Senegal Case Study: Scaling Up Community
Health Services to the National Level
through INGO Partnerships
Presentation:
Dav...
Original Purpose of the Program
• Health huts in Senegal have been in existence since 1978,
inspired by the spirit of the ...
Scaling Up Senegal’s Community Health
Services
Project Characteristics
USAID Projects
CANAH CANAH II CAMAT PSSC PSSC II
Da...
Scaling Up: Project’s Learning
Transitions
CANAH:
• Formative
research
identifying
and working
with key
community
stakehol...
Health Promotion/Communication
Health Systems Strengthening
FacilityServices
Community
Health
HIV/AIDS/TB
USAID/Senegal's ...
Community-Based Strategy
Community mobilization using multiple local groups
with consistent health messages and practices
...
Community-Based Strategy (cont’d)
• Pregnant women’s solidarity groups
• Grandmothers and godmothers
• Community leaders
Rural and urban populations dependent primarily on
the health huts and outreach sites for health services.
 Estimated tot...
Intervention Areas
14 Regions
71 Districts out of 75
4,214 Health
Huts/Outreach Sites
Strengths of INGO Participation
• Geographic expansion and population coverage
• Expansion in the number of services provi...
Thank You
Integrating Community-Based Strategies into Existing Health Systems_David Shankin_5.6.14
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  • Introduction of the pirogue.USAID’s Vision for this program: USAID’s expectations for mutual support and standard practices.Concrete evidence of collaboration and integration in program implementation
  • Integrating Community-Based Strategies into Existing Health Systems_David Shankin_5.6.14

    1. 1. Senegal Case Study: Scaling Up Community Health Services to the National Level through INGO Partnerships Presentation: David Shanklin, MS Integrating Community-Based Strategies into Existing Health Systems: The Unique Role of INGOs May 5 – 9, 2014 Silver Spring, MD
    2. 2. Original Purpose of the Program • Health huts in Senegal have been in existence since 1978, inspired by the spirit of the Alma Ata Declaration and the promise of universal primary health care. • Health juts were intended to provide basic health promotion and selected curative services in areas without immediately available public health facilities. • Public support for health huts was abandoned by the mid- 1980s, and almost all were closed by the end of the decade. • A new health hut initiative was begun in 1998 as a pilot project by ChildFund (then known as Christian Children’s Fund) in order to resuscitate health huts at a local level.
    3. 3. Scaling Up Senegal’s Community Health Services Project Characteristics USAID Projects CANAH CANAH II CAMAT PSSC PSSC II Dates 1998-02 2002-06 2003-06 2006-11 2011-16 USAID Funding Source CSHGP CSHGP Mission Mission Mission (Sector Focus) (MCH) (MCH) (TB/Malaria) (Integrated) (Integrated) USAID Funding Levels $992,218 $1.25 Million $870,846 $26 Million $40 Million Geographic Coverage 2 Districts 3 Districts 4 Districts 13 Regions 14 Regions 65 Districts 71 Districts Target MCH Population 137,000 163,393 502,035 3,369,633 9,098,014 (>25% of Nat'l Pop) (>70% of Nat'l Pop) Health Huts/ 60 HH 154 HH N/A 1,620 HH/ 2,245 HH/ Outreach Sites 703 Sites 1,969 Sites
    4. 4. Scaling Up: Project’s Learning Transitions CANAH: • Formative research identifying and working with key community stakeholders • Organizing & training health committees and HVs • Organizing HH and later, Outreach Sites CANAH II: • Extending community health services • Liaising with local MOH • Formulating unified vision of health PSSC: • Standardizing basic CB MCH • Coordinating CB MCH with multiple implementing partners • Nationwide scale-up PSSC II: • Urban extension • Additional service components • Transfer of HH/OS to community and MOH CAMAT: • Additional services, such as TB, Malaria and Nutrition • Increased service area coverage
    5. 5. Health Promotion/Communication Health Systems Strengthening FacilityServices Community Health HIV/AIDS/TB USAID/Senegal's Conceptual Pirogue: Improved Health Status of the Senegalese Population
    6. 6. Community-Based Strategy Community mobilization using multiple local groups with consistent health messages and practices (based on early formative research) – • Project’s community mobilizers • Community health workers and volunteers (TTBA, health volunteers, community educators, health committee members) • TB cells • Youth
    7. 7. Community-Based Strategy (cont’d) • Pregnant women’s solidarity groups • Grandmothers and godmothers • Community leaders
    8. 8. Rural and urban populations dependent primarily on the health huts and outreach sites for health services.  Estimated total population – 9,098,014  Infants and children 0–5 years – 1,771,968  Children of school age – 2,544,364  Pregnant/lactating women – 354,394  Women of reproductive age – 2,090,013 Target Population
    9. 9. Intervention Areas 14 Regions 71 Districts out of 75 4,214 Health Huts/Outreach Sites
    10. 10. Strengths of INGO Participation • Geographic expansion and population coverage • Expansion in the number of services provided • Standardization of services and systems • Engagement of MOH at the local, regional and national levels Most Recent Results • October 2013 national Community Health Policy • April 2014 Five Year Strategic Plan for Community Health
    11. 11. Thank You

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