SENEGAL FAMILY PLANNING PROJECT

With USAID assistance, the Ministry of Health (MOH) will develop an FP service delivery model consisting of group/individual FP counselling and education, provision of FP supplies, and patient follow-up, at the Medina Center, which will also serve as the project"s training and contraceptive distribution base. Given the legal and traditional opposition, FP services will be integrated into existing maternal/child health (MCH) programs. (Services for males will at first be limited to condom distribution.) The model developed at the Center will be replicated in 30 primary and secondary clinics in Cape Vert, Thies, and Casamance (including clinic renovation where necessary), in 60 major hospital and free-standing maternities, and in eight venereal disease centers. A rural pilot project (integrated into project 6850210) will be established in Sine Saloum. Training for project personnel will include 20 1-month FP theory and practical skills seminars for 165 nurses/midwives and nine 1-week seminars for 25 social workers and 57 female auxiliary nurses in family health and FP counselling, referral, and techniques. Some 80 nurses will receive basic FP training under the Sine Saloum pilot project. Faculty at health training institutions will be trained to develop FP courses for midwives, auxiliary nurses, and social workers. A limited program of community FP education will be structured around existing GOS programs such as Education Sanitaire (urban) and Maison Familiale (rural). Twenty-five community outreach workers per primary center and 10-15 workers at 14 Cape Vert secondary centers will be trained. In addition, four GOS officials will receive M.S.-level training in the United States or Northern Africa. A central GOS/USAID project staff will develop and administer the project. A simple data collection and analysis system, emphasizing rapid analysis of data for prompt program adjustment, will be developed early in the project. The project is expected to benefit 20-25% of Senegalese women of childbearing age.