Eye Health Systems Assessment (EHSA) in Senegal July 2018 Acknowledgment TABLE OF CONTENTS The Ministry of Health and Social Action of Senegal approved and supported this Acknowledgment .................................................................................................................................... 1 assessment funded by Irish Aid and Sightsavers. The National Eye Health Coordinator and Acronyms ................................................................................................................................................ 4 Sightsavers were responsible for all aspects of this project. The assessment was given considerable technical assistance and logistics support from Sightsavers Senegal Country List of figures ........................................................................................................................................... 6 Office. The Country office made all local arrangements and provided transport for all in- List of tables ............................................................................................................................................ 6 country data collection and interviews. Country staff also participated in the fieldwork and the Executive summary ................................................................................................................................. 7 writing of the report. National and local stakeholders participated this assessment and provided valuable information, which made this work possible. The Sightsavers research CHAPTER 1: Background and objectives ............................................................................................... 15 team at the global level provided technical support to the planning, fieldwork, data analysis 1.1. Background ................................................................................................................................ 15 and report writing. We extend our gratitude to all these individuals and organisations. 1.2. Aim and Objectives .................................................................................................................... 16 CHAPTER 2: Methods ............................................................................................................................ 17 2.1. Study Design............................................................................................................................... 17 2.2. Study settings ............................................................................................................................. 17 Collaborators 2.3. Data collection ........................................................................................................................... 18 MINISTRY OF HEALTH AND SOCIAL ACTION 2.4. In-depth interviews .................................................................................................................... 18 SIGHTSAVERS 2.5. Document review ....................................................................................................................... 18 2.6. Data management and analysis ................................................................................................. 18 Prepared by: 2.7. Ethical clearance ........................................................................................................................ 19 Dr. Boubacar Sarr1 Eric Badu2 2.8. Limitations.................................................................................................................................. 19 Salimata Bocoum2 CHAPTER 3: Overview of the Health System ........................................................................................ 20 Emma Jolley2 Elena Schmidt2 3.1. Country information .................................................................................................................. 20 List of contributors 3.1.1. Socio-economic status ........................................................................................................ 20 3.1.2. Sociodemographic status .................................................................................................... 20 Astou Sarr2 Vladimir Pente2 3.2. Health System governance ........................................................................................................ 21 1 Mountakha Ndiaye 1 Demba Thioubou 3.2.1. Policy and strategy .............................................................................................................. 21 2 Kolawole Ogundimu 3.2.2. Organisation of the health system ...................................................................................... 21 3.3. Health Financing ........................................................................................................................ 22 3.3.1. Sources of Health Financing ................................................................................................ 22 Recommended citation 3.3.2. Health insurance ................................................................................................................. 23 Boubacar Sarr, Eric Badu, Salimata Bocoum, Emma Jolley and Elena Schmidt. 2018. Eye Health Systems Assessment (EHSA): Senegal Country Report, Ministry of Health and Social 3.4. Health services delivery ............................................................................................................. 25 Action, Sightsavers. 3.4.1. Public health services .......................................................................................................... 25 3.2.2. Private health facilities ........................................................................................................ 25 3.4.3. Armed Forces health facilities ............................................................................................. 26 3.5. Human Resources for Health (HRH) ........................................................................................... 26 1 Ministry of Health and Social Action, Senegal 2 Sightsavers International 3.6. Medical Products and Technologies .......................................................................................... 29 1 Eye health systems assessment (EHSA) in Senegal | July 2018 2 Eye health systems assessment (EHSA) in Senegal | July 2018 Acknowledgment TABLE OF CONTENTS The Ministry of Health and Social Action of Senegal approved and supported this Acknowledgment .................................................................................................................................... 1 assessment funded by Irish Aid and Sightsavers. The National Eye Health Coordinator and Acronyms ................................................................................................................................................ 4 Sightsavers were responsible for all aspects of this project. The assessment was given considerable technical assistance and logistics support from Sightsavers Senegal Country List of figures ........................................................................................................................................... 6 Office. The Country office made all local arrangements and provided transport for all in- List of tables ............................................................................................................................................ 6 country data collection and interviews. Country staff also participated in the fieldwork and the Executive summary ................................................................................................................................. 7 writing of the report. National and local stakeholders participated this assessment and provided valuable information, which made this work possible. The Sightsavers research CHAPTER 1: Background and objectives ............................................................................................... 15 team at the global level provided technical support to the planning, fieldwork, data analysis 1.1. Background ................................................................................................................................ 15 and report writing. We extend our gratitude to all these individuals and organisations. 1.2. Aim and Objectives .................................................................................................................... 16 CHAPTER 2: Methods ............................................................................................................................ 17 2.1. Study Design............................................................................................................................... 17 2.2. Study settings ............................................................................................................................. 17 Collaborators 2.3. Data collection ........................................................................................................................... 18 MINISTRY OF HEALTH AND SOCIAL ACTION 2.4. In-depth interviews .................................................................................................................... 18 SIGHTSAVERS 2.5. Document review ....................................................................................................................... 18 2.6. Data management and analysis ................................................................................................. 18 Prepared by: 2.7. Ethical clearance