Insurance for Public Agents (loi instituant un régime obligatoire d’assurance maladie des agents publics et assimilés), Law No. 2019-006 on Decentralization (loi portant décentralisation au Togo), Law No. 2021-022 on Universal Health Insurance (loi instituant l’assurance maladie universelle en République Togolaise), Law No. 2020-006 on Safe and Peaceful Use of Nuclear Energy (loi sur l’utilisation sûre, sécurisée et pacifique du nucléaire), Law No. 2019-014 on Personal Data Protection (loi relative à la protection des données à caractère personnel) (page 22).

The document doesn't define specific actions related to laws and regulations in the "National Health Policy Results Framework". However, the policy lists specific legislation-related outcomes under its strategic orientations. For example, one of the expected outcomes lists the development of the pharmaceutical regulatory framework and creation of a pharmaceutical regulatory agency (pages 19 and 27).

The Plan National de Développement Sanitaire (PNDS) 2023-2027 aims to contribute to increasing the life expectancy of the Togolese population by ensuring that everyone can live in good health and well-being at all ages (page viii).

The PNDS 2023-2027 aims to enhance health system capacities at all levels, provide targeted services for vulnerable populations, strengthen disease control and environmental health efforts, build a resilient health system, and improve access to quality, affordable health services for all (page 36).

In the sections General Context (Contexte général, pages 3-6), Health Context (Contexte sanitaire, pages 6-30), and Reminder of the guidelines of the national health policy (Rappel des orientations de la politique nationale de santé, pages 31-36), the document references several legislative and regulatory frameworks. For instance, the national legislative framework for health lists a variety of laws such as the Constitution of Togo of 1992, Law No. 2004-005 of April 23, 2004, on the social protection of people with disabilities (loi relative à̀ la protection sociale des personnes handicapées), Law No. 2007-005 of January 10, 2007, on reproductive health (loi sur la santé́ de la reproduction), Law No. 2007-017 of July 6, 2007, establishing the Child Code (loi portant Code de l’enfant), Framework Law No. 2008-05 of May 30, 2008, on the environment (loi-cadre portant sur l'environnement), Law No. 2009-007 of May 15, 2009, establishing the Public Health Code of the Togolese Republic (loi portant Code de la santé́ publique de la République togolaise), Law No. 2010-004 of June 9, 2010, establishing the Water Code (loi portant Code de l’Eau), Law No. 2010-017 of December 31, 2010, on the production, commercialization, and consumption of cigarettes and other tobacco products (loi relative à̀ la production, à la commercialisation, à la consommation des cigarettes et autres produits du tabac), Law No. 2010-018 of December 31, 2010, amending Law No. 2005 on the protection of persons concerning HIV/AIDS (loi modifiant la loi N°2005 portant protection des personnes en matière du VIH/SIDA), Law No. 2019-006 of June 26, 2019, on decentralization in Togo (loi relative à la décentralisation au Togo), Law No. 2019-014 of October 29, 2019, on the protection of personal data (loi relative à la protection des données à caractère personnel), Law No. 2020-006 of June 10, 2020, on the safe, secure, and peaceful use of nuclear energy (loi sur l’utilisation sure, sécurisée et pacifique du nucléaire), Law No. 2021-012 of June 18, 2021, establishing the Labor Code (loi portant Code du Travail), and Law No. 2021-022 of October 18, 2021, instituting universal health insurance in the Togolese Republic (loi instituant l’assurance maladie universelle en République togolaise) (page 34).

Throughout the rest of the document, specific actions relating to laws and regulations are detailed. For instance, the PNDS emphasizes the need to adopt implementation texts to operationalize the Law on Universal Health Insurance (pages 56 and 84). It also highlights the need to revise the law 2009-007 of 15 May 2009 establishing the Code of Public Health as well as revise the texts of the management bodies of public health training at different levels (page 82).