Supported by an ever increasing body of literature,it is clear that the challenge of today any health care system is to implement a good policy of workers satisfaction in the aim to retain them more in the organization.Workers retention has become a center of debate of Enterprises HRM Strategy and still a topical issue in todays health care system.Specifically,the phenomenon is more encounters in the health systems of developed countries where workers retention is seen to be the thorny problem of managers.So,a poor system of retention in health sanitary system particularly in Togolese health sanitary system led to a high staff-turnover health professional from public sector to private sector and to developed countries.This situation is not isolated;it is related in general to dissatisfaction,demotivation of health workers.Indeed,the salary levels are low and does not respect national and international standard,to the poor management,missing of medical equipment,and the facilities.To shed this problem of health sanitary system,it is imperative to optimize the sanitary management system.Additionally its vital to develop equity and transparency method,that includes more heath employees in the management system and to review their remuneration regularly. Supported by an ever increasing body of literature,it is clear that the challenge of today any health care system is to implement a good policy of workers satisfaction in the aim to retain them more in the organization.Workers retention has become a center of debate of Enterprises HRM Strategy and still a topical issue in todays health care system.Specifically,the phenomenon is more encounters in the health systems of developed countries where workers retention is seen to be the thorny problem of managers.So,a poor system of The retention in health system special in Togolese health ambience system led to a high staff-turnover health professional from public sector to private sector and to developed countries.This situation is not isolated;it is related in general to dissatisfaction,demotivation of health workers. Indeed, the salary levels are low and does not respect national and international standard, to the poor management,missing of medical equipment,and the facilities .To shed this problem of health sanitary system,it is imperative to optimize the sanitary management system.Additionally its vital to develop equity and transparency method,that includes more heath employees in the management system and to review their remuneration regularly.