Experience in this Country
- PREMOMA Senegal 2004–2006
- Basic Support for Institutionalizing Child Survival (BASICS) 1999–2009
- Management and Leadership Program 2000–2005
- Action for West Africa Region (AWARE)-Reproductive Health 2003–2008
- Rational Pharmaceutical Management Plus Program 2000–2008
- Advance Africa 2002–2004
- Senegal Maternal Health/Family Planning Program 2000–2005
- Strengthening Pharmaceutical Systems (SPS) Program 2007–2012
PREMOMA Senegal
2004–2006PREMOMA (Project for the Reduction of Maternal Mortality in Senegal) works to improve the quality of and access to maternal and reproductive health services in five regions across the country. The $3.37 million project builds on the work of MSH's Maternal Health and Family Planning Project (2000–2004) and emphasizes the prevention and treatment of malaria in pregnancy and the prevention of maternal-to-child transmission of HIV infection. PREMOMA also works to increase the availability of family planning services and contraceptives, adolescent education to prevent teen pregnancy, and post-abortion care services.
The percentage of service delivery points with at least one provider trained in post-abortion care increased from 39 percent to 100 percent in the health care centers from September to December 2005. The number of post-abortion care patients who received counseling and chose and received a family planning method before leaving the health facility also increased. In the regions supported by the project, the contraceptive prevalence is 14 percent, compared to 6 percent for the rest of Senegal.
Basic Support for Institutionalizing Child Survival (BASICS)
1999–2009As a technical assistance partner for newborn and child health to the USAID Bureau for Global Health, the Basic Support for Institutionalizing Child Survival (BASICS) Project develops and implements strategies to reduce preventable infant and childhood deaths in the developing world. MSH works as a partner in BASICS, which began its third phase in October 2004. Under this indefinite quantity contract (IQC), BASICS assists USAID/Washington Bureaus, USAID field missions, host-country governments, donor agencies, NGOs, PVOs, research institutions, and the private sector to scale up and increase the use of newborn and child health and nutrition interventions by families, communities, and health systems.
Since 1993, BASICS has worked to achieve substantial improvements in coverage and to expand effective newborn and child health interventions. BASICS focus areas include newborn health, essential nutrition actions like vitamin A supplementation, immunization, integrated management of childhood illness, treatment of diarrhea and pneumonia, and malaria control. In addition to strengthening the delivery of basic newborn and child health services, BASICS has expanded its technical scope to include pediatric HIV & AIDS, birth spacing, and child survival and nutrition in complex humanitarian crises. BASICS areas of expertise include assistance to countries on comprehensive strategies or selected interventions for newborn and child health, building partnerships, delivery of quality newborn and child health services, community-based treatment and private sector approaches to expand access to services, and capacity building and training.
Management and Leadership Program
2000–2005The M&L Program was designed to improve the performance of leaders, managers, and organizational management systems, and improve organizations' ability to anticipate and respond effectively to the changing external environment. Working with public, private, and nongovernmental organizations at all levels of the health sector, M&L strengthened individual employee, organization, and national program performance. These improvements contributed significantly to the delivery of high-quality health services.
MSH's M&L Program worked with public, private, and nongovernmental organizations and programs at all levels of the health sector to address management and leadership challenges. M&L provided the means to strengthen individual employee, organization, and national program performance to deliver high-quality family health services. Between February and June of 2004, the M&L Program of MSH, in partnership with the Centre for African Family Studies, implemented a leadership development program for the Ministry of Health in Senegal in the regions of Thiès and Louga. Working with district teams, the program aimed to improve the performance of health systems and achieve service delivery results through improved leadership capacity.
Action for West Africa Region (AWARE)-Reproductive Health
2003–2008AWARE works with West African regional health institutions and networks with potential for becoming local leaders in expanding and improving health services across the region, and in creating a regional response to reproductive health and HIV & AIDS issues as an alternative to country-by-country solutions.
AWARE works with selected regional health institutions to facilitate development of a network of Regional Technical Leadership Institutions. The project aims to strengthen these institutions through enhanced strategic planning, leadership development, and application of regional best practices in reproductive health and HIV & AIDS-each contributing to improved quality of family planning, reproductive health, infectious diseases and child survival services. By mobilizing social and donor capital and improving institutional effectiveness, the AWARE project aims to develop regional capacity and management expertise at local institutions, thus enabling advocacy for needed health policies that can reach all countries in the region.
MSH is a subcontractor responsible for the child survival, institutional capacity and regional commodity planning elements of the project. MSH is partnering with EngenderHealth, Abt Associates, and AED on the AWARE project.
AWARE works with selected regional health institutions in Senegal to facilitate the development of a network of Regional Technical Leadership Institutions. The project aims to strengthen these institutions through enhanced strategic planning, leadership development, and application of regional best practices in reproductive health and HIV & AIDS—each contributing to improved quality of family planning, reproductive health, infectious diseases, and child survival services. By mobilizing social and donor capital and improving effectiveness, the AWARE project aims to develop regional capacity and management expertise at local institutions, thus enabling advocacy for needed health policies that can reach all countries in the region of West Africa.
Rational Pharmaceutical Management Plus Program
2000–2008RPM Plus works in more than 40 developing countries to provide technical assistance to strengthen pharmaceutical and health commodity management systems. The program works to improve the availability and use of quality medicines, supplies, and basic medical equipment in the public and private sectors and to promote practical, sustainable changes in pharmaceuticals management by developing capacity within cooperating countries and fostering collaboration between countries.
Since 2001, RPM Plus has worked with the Ministry of Health (MOH) and other partners in Senegal to strengthen the pharmaceutical management system. The focus has been on child health and malaria services, in particular integrated management of childhood illnesses, malaria treatment, and the prevention of malaria during pregnancy. RPM Plus supported MOH partners in changing national policy on the first-line treatment for uncomplicated malaria. The program has also worked with private-sector pharmacy vendors to improve rational medicine use and dispensing practices.
Advance Africa
2002–2004Advance Africa was a family planning/reproductive health service delivery project designed to increase access to and improve the quality of clinical and nonclinical programs in sub-Saharan Africa. The project worked to increase capacity for informed decision-making by clients and communities, and for the public sector to sustain quality family planning/reproductive health service delivery programs. Advance Africa also worked with USAID missions to scale up existing efforts by closing gaps in service delivery, and building partnerships among public and private health and nonhealth organizations. The project implemented innovative approaches to revitalize family planning programs within the broad context of Africa’s HIV/AIDS pandemic. MSH was the prime of a consortium of six international organizations that managed implementation of the Advance Africa project.
Senegal is one of five African countries that received assistance through the ADVANCE Africa project. ADVANCE Africa collaborated with USAID missions to build partnerships among public and private health and non-health organizations. In Senegal, ADVANCE Africa focused on three specific components: (1) integration of family planning within post-abortion care, (2) strengthening the primary health care system through performance monitoring and improvement, and (3) extending the fight against female genital cutting (FGC) through integration into the formal education sector. Two hundred teachers were trained to provide FGC information and education to more than 32,000 students in Senegal. MSH works with five other organizations to increase access to and improve quality of family planning and reproductive health programs. ADVANCE Africa helped to incorporate a life skills education component into the national curriculum to combat FGC.
Senegal Maternal Health/Family Planning Program
2000–2005The Government of Senegal has worked to increase the availability, access, and education of family planning information to its people. So far, these efforts have led to a decline in the country's fertility rate, a substantial increase in urban and rural contraceptive prevalence rates, and a considerable expansion of family planning services to those individuals with unmet need. Senegal's gains, however, are coupled with several problems in the current health system. Populations in hard-to-reach areas have barely begun to demand services, and there is limited awareness of maternal health issues among providers and consumers. Despite the efforts of collaborating agencies and the United States Agency for International Development, sustainability has not been achieved by many local organizations.
In May 2000, USAID awarded the Senegal Maternal Health/Family Planning (MH/FP) Program to Management Sciences for Health and its partners. The program aims to achieve sustainable use of high-quality MH/FP services throughout Senegal. MSH and its partners will work to combat specific management and service delivery problems in Senegal's health system, improve and sustain the supply and demand for services, and assist with the development of fully functional services delivery points -- where competent, well-equipped providers meet informed, motivated clients.
The MH/FP Project will draw on the expertise of PLAN Senegal and other local NGOs to help local communities plan and carry out MH/FP activities. By strengthening health management and service delivery, encouraging a decentralized health system, and encouraging behavior change through education and communication campaigns, MSH and its partners are helping the Government of Senegal achieve its long-term goal of reducing maternal mortality and morbidity through the improvement and increased use of reproductive health services.
Strengthening Pharmaceutical Systems (SPS) Program
2007–2012Strengthening Pharmaceutical Systems is a follow-on to the Rational Pharmaceutical Management (RPM) Plus Program. MSH is pleased to announce that the US Agency for International Development has awarded us the Strengthening Pharmaceutical Systems (SPS) Leader with Associates Cooperative Agreement. SPS will focus on four key results:
- Improve governance in the pharmaceutical sector
- Strengthen pharmaceutical management systems to support public health services
- Contain the emergence and spread of antimicrobial resistance
- Expand access to and improved use of essential medicines
To help meet goals relating to the key result areas, the SPS Program is building on the successes of RPM Plus while expanding the range of technical areas to include financing, pharmacovigilance, pharmaceutical care, integration of new health technologies, and increased use of the private sector, among others. MSH will accomplish this enhanced program of activities by collaborating with a number of new partner organizations.
The SPS core partner team includes:
- BroadReach Healthcare
- Ecumenical Pharmaceutical Network
- The Lewin Group
- LMI Government Consulting
- University of Washington Department of Global Health
- WHO Collaborating Center in Pharmaceutical Policy: Harvard University/Boston University
- African Medical and Research Foundation
- American Society of Health-System Pharmacists
- Euro Health Group
- Infectious Disease Institute at Makerere University
- Joint Commission International
- London School of Hygiene and Tropical Medicine
