Health System and EPI Program
Public health services in Senegal are delivered through a network of 11 Regions, 63 districts and more than 1000 public and private health facilities.
Senegal’s National Health Development Plan 2010‐2018 recognizes that the country’s EPI Program has measurably improved child health. It also incorporates vaccine coverage as a key health indicator. The EPI was established in 1979. It is located in the Medical Prevention Department of the Ministry of Health and Prevention. An Inter‐Agency Coordinating committee provides EPI oversight.
Over the period 2006-2011, Gross National Income (GNI) in Senegal increased from $830 to $1070 per capita. According to the WHO/UNICEF-Joint Reporting Form (JRF) Database, government expenditures on routine immunization fluctuated throughout this six year period. Currencies were not specified for the government expenditures reported in 2006 and 2009, but were considered as local currency and US dollars values, respectively. In 2007, government expenditures increased by $3.8 million, but there was a decline of $3.7 million in the subsequent year. In 2009, Senegal reported spending $24.3 million on routine immunization, a value that is exceedingly high in comparison to other reported values within this time period. Excluding the calculated government expenditure of $56 per infant in 2009, Senegal has paid an average of $6 per infant.
Senegal has a presidential system of government. The president is elected separately from members of parliament. The parliament is bicameral. There are 150 members of the National Assembly and 100 Senators. Most pertinent to immunization financing are the Commission de l’Economie générale, des Finances, du Plan et de la Coopération économique and Commission de la Santé, de la Population, des Affaires sociales et de la Solidarité nationale.
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. Section I, Article 1 of Public Health Law No. 8371 (Code de L’Hygiene, Loi N° 8371, “Lutte contre les endémies et vaccinations contre certaines maladies transmissibles”), adopted by the Senegalese National Assembly on 5 July 1983, and establishes the right of the state to oblige certain citizens to be vaccinated. Section III details the fines and their disposition for those failing to be vaccinated.
Ministerial Decree of 4 February 1982, concerning the organization of regional health services (“portant organisation des services régionaux de la santé publique”) states that each region will organize an EPI program.
- May 2012: SIF sponsored Senegalese participants to take part in the cMYP costing workshop in Grand Bassam.
- November 2012: Peers from Senegal attended the "Workshop on Legislative and Financial Strategies for Immunization", held in Kinshasa, DRC. The participants presented, discussed and reviewed their legislative projects with peer exchangers from 5 other SIF francophone African countries.
- November 2012: Senegal drafted a first version of its Immunization Law.
- March 2013: SIF Director Mike McQuestion and SPO Jonas Mbwangue met with EPI, UNICEF National and UNICEF Regional representatives during a field mission.