Djougou has two major public health centers and one private hospital. Each of these facilities is run by at least one physician; the private hospital has at least two on duty at any given time. There are also several private facilities run by and midwives which perform births and do maternal and child healthcare specifically. There is also a fixed HIV testing and counseling center on the campus of the regional health center that does testing and HIV counseling on Wednesdays. As the majority of health personnel are government employees, many health workers are in Djougou by contractual obligation for a number of years; and few see it as an ideal post. Many would prefer to work down south, specifically in Cotonou, and many have left family behind in the south and plan to return as soon as possible. This may contribute to issues of motivation and work ethic.