Assessment of the implementation and the achievements of the 3D approach within Senegal’s National Family Planning Action Plan (NFPAP)

Senegal’s 2012–2015 National Family Planning Action Plan (NFPAP) is based on the 3D approach (Democratization, Demedicalization, and Decentralization). As the plan came to an end and a new one was being developed, the Evidence Project/Population Council conducted a study to document the implementation and achievements of the 3D approach in relation to the NFPAP. This brief offers highlights of the study which used a desk review and qualitative research. It describes lessons learned from the implementation of the approach, and shares good practices that can be adopted by other countries, particularly those of the Ouagadougou Partnership. Finally, the study provides evidence for decisionmaking, especially for the elaboration of the next NFPAP

Infographic—Getting to market: Roadmap for user access

The Population Council is an established leader in the development of reproductive health technologies. An estimated 170 million individuals worldwide use a highly effective contraceptive that was developed based on science generated by the Council. This infographic provides the Council’s four-stage product introduction framework that spans the continuum from product development to reaching the end-user. Stage 1 is Innovation, Stage 2 is Investment, Stage 3 is Launch, and Stage 4 is Scale Up. The Council works with stakeholders every step of the way from innovation to scale up into health systems. Advocates identify health areas of critical need; users inform our product design; donors, social entrepreneurs, manufacturers, and other market actors invest in our ideas; policymakers and implementers in the public and private sectors assist in launching the health technology; and health-care providers and consumers provide feedback on how well technologies are addressing needs while product designers and manufacturers continuously improve the technology

Providers\u27 and key opinion leaders\u27 attitudes and practices regarding emergency contraception in Senegal: Key findings

This study examines providers’ and key opinion leaders’ knowledge, attitudes, and practices regarding the emergency contraceptive pill (ECP) in Senegal, and synthesizes the findings to suggest program and policy recommendations. Analysis of providers’ opinions and beliefs reveals that although many providers believe ECP is a safe product, persistent negative views remain. KOLs and providers recognize the importance of ECP for preventing unintended pregnancy and are supportive of the integration of ECP into national guidelines. They note, however, the need to improve accessibility and quality of provision. Given the magnitude of sexual violence and abuse, considerable interest exists in devising strategies to protect the sexual and reproductive health and welfare of adolescents and young women, including through enhancing the provision of ECP

L’offre des anneux vaginaux contraceptifs— La planification familiale postpartum: experience du Sénégal

Le Gouvernement du Sénégal, à travers l’adoption du Plan National d’Action pour la Planification Familiale, s’est résolument engagé dans une politique de repositionnement de la planification familiale (PF) qui s’est fixé comme objectif d’augmenter le taux de prévalence contraceptive. L’introduction de l’anneau vaginal à progestérone (AVP) dans la gamme des méthodes contraceptives devra apporter une perspective intéressante pour la promotion de la planification familiale post-partum (PFPP). Pour faciliter cette introduction, il demeure important de bien comprendre le contexte dans lequel évolue le programme national de PF en général et celui de la PFPP en particulier. Grâce à un financement de l’USAID, le Population Council a procédé à une revue documentaire de l’expérience du Sénégal en matière de promotion de la PFPP. Les leçons tirées de cette revue permettront de mieux orienter l’introduction de l’AVP dans la gamme des méthodes contraceptives disponibles au niveau du programme national. --- The Government of Senegal, through the adoption of the National Plan of Action for Family Planning, has strongly repositioned family planning (FP), and set itself the goal of increasing contraceptive prevalence. The introduction of the vaginal progesterone ring (VPR) in the array of contraceptives should provide an interesting perspective for the promotion of postpartum family planning (PPFP). To facilitate this introduction, it is important to understand the context in which the national FP program in general and PPFP in particular evolve. With funding from USAID, the Population Council conducted a literature review of Senegal\u27s experience in promoting PPFP. The lessons learned from this review will better guide the introduction of VPR into the range of contraceptive methods available at the national program level

Willingness to pay for contraceptive vaginal rings in Senegal

Contraceptive vaginal rings are an innovative category of products that have not been introduced into any sub-Saharan African country. As a result, there is little experience to guide the introductory pricing for the PVR and the one-year NES/EE CVR when it becomes available. The evidence generated by this consumer willingness to pay, and provider/procurer study has shed light on critical aspects of PVR introduction in Senegal. In general, the results generated here complement and reinforce findings from an acceptability study of the PVR and stakeholder discussions that have been occurring over the past three years. Results confirm that contraceptive vaginal rings, and in particular the PVR, are an acceptable method in Senegal with broad-based support for introduction utilizing a Total Market Model. Consumers expressed their willingness to pay for the PVR, providers to deliver it, and procurers to purchase it. Their voices will guide the introductory strategies for the PVR, including communication and promotional activities, integration with appropriate services such as Maternal and Child Health, and continued engagement with all stakeholders including consumers

Exploring the potential for private pharmacies to provide family planning services in Senegal

In Senegal, the National Action Plan for Family Planning (NAPFP) 2012–2015 and the National Strategic Framework for Family Planning 2016–2020 adopted a multi-sectoral approach to broaden access to family planning (FP) services and to reach 45% modern contraceptive prevalence (mCPR) by 2020 (NAPFP, 2012). The private sector and community actors are key partners with the public sector in implementing this approach. However, private pharmacies have not been actively involved in the provision of FP services due to legal and nonlegal barriers that limit their role to selling contraceptives and providing method-specific advice. As Senegal seeks to involve the private sector in improving access to FP, this study found that the country is in an optimal position to increase the role of private pharmacies in FP, which could contribute to the country reaching its mCPR goals

Strain identity of the ectomycorrhizal fungus Laccaria bicolor is more important than richness in regulating plant and fungal performance under nutrient rich conditions

This work was funded by the Natural Environment Research Council (NE/I014527/1).Peer reviewedPublisher PD

Assessment of the implementation and achievements of the 3D Approach in Senegal’s National Family Planning Action Plan—Part 2: Summary Report

Senegal’s 2012–15 National Family Planning Action Plan (NFPAP) is based on the 3D approach (Democratization, Demedicalization, and Decentralization). As the plan came to an end and a new one was being developed, the Evidence Project/Population Council conducted a study to document the implementation and achievements of the 3D approach in relation to the NFPAP. The study documents the approach using a desk review and qualitative research. It describes lessons learned from the implementation of the approach, and shares good practices that can be adopted by other countries, particularly those of the Ouagadougou Partnership. Finally, the study provides evidence for decisionmaking, especially for the elaboration of the next NFPAP

Attitudes, beliefs, and practices of key opinion leaders (KOL) and providers about emergency contraception (EC) in Senegal

In 2010, the Reproductive Health Division in Senegal, with support from Population Council, performed an assessment of the emergency contraception (EC) integration process into the national health system through a national forum on EC. This forum revealed that there was a real promotional problem regarding EC in the national health system despite the efforts made. There was widespread lack of public awareness of the product, rumors concerning EC due to the sensitive nature of the product, low inclusion of EC in routine service delivery, especially during initial counseling in family planning awareness campaigns , and a better method of keeping service providers at pharmacies informed about EC provisions and protocols. This study’s overall objective is collecting information from Key Opinion Leaders (KOLs) and providers about their EC knowledge, attitudes, and practices, and understanding their options and perceptions that may influence EC policies and programs. Results from the study indicated an urgent need to improve EC accessibility and the quality of services

Senegal: Explorer le processus de la collaboration multisectorielle mise en place pour l’étude qualitative

En 2015, STEP UP a mené une étude qualitative sur l’expérience de femmes ayant subi une grossesse non désirée suite à un viol ou inceste dans la région de Dakar, Sénégal, en partenariat avec le Comité de plaidoyer pour l’accès à l’avortement médicalisé, plus connu sous le nom de «Taskforce». L’objectif général de l’étude était de développer une meilleure compréhension de la vie de ces femmes et d’apporter leur voix au débat sur la légalisation de l’avortement médicalisé. Cette étude de cas examine les caractéristiques de la collaboration, comment elle a été efficace, les leçons apprises, et les recommandations formulées pour de telles futures collaborations. --- In 2015, STEP UP conducted a qualitative study on the experience of women who have undergone an unwanted pregnancy following rape or incest in the region of Dakar, Senegal, in partnership with the Advocacy Committee for Access to Medical Abortion, better known as “Taskforce.” The overall objective of the study was to develop a better understanding of the lives of these women and to add their voice to the debate over the legalization of safe abortion. This case study examines the characteristics of the collaboration, how effective it has been, lessons learned, and recommendations for future such collaborations