Senegal rural health II project

The Ministry of Health (MOH) will implement the project, which will introduce a financially viable system of preventive health interventions, deliver maternal/child health services, train MOH professionals and villagers, and upgrade MOH information, applied research, and drug supply systems. Preventive interventions - including immunization, epidemiological systems, and activities to control malaria, diarrheal disease, malnutrition, and tuberculosis and promote child spacing - will be introduced gradually into all 6 Sine-Saloum departments as the necessary community infrastructure and financing are developed. A network of 728 village health huts will be staffed by community health workers and financed through user fees and Government of Senegal (GOS) assistance. Children aged 0-3 and pregnant or lactating women will be targeted. Training will be the centerpiece of the project. The Kaolack Training Center will be upgraded to allow it to serve as a hub for PHC and other health training and for related research and networking activities. The project will finance U.S. or third-country M.S. or Ph.D. training in public health for 10-12 persons and 75 months of in-country and external short-term training for MOH and departmental personnel, health post nurses, and villagers. The project"s health interventions will be supported by an improved management information system (MIS) (data on births, deaths, and health consultations will be kept for analysis in village notebooks, and microcomputers will be introduced as a tool in data analysis) and by applied research on PHC delivery and related issues. USAID/S will support a World Bank/GOS program to strengthen the MOH drug supply system, particularly at the regional level. Amendment (7/84) authorizes a national oral rehydration therapy (ORT) program. The Sine-Saloum region has now become the regions of Fatick and Kaolack. (PD-BAS-655) Amendment (7/89) focuses the project more closely on child survival and on decentralized management and expands it geographically to include intensive support to 4 (unidentified) regions and streamlined support elsewhere. Outputs will be expanded as follows. (1) To strengthen MOH management, TA will be provided in health planning, information management, and health education; operations research conducted on health costs and supervision costs; public health announcements developed for radio and TV; and training expanded to include, inter alia, 9 U.S. postgraduate degrees in public health and the training of 7,500 field agents and community personnel. (2) The project will support decentralization by funding regional-level training and procurement of medicines, supplies, and IEC materials, as well as KAP studies, decentralization workshops, and the renovation of 20 key rural health facilties. (3) To support child survival, the project will fund essential supplies for the 4 target regions, fund school gardens in these regions and in Louga region, renovate 6 Regional Pharmaceutical Supply Centers, upgrade drug supply systems, and conduct studies on malaria control and the production of ORT salts. CS in Louga will be supported via a grant to World Vision. (4) Tulane University and Morehouse College of Medicine will strengthen the University of Dakar"s new Institute of Health and Development and help revise curricula in midwifery and nursing schools. (PD-AAZ-732)