Mother and Child Health Support Project (MCHSP): A Partnership Mechanism with France for Development Facility in Senegal

Abstract

The purpose of this chapter was to describe the MCHSP/PASME device, co-funded since 2014 by the State of Senegal and the French Development Agency / Agence Française de Développement (FDA/AFD) for five years.

The qualitative, cross-sectional, and descriptive study used four approaches: literature review, interviews with structural managers, data collection confirmed by the medical region (MR), and direct observations of construction and/or rehabilitation/extension sites. The objectives were threefold: j Strengthen the teams' capacities; Increase the supply and demand for family planning; l Improve the conditions for taking care of pregnancies, deliveries and newborns.

The physical setting included three of the 14 regions of Senegal: Louga in the north; Kolda and Sedhiou in the south, for a total of 14 of the 76 health districts in the country.

The institutional framework consisted of a central level (three bodies) and a regional level (two bodies). The logic model was built around resources and actions (primary targets) to generate outputs (secondary targets) whose effects add to the impact. For each responsibility centre, the implementation was based on an annual work plan (AWP) that was revised and consolidated by the national coordination unit (UCN), then verified by the steering committee before being presented to the French Development Agency (FDA/AFD) for its non-objection opinion. It has made a positive contribution to the evolution of various health indicators. This MCHSP/PASME is sufficient for making a greater contribution to Senegal's efforts to lower maternal and infant-juvenile morbidity and death.