Towards Humanised and Respectful Childbirth in Togo: Promoting Women’s Dignity and Rights in Obstetric Settings

Introduction Childbirth, a critical and vulnerable phase in women’s lives, is often marred by dehumanizing practices in regions such as Togo, where inadequate healthcare infrastructure and a lack of training in respectful care exacerbate the challenges. While the WHO advocates for care centered on women’s rights and dignity, local realities reveal significant gaps, particularly regarding the choice of birthing positions and respect for cultural preferences [1]. Promoting humanized childbirth emerges as a key solution to improving patient experiences, strengthening their trust in the healthcare system, and reducing maternal mortality. This article highlights initiatives supporting this approach in Togo, exploring the progress made, persistent challenges, and recommendations for mainstreaming practices that place women at the center of obstetric care. Methodology The study is based on a literature review and semi-structured interviews with local stakeholders: women, health care providers, traditional chiefs, community health workers and members of management committees. Data were drawn from institutional reports, care monitoring documents and testimonies collected in May 2024. Results The results show that several respectful and humanised birth practices, such as the use of squatting, sitting or standing positions, promote a better birth experience. A significant improvement has been observed in the number of births attended by skilled personnel, which has doubled in three years in certain peripheral care units (USP) in Togo. These changes correlate with an increase in women’s satisfaction and better adherence to postpartum family planning and newborn care. Discussion The study highlights the importance of respecting women’s cultural preferences, such as their preference for traditional birthing positions (squatting, sitting), which are often considered more natural and comfortable. This respect for cultural beliefs not only promotes trust in the health system, but also improves obstetric outcomes. Conclusion Promoting humane, respectful childbirth in Togo requires systematic reform of obstetric practices, commitment from local communities and adaptation to cultural norms. By placing women’s rights and dignity at the centre of care, it is possible to improve the quality of maternal health care and services, and increase client adherence and satisfaction with health facilities.