Suchergebnisse

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's 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.

Objectives: This paper highlights lessons from introductory efforts and presents new data on community, provider and key opinion leader perspectives to support expanded use of emergency contraception (EC) in Senegal. Sources of information: The paper draws on four data sources: (i) a literature review; (ii) a secondary analysis of a household survey conducted by the Urban Reproductive Health Initiative; (iii) in-depth interviews with key opinion leaders; and (iv) a quantitative survey of healthcare providers from a range of service delivery points. Analysis of data: Knowledge of EC among women is low in urban areas, with only 20% of women having heard of the method and 4% having ever used it. There were serious gaps in providers' technical knowledge about EC; only 57% knew its mode of action and 34% were aware of the need for timely use (within 120 h). Moreover, nearly half reported reluctance to provide EC to married women and even fewer were willing to provide it to youths, particularly to adolescent girls. Responses from key opinion leaders were mixed, demonstrating ambivalence about EC and how it could be offered. Conclusion: In Senegal, the current positive political climate for family planning provides a good opportunity for strengthening EC programming to address knowledge and attitudinal barriers among providers, key opinion leaders and communities.

En partenariat avec le Ministère de la Santé et de l'Action Sociale et l'initiative Partners in Population and Development, le bureau du Population Council—Sénégal a organisé une rencontre avec des membres de l'Assemblée Nationale et d'autres acteurs locaux clés pour diffuser les résultats du rapport de l'étude sur le profil pays menée dans le cadre du projet de recherche "Strengthening Evidence for Programming on Unintended Pregnancy" plus connu sous l'acronyme "STEP UP." A l'issue de la réunion, les recommandations ont été formulées concernant la législation, le renforcement des capacités et la prise en charge des problèmes de santé de la reproduction des adolescents/jeunes, et le financement. --- In partnership with the Ministry of Health and Social Action and Partners in Population and Development, the Population Council office in Senegal organized a meeting with members of the National Assembly and other key local stakeholders to disseminate the results of the Senegal Country Profile report. This report was carried out as part of the research project "Strengthening Evidence for Programming on Unintended Pregnancy'' (STEP UP). Recommendations were made following the discussions regarding legislation, capacity-building and support of adolescents' reproductive health, and financing.

Sur la base de l'étude exploratoire menée par le Projet Evidence au Sénégal entre 2015 et 2016, avec un soutien financier supplémentaire de la Fondation William et Flora Hewlett, ce rapport technique documente les résultats d'une étude pilote sur l'offre des services de planification familiale (FP) par les pharmacies privées dans la région de Dakar. Le rapport détaille également les enseignements de valeur tirés de la mise en œuvre de l'étude dans le contexte du Sénégal. Ces résultats contribuent aux discussions politiques en cours au Sénégal concernant l'intégration des pharmacies privées dans la prestation des services de PF. -- Building on the exploratory study conducted by the Evidence Project, with additional funding support from the William and Flora Hewlett Foundation, in Senegal between 2015 and 2016, this technical report documents results from a pilot study that looked at the feasibility of private pharmacies providing family planning (FP) services in the Dakar region. The report also details valuable lessons learned from the study's implementation in the context of Senegal. These results are contributing to ongoing policy discussions in Senegal regarding the integration of private pharmacies in FP service provision.

Dans le cadre du programme de recherche « Strengthening Evidence for Programming on Unintended Pregnancy (STEP UP) », le Population Council a élaboré un Rapport du Profil Pays pour comprendre les grossesses non désirées au Sénégal. Ils ont mené une revue de la littérature, analysé des données d'enquêtes disponibles, et a mené des entretiens pour discuter plus en détail de certains aspects avec quelques parties prenantes clés. Le Profil Pays a été discuté lors d'un atelier de deux jours à Dakar regroupant les principaux acteurs du gouvernement aux niveaux central et régional, des organisations non-gouvernementales, et des acteurs de la société civile. Le rapport est composé en six chapitres, résumés dans ce fichier. --- As part of the Strengthening Evidence for Programming on Unintended Pregnancy (STEP UP) research program, the Population Council has developed a Country Profile Report to understand unwanted pregnancies in Senegal. The Population Council conducted a literature review, analyzed available survey data, and conducted interviews to discuss some aspects in more detail with a number of key stakeholders. The Country Profile was discussed at a two-day workshop in Dakar bringing together key government actors at the central and regional levels, nongovernmental organizations, and civil society actors. The report is composed of six chapters, summarized in this document.

As part of the Strengthening Evidence for Programming on Unintended Pregnancy (STEP UP) research program, the Population Council has developed a Country Profile Report to understand unwanted pregnancies in Senegal. The Population Council conducted a literature review, analyzed available survey data, and conducted interviews to discuss some aspects in more detail with a number of key stakeholders. The Country Profile was discussed at a two-day workshop in Dakar bringing together key government actors at the central and regional levels, nongovernmental organizations, and civil society actors. The report is composed of six chapters, summarized in this evidence brief.

Un profil pays a été préparé pour le Sénégal pour compiler et synthétiser les informations disponibles sur la santé de la reproduction, en particulier les grossesses non désirées et par conséquent les besoins non satisfaits en matière de planification familiale. D'importants efforts ont été consentis par l'Etat sénégalais, mais de nombreux obstacles continuent de freiner les progrès réalisés. Un programme national plus cohérent et ciblé est donc nécessaire pour réduire ces obstacles. Dans le même temps, les acteurs non-gouvernementaux devraient poursuivre leurs efforts pour renforcer leur programmation pour produire des effets plus immédiats, tout en assurant une meilleure coordination entre eux. Le profil pays constitue un document de référence pour tout chercheur, praticien, et acteur intéressé par la planification familiale en général et par les besoins non satisfaits en particulier. --- A country profile was prepared for Senegal to compile and synthesis available information on reproductive health especially unintended pregnancies and therefore, unmet need in family planning. Significant initiatives have been made by the Senegalese government, however many obstacles continue to hinder progress in reducing unintended pregnancies in the country. A more coherent and focused national program is needed to reduce these barriers. At the same time, nongovernmental actors should continue their efforts to strengthen their programming to produce more immediate effects, while ensuring better coordination between them. The country profile is a reference document for researchers, practitioners, and stakeholders interested in family planning in general and in unmet need in particular.

The Population Council embarked on a three-year project to explore the acceptability of the progesterone vaginal ring (PVR) among women in sub-Saharan Africa and its potential introduction. This technical report presents results from assessments undertaken to map the existing landscape of family planning programs and new contraceptive technologies in Senegal in an effort to identify national priorities and assess the level of interest in the PVR among stakeholders and to design appropriate preintroductory activities. This country mapping exercise confirms that Senegal is a promising context for the introduction of the PVR: the government is committed to repositioning family planning and has created an enabling environment and there are various encouraging sociocultural trends which suggest potential for acceptance of the PVR. Some key accompanying measures will need to be taken to ensure proper execution of the acceptability study and subsequent introductory efforts, including early involvement of the Ministry of Health, development and dissemination of literature in French on the PVR and the project, and establishment of an appropriate communication plan to name a few. Its innovative, long- and mid-acting, user-controlled design will introduce a unique dimension to the current method mix and is a promising prospect for provision at the community level in Senegal.

Le Gouvernement du Sénégal s'est engagé dans une politique volontariste de repositionnement de la planification familiale à travers l'adoption d'un Plan d'Action National de Planification Familiale. Pour mieux adresser les besoins de contraception des femmes et réduire les taux d'abandon, le Population Council a initié le développement d'une gamme d'anneaux vaginaux; le premier produit développé était l'anneau vaginal à progestérone ou AVP, conçu pour les femmes qui allaitent en vue de prolonger la période d'aménorrhée lactationnelle et ainsi promouvoir l'espacement des naissances. Avec l'appui de la Fondation Bill & Melinda Gates, le Population Council a entrepris des activités de pré-introduction de l'AVP dans trois pays d'Afrique subsaharienne: le Kenya, le Nigéria, et le Sénégal. Les résultats de l'étude au Senegal indiquent que l'introduction de l'AVP se présente dans un contexte social, économique et politique très favorable. Il est donc important d'intégrer les leçons apprises de cette étude d'acceptabilité et des expériences antérieures conduites dans ce domaine. --- The Government of Senegal has embarked on a proactive policy of repositioning family planning through the adoption of a National Plan of Action for Family Planning. To better address women's contraceptive needs and reduce dropout rates, the Population Council initiated the development of a range of vaginal rings; the first product developed was the progesterone vaginal ring, or AVP, designed for women who are breastfeeding to prolong the lactational amenorrhea period and thus promote birth spacing. With the support of the Bill & Melinda Gates Foundation, the Population Council undertook pre-introduction activities of AVP in three countries in sub-Saharan Africa: Kenya, Nigeria, and Senegal. The results of the study in Senegal indicate that the introduction of AVP is in a very favorable social, economic, and political context. It is therefore important to incorporate the lessons learned from this acceptability study and previous ...

In developing countries, postpartum hemorrhage and complications related to unsafe abortions are direct causes of maternal death. In Senegal, actions have been undertaken by the government to reduce this burden and significant advances have been made in these areas in recent years. However, progress is still necessary to achieve the Millennium Development Goals for the reduction of the maternal mortality rate to the target numbers by 2015. The objective of the study was to understand the knowledge about, availability of, and practices in the provision of misoprostol at pharmacies in Dakar, Senegal, to ensure correct delivery of the product. Pharmacists are the key intermediaries and thus it is imperative that they be involved in the national implementation plans for the availability, safe delivery, and scaling up of the product throughout the country.

The progesterone vaginal ring (PVR) is a ring-shaped device designed for use by women in the postpartum period to regulate fertility by complementing and extending the contraceptive effectiveness of lactational amenorrhea to suppress ovulation.1 It is available in eight Latin American countries for use by breastfeeding women who want more effective modern contraceptives in addition to contraceptive benefits provided by lactational amenorrhea alone.1 The PVR is a method that can be suitable to women in sub-Saharan Africa, given the near-universal practice of breastfeeding and the current level of unmet need for contraception in the postpartum period. Efforts are currently underway to introduce the PVR in Africa and south Asia. To ensure a seamless introduction, scale up and sustainability of the PVR in the region, the Population Council conducted pre-introductory activities with stakeholders in Kenya, Nigeria and Senegal to determine the level of interest in the ring, potential facilitating and mitigating factors and identify solutions to address challenges. The research team combined three approaches: in-depth interviews with family planning stakeholders; desk review of reports and policy guidelines; and in-group meetings. The stakeholders reached included public sector officials including policy makers and program managers, implementing partners, regulators, women and religious networks. All three countries had a promising policy and programmatic context that was supportive to PVR introduction. The exercise provided insights on socio-cultural and religious factors that could potentially impact how the PVR is perceived within communities and identified possible remedies to address misperceptions. It also paved the way for the conduct of an acceptability study of the PVR among breastfeeding women in these countries. The high acceptability rate in each country and the support expressed by government and other stakeholders have provided impetus for registration of the product in each country. Learning from this ...

This book is a presentation of a debate among Senegalese academics undertaking a multi-facetted analysis of the social, political and economic development of their country. The major trends of this dynamics in the 1960-1990 era, are identified, as well as the factors contributing to the gradual shift from a state intervention system - that has led to a significant growth of the public sector -, to a type of 'liberalism' that deconstructs some of the achievements of the immediate post-independence period. (DÜI-Sch)