CHU Tokoin (Central Hospitalier Universitaire) (Projects Abroad) Lome, Togo
This elective is organised by Projects Abroad.
CHU is the biggest public hospital in Togo. In front, the hospital looks small. Entering you can see how big it is. There are long corridors outside separating the departments.
It is the hospital of the university, providing teaching, research and general care.
The public sector is seriously understaffed in all domains.
Doctors and surgeons generally only work mornings, which means that nurses and interns take on a lot more responsibility in the afternoons/evenings. The reason for this is that generally the pay is low and to compensate for this doctors and surgeons work in private clinics in the afternoon.
The hospital witnessed a whole week of striking in the summer of 2011 due to lack of support from the government. Little changes have since been underway, but it has a long way to go to reach international standard.
There is also a general problem of health care costs in Togo.
Only in 2011, following mass pleas from Women’s organisations did the C-section become free for all women. However, it is still not cheap to be pregnant in Togo. One must pay for the obligatory X-rays, and prescribed medicine.
Due to international organisations, HIV/AIDS treatment is free.