Strengthening Government Leadership in Family Planning Programming in Senegal: From Proof of Concept to Proof of Implementation in 2 Districts

Aichatou, Barry; Seck, Cheikh; Anne, Thierno Souleymane Baal; Deguenovo, Gabrielle Clémentine; Ntabona, Alexis; Simmons, Ruth

doi:10.9745/ghsp-d-16-00250

Cited by 8 publications

(8 citation statements)

References 7 publications

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“…It is clear that a variety of factors have converged to encourage the favorable trends in contraceptive consumption witnessed in Senegal over the past several years, including but certainly not limited to the successful rollout and scale-up of the IPM. Other important contributing factors include consistently strong government and Ministry of Health attention to and support for family planning and reproductive health [ 25 , 27 ]; extensive commitments from bilateral donors such as the U.S. Agency for International Development [ 28 ]; successful initiatives to involve imams and other religious leaders in addressing religious barriers to family planning [ 29 ]; and demand creation activities [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

Understanding and addressing contraceptive stockouts to increase family planning access and uptake in Senegal

Hasselback

Dicko

Viadro

et al. 2017

BMC Health Serv Res

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BackgroundSenegal’s government has pledged to reduce contraceptive stockouts, which have been frequent in public sector health facilities. An innovative distribution system called the Informed Push Model (IPM) addresses supply chain obstacles through direct regional-to-facility delivery of contraceptives and use of private sector logistics operators. Following promising pilot results, Senegal’s Ministry of Health and Social Action committed to a three-year (2013–2016) expansion of IPM to all public health facilities nationwide.MethodsFrom August 2014–July 2016, IPM’s six logisticians made 29,319 visits to restock public sector health facilities. During these regular facility visits, the logisticians conducted a physical inventory to flag contraceptive stockouts (no usable stock of any single method available) and asked facility staff to identify the primary reason for documented stockouts. Our descriptive study examines stockout trends over the course of IPM scale-up. We also describe trends in contraceptive consumption over the three-year period using facility-level data collected by the logisticians.ResultsContraceptive consumption rose by 91% over 35 months in the first three IPM regions, and by 118% in the next five regions (over 26 months). After scale-up to 1,394 health facilities, nationwide consumption rose by 48% over one year. On average, logisticians documented stockouts at fewer than 2% of facility visits. In comparison, two pre-IPM studies in 2011 identified stockouts of selected modern contraceptives at 60–70% of facilities visited, with 84% of clients reporting stockouts in the past year. Six factors (including consumption spikes, IPM-preventable causes, and community outreach) explained most remaining stockouts.ConclusionsIPM has been highly successful in ensuring full availability of contraceptives across regions and health facilities. The model also has facilitated the flow of essential data on consumption and stockouts from facilities up to district, regional, and central-level managers. These achievements highlight the relevance of professionalizing supply chain management while continuing to mitigate stockouts through enhanced stakeholder communication and improved training, coaching, and supervision of third-party logistics operators. Supply reliability is critical in shaping demand for and regular use of contraception. The government is transitioning the IPM to full management by the National Supply Pharmacy.

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Section: Discussionmentioning

confidence: 99%

Understanding and addressing contraceptive stockouts to increase family planning access and uptake in Senegal

Hasselback

Dicko

Viadro

et al. 2017

BMC Health Serv Res

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“…Since 2007, ExpandNet and many organizations and individuals have been using the Expand-Net/WHO framework and approach to provide technical support on scale-up to a broad range of activities in low-and middle-income countries along the three phases illustrated in Fig. 1 (Ghiron et al, 2014;Igras et al, 2014;Keyonzo et al, 2015;Fajans & Simmons, 2016;Aichatou et al, 2016;Omimo et al, 2018;Benevides et al, 2019;Mai et al, 2019;Oku, 2019;ExpandNet, 2021).…”

Section: Expandnet's Systematic Approach To Scaling Upmentioning

confidence: 99%

“…Many publications in the last twelve years have assessed the determinants of scale-up success and laid out frameworks and practical guidance to support the scale-up process (Simmons et al, 2007;Hartmann & Linn, 2008;ExpandNet & World Health Organization, 2009, 2010, 2011Yamey, 2011;Chandy & Linn, 2011;Chandy et al, 2013;Cooley & Linn, 2014;Milat et al, 2015;Barker et al, 2016;Milat et al, 2016;Management Systems International, 2016;Spicer et al, 2018;Bulthuis et al, 2020). Other publications have focused on sharing in-country project experience of scale-up activities (Ghiron et al, 2014;Igras et al, 2014;Spicer et al, 2014;Keyonzo et al, 2015;Aichatou et al, 2016;Fajans & Simmons, 2016;Omimo et al, 2018;Mai et al, 2019;Benevides et al, 2019;Oku, 2019;Expand-Net, 2021). These have all contributed to shifting the global health and development paradigm away from more conventional project approaches (Keyonzo et al, 2015) to ones that use knowledge about what works for scale-up to shape the introduction of new interventions and their subsequent expansion and institutionalization.…”

Section: Introductionmentioning

confidence: 99%

Promoting Scale-Up Across a Global Project Platform: Lessons from the Evidence to Action Project

Ghiron

Ramirez-Ferrero

Badiani

et al. 2021

Glob Implement Res Appl

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The USAID-funded flagship family planning service delivery project named Evidence to Action (E2A) worked from 2011 to 2021 to improve family planning and reproductive health for women and girls across seventeen nations in sub-Saharan Africa using a “scaling-up mindset.” The paper discusses three key lessons emerging from the project’s experience with applying ExpandNet’s systematic approach to scale up. The methodology uses ExpandNet/WHO’s scaling-up framework and guidance tools to design and implement pilot or demonstration projects in ways that look ahead to their future scale-up; develop a scaling-up strategy with local stakeholders; and then strategically manage the scaling-up process. The paper describes how a scaling-up mindset was engendered, first within the project’s technical team in Washington and then how they subsequently sought to build capacity at the country level to support scale-up work throughout E2A’s portfolio of activities. The project worked with local multi-stakeholder resource teams, often led by government officials, to equip them to lead the scale-up of family planning and health system strengthening interventions. Examples from project experience in the Democratic Republic of the Congo, Kenya, Nigeria, and Uganda illustrating key concepts are discussed. E2A also established a community of practice on systematic approaches to scale up as a platform for sharing learning across a variety of technical agencies engaged in scale-up work and to create learning opportunities for interacting with thought leaders around critical scale-up issues.

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“…[17][18][19][20][21] Equally important, URHI's pilot and scalability phases generated important learnings that would inform the design of the TCI model, including the feasibility of local governments to leadand contribute their own resources to-the introduction of a set of innovations while still achieving positive outcomes in contraceptive uptake. 22,23 In 2016, the Gates Foundation funded TCI to serve as a platform to support governments to sustainably scale URHI's proven interventions in urban areas of East Africa, India, Nigeria, and francophone West Africa. Unlike URHI, TCI's mandate from the outset identified sustainability as a key performance outcome for the platform's rapid scale-up of proven FP approaches to cities across multiple countries.…”

Section: Introductionmentioning

confidence: 99%

A Platform for Sustainable Scale: The Challenge Initiative’s Innovative Approach to Scaling Proven Interventions

Finkle

Martin

Salas

et al. 2022

Glob Health Sci Pract

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There is a great need to scale up proven health interventions for the urban poor, including improving access to contraception, in a sustainable and cost-efficient way.n To enable the scale-up of intervention packages across multiple geographies, The Challenge Initiative (TCI) platform includes regional technical assistance hubs that meaningfully engage local stakeholders and systems and a global partner that raises funds; supports shared learning; and upholds consistent practices, processes, and standards across all hubs.n Government self-selection and commitment of funds to participate in TCI are critical to the ownership and sustainability of the change process; they also complement and reinforce local leadership in program design, implementation, and management.

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Strengthening Government Leadership in Family Planning Programming in Senegal: From Proof of Concept to Proof of Implementation in 2 Districts

Cited by 8 publications

References 7 publications

Understanding and addressing contraceptive stockouts to increase family planning access and uptake in Senegal

Understanding and addressing contraceptive stockouts to increase family planning access and uptake in Senegal

Promoting Scale-Up Across a Global Project Platform: Lessons from the Evidence to Action Project

A Platform for Sustainable Scale: The Challenge Initiative’s Innovative Approach to Scaling Proven Interventions

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