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My host community has a need for improved health care for several reasons. In a rural area, people live far apart from one another because the land is used for farming. A dispersed (spread out) population needs more hospitals than a dense population. So far, in Togo, there are simply not enough hospitals for the population size and geographical spread.
Even if a hospital is close, traveling to a hospital can be difficult.The roads are not well maintained. Roads may be bumpy, stony, muddy, or sandy. Heavy rains may flood a road. Some roads are so narrow or rough cars cannot drive on them, only motorcycles. In my village there are not any cars, so everyone walks, rides a bicycle or motorcycle, or pays someone else for a ride on their motorcycle. Can you imagine walking for miles with a broken arm? Or riding on a motorcycle over a bumpy road with an upset stomach? Sometimes the distance and difficulty of arriving at a health clinic can discourage people from going to the doctor, even if a doctor is available.