Senegal is pursuing financial sustainability for its immunization services through budget advocacy. The Sabin Sustainable Immunization Financing (SIF) Program began its efforts in Senegal in December 2008.

Immunization Program Structure

Senegal’s Expanded Program on Immunization (EPI) is located in the Medical Prevention Department of the Ministry of Health and Prevention (MOHP).

Senegal’s Progress to Date

Government Spending on Immunization

Vaccination Financing Mechanism

Legislation for Sustainability

Budget Advocacy

SIF Program Inputs

Government Spending on Immunization

Over the period 2006-2014, Senegal’s Gross National Income rose from US$800 to $1,050 per capita, a 31% increase. According to the WHO/UNICEF Joint Reporting Form (JRF), the Senegalese government spent $4 on routine immunization per surviving infant in 2006. Senegal spent the same amount in 2014. The government share of total routine immunization expenditures dropped from 58% to 8% over the period. Since 2010, Senegal has reported inconsistently on JRF financial indicators. The data suggest that Senegal has not progressed towards country ownership of its immunization program. Among SIF countries, Senegal ranked sixteenth in terms of routine immunization spending per surviving infant in 2014.

Senegal’s JRF Financial Feedback Report, 2006-2014.

Vaccination Financing Mechanism

A steering committee began developing a private immunization trust fund in April 2011.

Legislation for Sustainability

Chapter I, Article 7 of the Senegalese Constitution (2001) guarantees citizens the right to health, and.  Article 17 guarantees that the state will provide health services to families. 

In November 2012, a drafting committee began drafting a national immunization bill. The same month, African counterparts proposed amendments to the bill, which the committee incorporated.

In January 2015, a Parliamentary Coalition for Immunization was established. The committee aims to garner parliamentary support for the immunization bill. Thirty MPs have since joined the Coalition.

Budget Advocacy

In July 2015, the EPI team convinced the Finance Minister to increase the 2016 immunization budget by 83%.

SIF Program Inputs

  • June 2015: Malian and Cameroonian officials join Senegalese peers in Sabin-sponsored resource tracking peer exchange
  • January 2015: Senior Program Officer and Senegalese MP co-organize MP briefing
  • December 2014: Senegalese counterparts join Cameroonian, Malian, DRC, Congo, and Malgache delegates in Sabin-sponsored peer review workshop
  • November 2014: Senior Program Officer organizes parliamentary briefing
  • November 2013: Senior Program Officer and MOH co-organize financing briefing
  • August 2013: Senegalese counterparts host Sabin-sponsored colloquium
  • July 2013: Senior Program Officer organizes parliamentary briefing
  • June 2013: Senior Program Officer organizes parliamentary briefing
  • November 2012: Senegalese counterparts join Cameroonian, Malian, DRC, Congo, and Malgache delegates in Sabin-sponsored legislative peer review workshop
  • May 2012: Senior Program Officers from Cameroon and DRC, WHO, UNICEF, and AMP co-organize  workshop
  • March 2011: Senegalese counterparts attend Sabin-sponsored colloquium
  • September 2010: Senior Program Officer and Program Director organize parliamentary briefing
  • December 2009: Senior Program Officer organizes parliamentary briefing
  • August 2009: Senior Program Officer organizes parliamentary briefing
  • December 2008: Senior Program Officer and Program Director introduce SIF program to Senegalese government