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Senegal
>> Regional Overview >> Senegal Overview Program Data Sheet
685-003
USAID MISSION: Senegal
PROGRAM TITLE: Decentralized Quality Health Services (Pillar: Global Health)
STRATEGIC OBJECTIVE AND NUMBER: Increased and Sustainable Use of Reproductive Health (Child Survival, Maternal Health, Family Planning, and Sexually Transmitted Infections/AIDS) Services in the Context of Decentralization in Targeted Areas, 685-003
STATUS: Continuing
PLANNED FY 2002 OBLIGATION AND FUNDING SOURCE: $14,405,000 CSH
PROPOSED FY 2003 OBLIGATION AND FUNDING SOURCE: $14,762,000 DA
INITIAL OBLIGATION: FY 1998 ESTIMATED COMPLETION DATE: FY 2006Summary: Within the context of the Government of Senegal's policy of decentralization, USAID's decentralized quality health services program seeks to decrease child and maternal mortality and improve the quality of human capital in Senegal. The program includes four main components: (1) child survival; (2) reproductive health; (3) sexually transmitted infections (STI) and AIDS prevention and care; and (4) community health care financing. The program is implemented through activities that include:
- health communications at a community level on all program components;
- strengthening of disease surveillance, monitoring and evaluation systems;
- prevention and treatment of childhood illness;
- pre-natal care and improved birthing practices;
- treatment for STI patients;
- voluntary counseling and testing for HIV, care and support for persons living with AIDS;
- involvement of locally elected officials in health care planning and monitoring; and
- mobilizing locally generated funds for health and improving management.
Resources are also funding the following family planning/reproductive health activities:
- social marketing of condoms and contraceptives; and
- provision of quality family planning services.
Inputs, Outputs and Activities: FY 2002 Program: To ensure that the population understands how to improve their health, a program using several thousand community health promoters in 110 communities will be implemented. The program will communicate critical information to improve health knowledge and change behavior. A new malaria initiative will comprise activities in treatment and care, especially for children and pregnant women, drug resistance surveillance and the social marketing of impregnated bednets. An improved approach for treating childhood illnesses will be extended to 13 additional health districts. To improve immunization coverage, cold chain equipment will be purchased and training and promotional activities undertaken in 130 immunization centers in the 29 health districts. More complete antenatal care integrating malaria prevention and STI/HIV testing and counseling will be provided to pregnant women. With the Centers for Disease Control (CDC), USAID will further strengthen the national STI/AIDS surveillance system that combines behavioral and epidemiological aspects to give a more complete picture of HIV prevalence and at-risk groups to target. Particular emphasis will be placed on prevention and behavior change, on policy dialogue with political and religious leaders and on increased involvement of the private sector and the media in HIV prevention. Training and new voluntary testing and counseling centers will expand the network for diagnosis and treatment of STIs including HIV/AIDS. Tuberculosis funds will be used for Directly Observed Treatment Shortcourse (DOTS) expansion in USAID-supported districts. Elected local officials and members of civil society will be trained to plan and monitor health activities. USAID will encourage communities to allocate a greater proportion of local taxes to health care. This will lead to increased involvement and empowerment of local communities and will contribute to the sustainability of local health care financing.
SUBMISSION OF THIS PROGRAM DATA SHEET CONSISTUTES FORMAL RENOTIFICATION OF USAID'S INTENT TO OBLIGATE FY 2002 RESOURCES FOR THE ACTIVITIES DESCRIBED ABOVE. FY 2002 Family Planning/Reproductive Health Program: USAID will add contraceptive pills to its social marketing network, complete a community-based distribution pilot test, conduct an assessment of pre-natal services and develop a strategic plan to improve these services throughout the 15 districts where USAID works.
Planned FY 2003 Program: USAID support for better community-based health information, community-based distribution of vitamin A, oral rehydration salts, and malaria prophylaxis and improved services at health care facilities will reduce maternal and infant mortality. HIV transmission will be decreased through intensive and targeted health communications, increased availability of voluntary testing and counseling services, improved disease surveillance and more effective treatment of sexually transmitted and opportunistic infections. The role of locally elected officials and civil society in the planning, financing and oversight of community health services will be strengthened.
Planned FY 2003 Family Planning/Reproductive Health Program: USAID will add an injectable contraceptive to its social marketing network. The network will thereafter provide condoms, spermicides, pills and injectable contraceptives via thousands of sales points. USAID will expand community-based distribution systems to cover all of 15 health districts.
All contracts and grants will incorporate clauses that implement the President's directive reinstating the Mexico City Policy.
Performance and Results: Seven more health districts were enrolled in USAID's matching grant program in 2001, bringing the total number of districts to 15, encompassing 110 local governments. This has improved dialogue among key stakeholders, locally elected officials, health technicians and administrators on how to share the newly decentralized responsibilities for financing the health sector. USAID trained over 700 community health promoters in health messages and social mobilization techniques, establishing a complete network of health promoters in all USAID-supported districts. Among its child survival activities, USAID assisted in assessing the need for cold chain equipment and injection material in 130 immunization centers and supported development of a strategy to boost Senegal's low child vaccination coverage from 30% in 1999 to 50% in 2004. In addition, USAID has begun to implement more effective approaches to the treatment of childhood illnesses. It is expected that USAID's assistance will significantly reduce preventable illnesses and child mortality over the life of the program. HIV surveillance was expanded to seven of the country's ten regions and two voluntary counseling and testing centers were opened (making a total of three nationwide.) A 7% increase in Couple-Years of Protection in 2001 signals greater use of modern contraceptives. The nationwide training of contraceptive managers in the public sector helped reduce shortages in health clinics. Social marketing activities ensured that PROTEC-brand condoms are widely available and easily accessible. In 2001, the distribution system expanded by 1,081 sales points and sales of PROTEC-brand condoms increased by 12%. An innovative, nationwide AIDS social mobilization campaign reached 48,000 persons among the general population and thousands more among at-risk groups.
Principal Contractors, Grantees, or Agencies: Activities are implemented by six principal cooperating agencies/grantees: Development Associates (prime) and Abt Associates (sub) for health financing; Partnership for Health Care (prime) for child survival; Management Sciences for Health (prime) and PLAN International (sub) for reproductive health; Family Health International (prime) and the Senegalese Association Against AIDS (sub) for STI/AIDS; and Commercial Market Strategies (prime) and The Senegalese Agency for Social Marketing (sub) for social marketing of contraceptives.
US Financing in Thousands of Dollars
685-003 Increased and sustainable use of reproductive health services (child survival, maternal health, family planning, and sexually transmitted infections/AIDS) in the context of decentralization in targeted areas CSD CSH DA Through September 30, 2000 Obligations 14,741 0 9,423 Expenditures 6,429 0 6,063 Unliquidated 8,312 0 3,360 Fiscal Year 2001 Obligations 10,086 0 3,255 Expenditures 6,530 0 3,449 Through September 30, 2001 Obligations 24,827 0 12,678 Expenditures 12,959 0 9,512 Unliquidated 11,868 0 3,166 Prior Year Unobligated Funds Obligations 0 0 0 Planned Fiscal Year 2002 NOA Obligations 0 14,405 0 Total Planned Fiscal Year 2002 Obligations 0 14,405 0 Proposed Fiscal Year 2003 NOA Obligations 0 0 14,762 Future Obligations 0 0 32,228 Est. Total Cost 24,827 14,405 59,668
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Last Updated on: May 29, 2002 |
