Progress and Prospects for the Institutionalization and Scale-Up of Postpartum Family Planning in Togo

Introduction: Maternal mortality remains a major public health challenge globally, particularly in low-income countries. Among the key prevention strategies, family planning plays a critical role by promoting adequate birth spacing, which helps reduce maternal complications and deaths. In particular, postpartum family planning (PPFP) is essential in preventing closely spaced pregnanciesa known risk factor for maternal morbidity and mortality. In Togo, while efforts have been made to integrate PPFP into national health policies, significant barriers persist, including limited access to services and sociocultural obstacles. The study aimed to analyze accountability mechanisms, existing synergies, and the scale-up level of postpartum family planning (PPFP), based on the core components developed by the High Impact Practices (HIP) Family Planning Secretariat. Methodology: This qualitative study of 40 key stakeholders in the healthcare system assesses the status of the institutionalisation of PFPP. Data were collected via semi-structured interviews and analysed using Excel and SPSS v2021 software. Results: The results reveal a high availability of contraceptive products and equipment (82%), an efficient monitoring system (86%), but also highlight weaknesses in training (79%) and community involvement (67%). The sustainability of the initiative will depend on better institutional anchoring, multi-sectoral integration, and sustainable funding. Conclusion: The scale-up of postpartum family planning (PPFP) in Togo shows significant promise; however, critical improvements are still needed in provider training, effective service integration, and meaningful community engagement. The long-term sustainability of this initiative will rely on strong political commitment, sufficient and sustained funding, and the implementation of a genuinely integrated approach. Furthermore, addressing sociocultural barriers remains essential to maximizing the reach and effectiveness of PPFP interventions.