Senegal has made substantial progress in reducing infant and child mortality over the last decade, but more needs to be done to ensure that reductions in stunting continue and that maternal and neonatal mortality reductions are accelerated. Senegal has a persistently high rate of low birth weight (18 percent of newborns) and anemia affects as many as four out of five children under five. The fertility rate of 5.0 remains high with 16 percent of adolescents under 20 years of age having already given birth to at least one child. Geographic and socioeconomic inequalities in health service coverage and health outcomes are common.
The investment case, entitled “Reduction of maternal, neonatal, child, adolescent and youth mortality,” focuses on scaling up successful health system strengthening interventions including cash-transfer programs for pregnant women; community-based health insurance; an informed push model supply chain innovation through a public-private partnership; and traveling midwives (“sage femmes itinérantes”) to expand coverage of the reproductive, maternal, newborn, child and adolescent health and nutrition (RMNCAH-N) package in five prioritized regions.
Priorities identified in the investment plan include:
- Provide a high-impact RMNCAH-N package.
Enhance equity and reduce financial barriers for the poor to improve access to the RMNCAH-N package by:
- Strengthening behavioral change
- Improving communications interventions
- Improving community health interventions
- Scaling up the Couverture Maladie Universelle program and demand-side financing programs to target the poor.
- Improve adolescent health through multisectoral approaches (scaling up adolescent-health-related messages and engaging a policy champion).
- Strengthen the health supply pillar to improve effective coverage of the RMNCAH-N package by scaling up the Informed Push Model and human resource initiatives.
Strengthen health system governance through capacity strengthening for efficient management of external resources by the Ministry of Health, by:
- Developing a common work plan at the regional level
- Financing a P4H coordinator supporting the ministry
- Providing innovative and sustainable funding to reach universal health coverage
- Improving civil registration and vital statistics systems.
How the GFF partnership works in Senegal
In Senegal, the GFF stakeholders are mobilized through the RMNCAH-N Steering and Coordination Committee (CPC/SRMNIA), under the leadership of the Minister of Health and Social Action. The Coalition of Technical and Financial Partners (PTF) — through its SRMINA Cluster and its Health Financing and Governance Subgroup, the Coalition of Civil Society Organizations of Senegal for the GFF (COSC/GFF) — brings together NGOs, youth, women, and religious organizations, and the Private Health Sector Alliance (ASPS). These groups actively participate with a unified voice in decision-making, including on the development of the Investment Case and its implementation under the umbrella of the national platform.
The GFF approach has helped improve donor coordination efforts with several stakeholders in Senegal. As a result, all partners including the Government of Senegal, bilateral donors, and multilateral agencies all use the resource mapping tool within the Investment Case funding mechanism and beyond to decide where to target their funding, which ensures that their individual programs better complement one another’s efforts.
Financing Senegal’s priority investments
Partners that contribute to financing Senegal’s priorities include Gavi, the Global Fund, JICA, UNICEF, the governments of France (AFD) and the United States (USAID), and various UN agencies.