Senegal

The government of Senegal's plan to achieve emerging market status by 2035 includes access to quality health care for all of its citizens. To succeed in reaching this ambitious target, the private health sector must be fully engaged in partnership with the public sector.

  • pregnant woman
    392
    maternal deaths per 100,000 live births
  • 25%
    of women have an unmet need for family planning
  • 39
    child deaths per 1,000 live births

Senegal has grown significantly over the past decade, but challenges remain to the country’s prospects for future growth. With 47 percent of the population below the poverty line in 2011, access to quality health care services is a challenge, particularly in rural and peri-urban areas. The government of Senegal’s Plan National de Développement Sanitaire (2009-2018) has a vision for the health of its citizens as “a Senegal where all individuals, all households, and all communities enjoy universal access to promotional, preventive, curative health services of quality, without any form of exclusion.” For the plan to succeed, the private health sector must be fully engaged in partnership with the public sector.

SHOPS Plus is working to leverage the private sector to increase availability and use of quality socially marketed and commercial health products, increase private sector service delivery points offering high quality care, and create an improved enabling environment for the private sector within the health system. Many of these activities stem from a private sector assessment conducted in 2015 by the SHOPS project and the World Bank Group. SHOPS Plus focuses on family planning, malaria, and maternal neonatal child and adolescent health, with an emphasis on public-private partnerships, strategic innovations, gender, and youth.

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Program Components

Improve Private Provider Access to Finance

SHOPS Plus works to increase access to finance for private sector health providers and to increase the number and types of health financing mechanisms available to private sector health providers in Senegal. The project works with private health providers through trainings and technical support to help them in accessing loans. Simultaneously, the project works with banks to develop loan products adapted to the needs of private health care providers.

Improve Public Sector Stewardship of the Private Sector

An important aspect of public sector stewardship is better understanding the private health sector. SHOPS Plus is conducting a private sector mapping exercise to identify the number, distribution, and characteristics of private sector facilities in the country. The study will review ways to harmonize public and private sector data collection instruments and develop a strategy to guide storing and updating of private provider information. The findings will inform public-private information sharing as Senegal transitions to the District Health Information System (DHIS2) platform.

Increase Availability and Demand for Health Products

SHOPS Plus works with local stakeholders to better position socially marketed products in family planning and other health areas. These products include condoms, bednets, contraceptives, and household water treatment. The project works through established partners, such as pharmacies and retail outlets, and identifies new commercial partners to increase coverage and ensure supply meets demand.

Increase the Number and Quality of Private Sector Health Services

SHOPS Plus works to increase the number of private sector service delivery points, including mobile outreach of family planning services in rural and peri-urban areas and social franchises. Mobile outreach teams offer access to a package of health services, including counselling, short- and long-acting contraceptive methods, and cervical cancer screening.