Draft legislation completed
Private immunization fund under development
Expanded Program on Immunization (EPI)
The Senegalese EPI is in the Medical Prevention Department of the Ministry of Health and Prevention (MOHP).
Government Spending on Immunization
Over the period 2006-2013, Senegal’s Gross National Income increased from US$800 to US$1,070 per capita, increasing by 34 percent. According to the WHO/UNICEF Joint Reporting Form (JRF), the Senegalese government spent $4 on routine immunization per surviving infant in 2006. By 2013, this figure decreased to $2, reflecting a 50 percent decrease. In addition, the government share of total routine immunization expenditures dropped from 58 percent to 15 percent from 2006-2013. Caveats: Reporting for JRF Indicator 6500 is incomplete and there are inconsistencies across the other JRF financial indicators. The data suggest that Senegal has not progressed towards country ownership of its immunization program.
Vaccination Financing Mechanism
The Parliamentary Health Committee and MOHP established a steering committee to develop an immunization trust fund in April 2011. In November 2013, forty Senegalese companies registered to contribute to the private fund. Since then, the SIF program has been working to generate a domestic general assembly to manage it as a non-profit organization.
Legislation for Sustainability
Chapter I, Article 7 of the Senegalese Constitution (2001) guarantees citizens the right to health. Article 17 guarantees that the state will provide health services to families.
The Legislation Drafting Committee was established in January 2012. The Committee began drafting the law that November, during a legislative peer review workshop where the Committee employed lessons learned from Cameroon, Mali and the Costa Rican immunization law.
Under advisement from the MOHP Cabinet, officials from the EPI and MOHP submitted a proposal to establish Senegal’s National Immunization Technical Advisory Group (NITAG) in January 2013. The NITAG would be tasked to drive the law drafting process. The NITAG was established in March 2013.
The Committee has established a focal point within parliament, EPI, and the Ministry of Economy & Finance (MOEF) to build consensus for the draft law. The immunization law bloc has since expanded from the three focal points to include MPs, former MPs, CSOs and relevant ministerial officials.
Major SIF Program Efforts
- December 2014: Senior Program Officers from Cameroon and DRC co-organize the Francophone Africa Peer Review Workshop on Sustainable Immunization Financing. Government peers from DRC, Congo-Brazzaville, Madagascar, Cameroon, Mali and Senegal participate.
- November 2014: Senior Program Officer holds parliamentary briefing with members of the new parliament.
- November 2013: Senior Program Officer and MOH co-organize a private sector briefing on the private immunization fund.
- July 2013: Senior Program Officer holds a parliamentary briefing intended to establish an MP Immunization Network.
- June 2013: Senior Program Officer holds a parliamentary briefing to inform MPs of the SIF Budget Process Tool and expenditure reporting issues.
- November 2012: Senior Program Officers from Cameroon and DRC co-organize the SIF francophone Africa legislative peer review. Government officials from Cameroon, Mali, Senegal, DRC, Congo-Brazzaville and Madagascar participated.
- May 2012: Senior Program Officers from Cameroon and DRC, WHO, UNICEF, and AMP co-organize a cMYP workshop for Central African Countries in Cameroon, in which a Senegalese MP peer exchanger participates.
- September 2010: Senior Program Officer and Program Director participate in the third SIF parliamentary briefing.
- December 2009: Senior Program Officer organizes sub-regional parliamentary briefing at which thirty-two delegates from Senegal attended.
- August 2009: Senior Program Officer holds first SIF parliamentary briefing in Senegal.
- December 2008: Senior Program Officer and Program Director conducts introductory briefings with MOHP counterparts.