• The MoH ran a communications campaign that informed about family planning via mass media and other channels; the campaign ends in 2014 and will be relaunched.

• Ministry officials are planning on meeting with the minister to propose a list of family planning national and local champions that will tour the country to speak about family planning. There has been progress on religious leaders’ opinions on family planning.

• The Informed Push Model (IPM) is now implemented in six of 14 regions; it will be in all regions by the end of 2015. In the IPM regions, there are practically no more stock outs. The MoH has also purchased more trucks.

• The MoH is developing project with USAID to distribute laptops to community health workers so they can capture and transfer health data and results to national level (2014 implementation timeframe).

• The government is working with MSI and the private sector to expand service points.

• The MoH is also developing a mobile messaging program to follow up with pregnant women.

• Senegal has scaled up injectables at the community level; however, challenges in this area includes insufficient knowledge of community health workers in regards to injectables.

• Lengthy authorization processes for market introductions of new projects continues to be a challenge.

• The MoH has conducted an acceptability study and additional research on Depo subQ and recommending introducing the product nationally; purchasing authorization is expected to be given by May 15 2014.

In September 2015, the Government of Senegal shared an update on progress in achieving its policy, financial and program and service delivery commitments to FP2020.

• The Government of Senegal is working to generate demand by promoting family planning messages through different channels. Men are involved thanks to meetings held in different religious families who favorably welcomed religious representatives tasked with the meeting together with the Directorate for Reproductive Health and Child Survival and its partners. Some of them clearly expressed their support. Those who did not yet take this step blessed the delegation. The Government of Senegal also plans to develop a communication plan aimed at young people along the lines of what is currently on-going for family planning and which is aimed at men.
• The Informed Push model has currently become a reality in Senegal. The reflection that is currently taking place concerns financing after the withdrawal of the lender (perpetuation), appropriation by the National Supply Pharmacy, integration of other program products, and efficiency of different scenarios proposed by the Ministry of Health and Social Action and partners.
• Senegal has not yet succeeded in obtaining from lenders the purchase of insertion or removal kits for implants and IUDs. This makes its access relatively costly for the client, especially those that live in the suburbs and in a rural setting.
• The quantification of contraceptive needs continues at the central level, and there are plans to equip the medical regions so as to allow them to estimate their own need.
• Given the results of mobile clinics in expanding access to contraceptives and improving the acceptance of family planning, partners have chosen to finance other mobile clinics. Senegal’s hope is for this approach to be expanded to weekly markets within an integrated framework (with screening for cervical cancer, for example). The initiative of traveling midwives is also a variant and shows that the need exists. The social marketing of Sayana Press is on-going as well. In the hope of reinforcing family planning at a community level, products are distributed free of charge to NGOs tasked with overseeing the community players.
• As indicated above, Senegal recruited 500 midwives and plans to enroll 100 other midwives during its next recruitment by the government. With the support of partners, we have an innovative approach with the 50 traveling midwives and 50 other midwives were recruited with support from a partner.
• The Government of Senegal has started integrating family planning and vaccination services. Further assessment is on-going and the conclusions will allow discussions to be launched with the Prevention Directorate for a systematization of this approach. The Systematic Identification of Client Needs (ISBC, Identification Systématique des Besoins du Client) is also implemented in Senegal and contributes to reducing missed opportunities in family planning.

• Le Sénégal dispose désormais d’un plan de communication SR/PF et Survie de l’Enfant et son plan fait budgétisé mais l’accent sur la création de la demande. De même un plan de communication spécifiquement adressé aux jeunes est en cours d’élaboration. Les deux premiers seront validés au cours du mois d’aout 2016. Les religieux sont aussi parties prenantes du plan PF 2016 -2020. Présentement ils organisent des émissions à la radio pour soutenir le programme PF.
• L’IPM est généralisé dans le pays et les ruptures de stocks sont très rares et la durée est très réduite. Le Ministère à travers la PNA est entrain de s’en appropriée. Le passage du témoin entre le projet et la PNA débute cette année selon un scénario proposé par le Ministère
• La quantification des besoins se fait régulièrement au niveau national (2 fois par an). Avec l’appui des partenaires les régions seront formées sur le Reality Check afin de faire leur propre quantification.
• Dans le nouveau plan PF, les propositions faites multiplient le nombre de cliniques mobiles et les services franchisés. Ceci permet d’atteindre les populations les plus éloignées qui sont en général les plus vulnérables. Le programme cherche aussi à acquérir des kits d’insertions retraits pour les méthodes de longues durée afin d’éviter les prescription faites aux femmes.
• Le Sayana Press est offert sur l’ensemble du territoire national. Le programme insiste beaucoup sur les services de PF offerts aux jeunes notamment la communication sur les méthodes disponibles, la contraception d’urgence et surtout la nécessité de leur donner les connaissances nécessaires afin de les préparer à leur futur statut.
• L’offre de service à base communautaire est généralisée pour les pilules, les injectables en IM et en sous cutanée. L’intégration de la PF aux services de vaccination n’est pas encore généralisée mais est commune et est considérée comme une pratique prometteuse. Il est encore tôt d’évaluer son intégration avec le VIH.

• Direct allocations to reproductive health have not yet reached 5 percent of the health budget as committed. Senegal is currently increasingly the budget for the coverage of certain diseases and anticipates that those expenditures, when included, will help the government reach the 5 percent goal.

• Senegal has successfully achieved a 200 percent increase of the budget of contraceptive commodities.

• The government has not yet increased budget for management of its family planning program to 100 percent.

• Senegal reports seeing an increase in donor and private-sector financing for family planning. The government is presently assessing the extent of this increase.

• The Ministry of Health has also established several coordinating committees: a steering committee to coordinate the health sector, headed by Minister Awa Marie Coll-Seck; another committee with partners, which meets bi-monthly; and several thematic committees, such as for health product security.

In September 2015, the Government of Senegal shared an update on progress in achieving its policy, financial and program and service delivery commitments to FP2020.

• There was no increase of the Directorate for Reproductive Health and Child Survival’s budget this year. However, there also was no budget cut as is the case with some other directorates. A purchasing line of 300 CFA million for contraceptives was entered into the 2016 budget. This allows Senegal to consolidate its London commitments.
• An advocacy plan frequently referred to as Alliance for Mother and Child Health” is in the process of development and will be submitted for validation by the ministry in September 2015. All of the priority areas are covered within this plan. The plan focuses on all decision-making levels and involves all sectors as well as civil society and socio-professional associations.
• One of the objectives of the Alliance is to reach private entities so that they contribute more to reproductive health and family planning as part of their corporate social responsibility and also to offer family planning services involving private entities in the healthcare sector. We do not have any tangible results yet but the process is on-going.

• La ligne budgétaire allouée à l’achat de produits contraceptifs est passée de 100 millions CFA à 300 millions en 2016.

• The Ministry of Health has elevated the Reproductive Health Division into a directorate.

• A family planning division has been created and is staffed by seven people. More resources are needed, especially to better work with regions. It is necessary to travel to the regions and be closer to the programs and management. With only seven staff members, this is an almost impossible undertaking.

• Ministry of Health is currently undergoing an organizational restructuring toward better assessing the human resource allocation required to implement the national family planning plan.

In September 2015, the Government of Senegal shared an update on progress in achieving its policy, financial and program and service delivery commitments to FP2020.

• As previously reported, the Government of Senegal has established a Directorate for Reproductive Health and Child Survival and a Family Planning Division and has emphasized the recruitment of qualified personnel to implement the National Family Planning Action Plan. As such, 1,000 agents have been recruited, including 500 midwives, to make up the program’s pillars of implementation across the country. In terms of the financing, Senegal leads a global reform by putting programs in place using a multi-year expense forecast (DPPD, document de programmation pluriannuelle des dépenses), which should come into effect in 2017. This allowed financing based on performance to be ensured and for greater transparency of funds allocated to family planning.
• The human resources of the Family Planning Division were increased with the allocation of two additional agents.
• Senegal and its partners established a coordination and steering committee (CPC, Committee for Programme and Coordination) for Maternal, Neonatal and Infant Health (SMNI, Santé Maternelle, Néonatale et Infantile)/Family Planning and several other bodies relating to the demand, supply and security of the products. These bodies meet regularly. In addition, we have family planning reviews with the regions to ensure progress of each of them. These reviews are reinforced by integrated or specific supervisions. Senegal also organized the mid-term assessment of the National Family Planning Action Plan (PANPF, Plan d’action national de Planification Familiale). A meeting of the steering committee was held at the start of 2015 and a second meeting is planned for September 2015.

• Le Gouvernement a mis en place un cadre de coordination appelé comité de pilotage et de coordination ( CPC) qui comprend les principaux acteurs. Ce cadre est présidé semestriellement par le Ministre de la santé et de l’action sociale. La réunion de cette instance est l’occasion de partager les performances du programme PF et des autres aspects de la santé reproductive et de recevoir les orientations des autorités.
• Sous ce CPC il existe le comité technique Pf qui se réunit trimestriellement pour discuter de la mise en œuvre suivant les 3 principaux domaines relatifs à l’offre, la demande et la disponibilité des produits.
• Ces 3 domaines sont animés par les sous comités ( groupe de travail) qui se réunissent mensuellement.
• Des revues trimestrielles sont tenues avec les régions et chaque année il y a un EDS continue qui fait la situation des principaux indicateurs de suivi et d’impact qui viennent confirmer les données de routine.
• Tout récemment le CPC est élargi aux autres secteurs, à la société civile et au secteur privé pour les besoins de suivi du processus d’élaboration du dossier d’investissement du GFF.
• L’alliance pour la santé de la mère et de l’enfant est lancée par le Ministre cette année. Un plan stratégique de plaidoyer existe et attend la validation politique. Des rencontres sont organisées dans toutes les régions pour mettre en place une alliance régionale avec l’accompagnement des parlementaires. Une rencontre avec le secteur santé et non santé s’est tenue au mois de juillet 2016 et s’est soldé par l’engagement de cette frange importante de société sénégalaise. Comme résultats majeurs on note la décision de mettre en place une instance de rencontre régulière avec le ministre pour solutionner avec les ressources internes une partie des gaps de financement. Le Ministère fournira une cartographie des besoins en fonction de la carte sanitaire en cours d’élaboration.