- Togo spent CFA19.37 billion ($33.8 million) on HIV programs in 2025, with international partners covering 86.44% of the total.
- New HIV infections fell 70% between 2010 and 2025, while AIDS-related deaths declined 73% over the same period.
- Togo is preparing a CFA56 billion funding request to the Global Fund for the 2027-2029 cycle to finance HIV, tuberculosis and malaria programs.
Togo spent CFA19.37 billion on HIV programs in 2025. The spending helped consolidate progress in prevention and treatment, but international technical and financial partners still funded 86.44% of total expenditure. As international funding declines, Togo now faces growing pressure to secure more sustainable domestic resources for its HIV response.
The issue ranked among the main topics at the 2025 annual HIV response review, held in Lomé on Tuesday, Aug. 4, and Wednesday, Aug. 5, 2026. Health authorities, technical and financial partners, civil society organizations, community representatives, private-sector actors and the media attended the meeting. The participants reviewed the national response and discussed strategies to maintain program continuity.
Health outcomes improve
According to the Permanent Secretariat of the National Council for the Fight against AIDS and Sexually Transmitted Infections (SP/CNLS-IST), Togo’s national HIV prevalence now stands at 1.6%.
Between 2010 and 2025, the number of new HIV infections fell from 7,100 to 2,100, a 70% decline over 15 years. AIDS-related deaths also fell by 73% during the same period.
In 2025, health facilities followed nearly 95,200 people living with HIV. Among them, 95,038 received antiretroviral treatment, representing a national treatment coverage rate of 99.85%. More than 650,000 people took an HIV test during the year, while authorities distributed more than 26.3 million condoms.
“Togo continues to make progress toward controlling the epidemic through the joint efforts of the government, technical and financial partners, civil society and communities,” said Prof. Pitche Palokinam Vincent, national coordinator of the SP/CNLS-IST.
However, he identified the prevention of mother-to-child HIV transmission, programs targeting adolescents and domestic resource mobilization as continuing priorities.
Reducing dependence on donors
For stakeholders involved in the HIV response, the funding structure remains the main concern. International technical and financial partners covered 86.44% of HIV-related spending in 2025, while domestic resources accounted for only 13.52%.
The issue has become more pressing as several international donors redirect their budget priorities.
“One of the major challenges currently facing African countries, particularly Togo, is the reduction in funding. How will we sustain our good results with reduced funding? How will we work better to continue the fight against HIV/AIDS?” asked Prof. Vincent Pitché, national coordinator and permanent secretary of the CNLS/IST.
Strengthening domestic commitment could provide part of the solution.
“Given the current scarcity of international financial resources, coupled with domestic constraints, I urge all stakeholders to consider better strategies and innovations that will enable Togo to sustain the results achieved,” said Dr. Kokou Wotogbe, secretary-general of the Ministry of Health.
Meanwhile, Togo has begun preparing its funding request to the Global Fund for the 2027-2029 cycle. The country aims to mobilize nearly CFA56 billion for programs targeting HIV, tuberculosis and malaria.
This article was initially published in French by Ayi Renaud Dossavi
Adapted in English by Ange J. A de Berry Quenum