This descriptive cross-sectional study covered the seven districts when you look at the Central East area. Information collection had been carried out in a couple of weeks combined with observation technique, specific interviews and document review. Area of the data had been gathered utilizing a self-administered survey. The information evaluation had been performed because of the Epi resources 7 software utilizing a strategy created for this function. A complete of 144 health facilities in your community (93.0% coverage) had been surveyed. The average length between villages and health facilities ended up being 5.2 kilometer with 16.2percent of villages that have been positioned a lot more than 10 kilometer from a health faciliroviding vaccination services in the Central East region. These factors consist of, but they are not restricted to, the geographic distribution associated with the health centers, the option of transportation logistics, and also the shortage in vaccines and too little the waste disposal system. Concerted activities must certanly be developed, concerning all stakeholders into the health system in order to deal with these problems. A cross-sectional study ended up being performed from January 5th to March 31st, 2018 in Lomé. PLHIV were recruited through the Department of Infectious and Tropical Diseases regarding the training medical center “CHU Sylvanus Olympio” together with NGO “Espoir Vie Togo”. Socio-demographic and medical information, mobile possession and acceptability of communication with health care professionals clinical medicine utilizing a mobile phone were collected with a standardized questionnaire during a face-to-face interview. A total of 259 PLHIV (79.6% women) were recruited. The mean age (± standard deviation) of PLHIV had been 43.7 ± 9.8 years as well as the majority (95.4%) had a mobile phone. Pretty much all (98.1%) of respondents declared that cell phone might be a means to maintain contact with a health professional. Phone calls (43.0%), text messages (SMS) (35.1%), and vocals messages CCS-based binary biomemory (20.0%) had been the most well-liked way of interaction with health care professionals. Factors from the acceptability of obtaining SMS from a health professional were age < 44 years and having at least a second amount of knowledge. PLHIV are receptive into the integration of cellular technology to the handling of their problem. M-health might be a way to improve the handling of HIV disease in Togo.PLHIV are receptive to the integration of mobile technology to the handling of their particular condition. M-health could be an opportunity to enhance the management of HIV disease in Togo.The COVID-19 Coronavirus epidemic started in December 2019 in China, and progressed very quickly in France. Its consequences were the implementation of national actions like the containment associated with the population, but in addition a disorganization associated with the health system, in particular concerning dental treatment. Indeed, dental processes create aerosols that could be full of viral particles, so that as such, represent an important contamination course because of the virus. At the demand of this Conference of Deans of the characteristics of Odontology, the nationwide College of University Dentists in Public Health (CNCDUSP) put up a working group to be able to issue suggestions for oral attention when you look at the framework of the COVID-19 epidemic, because of the particular dangers experienced by professionals. Taking into consideration the not enough awareness of the particulars of dentistry when you look at the health globe and among decision-makers, and because of the rate with which national steps to fight the epidemic were implemented, the guidelines regarding the CNCDUSP needed to be used rigorously and quickly before being released towards the occupation. They account for epidemiological data linked to the herpes virus, the specificities of oral attention, and thus recommend precautionary measures for dental surgery professionals.The necessary version of the health system during an epidemic will surely make it possible to understand lessons using this wellness crisis. Expert and Territorial Health Communities aim at organizing the coordination of health care professionals of main and niche learn more treatment, to be able to better structure care pathways and improve healthcare accessibility. The movement of clients to specialty care outlines territories whose scale and company can act as a basis to identify these communities’ territories. The analysis of client flows to specialty care professionals in Centre-Val de Loire region in 2015 (SNIIRAM data) managed to make it possible to classify medical areas in accordance with their particular scale of attractiveness (for example. regional, departmental and sub-departmental areas). Among sub-departmental areas, 5 are merged to identify typical poles of attraction. These empirical poles were when compared with wellness professionals’ perception of territories where they practice to be able to improve the territorial subdivision of this area.