Leadership Milestones in Senegal
Building political support and technical capacity at the national level
Senegal’s malaria program is the beneficiary of strong political support at the national level. The national government has made malaria elimination a priority, and this engagement has had an energizing effect for the Ministry of Health (MOH), NMCP, malaria partners, and affected communities. The NMCP has played a key role in the timely adoption, scale-up, and evaluation of malaria interventions, building a reputation for energetic leadership, sure-footed strategic plan implementation, and strong program oversight. The NMCP’s technical credibility has earned it the trust and confidence of the greater malaria community, and has helped to mobilize partners for malaria efforts. Partner integration and coordination is another strength in Senegal—a diverse set of partners contribute to Senegal’s malaria efforts, including technical partners, research institutions, and donors. The Cadre de Concertation des Partenaires de la Lutte contre le Paludisme (CCPLP) provides a framework for partners to share information and coordinate activities in support of the national malaria strategic plan.
Malaria funding by source, Senegal, 2000-2016
Leveraging private-sector partnerships and donor support
The private sector represents a key set of NMCP partners. The NMCP has worked with companies to strengthen their activities in case management, long-lasting insecticide-treated net (LLIN) distribution campaigns, community outreach, and behavior change communication. Notable private-sector efforts in recent years include the Senegalese Sugar Company’s collaboration with the NMCP in Richard Toll district; BICIS Bank’s community outreach initiative, including the distribution of a children’s comic book sharing information about malaria; EcoBank’s procurement of LLINs for universal distribution campaigns; Total’s support for socially marketed LLINs in their stores; and WARI’s donation platform allowing individual citizens to contribute to the malaria fight. In 2015, the NMCP—in partnership with PATH’s Malaria Control and Elimination Partnership in Africa (MACEPA) and Speak Up Africa—created a private-sector coalition to accelerate elimination efforts. Fourteen companies are currently part of this growing coalition. The NMCP has also benefited from sustained donor support in its battle against malaria. Historically, the President’s Malaria Initiative (PMI) and the Global Fund have been the largest donors to Senegal’s malaria program. Senegal has recently been awarded $32 million from the Islamic Development Bank’s Lives and Livelihoods Fund to support malaria elimination activities in 25 districts.
Fostering community engagement and ownership
Senegal has pioneered a community-centered approach to elimination called PECADOM+ (Prise en Charge à Domicile plus). Many individuals in rural Senegal live far from the nearest health post, meaning that they may not seek care if the facility is too distant or transportation is too expensive. The PECADOM+ model creates more equitable access to health care for these individuals by training village malaria workers (dispensateurs de soins à domicile [DSDOMs]) to provide malaria testing and treatment at the community level. Senegal has also piloted the “Zéro Palu, Je m’engage!” (“Zero Malaria Starts with Me!”) community-driven approach to elimination. This nationwide campaign taps well-known national soccer players, politicians, musicians, and teachers to empower communities with information about malaria prevention, diagnosis, and treatment. It leverages existing messaging platforms developed by the NMCP, and promotes best practices for ITN use, early testing with RDTs in case of fever, and treatment-seeking behaviors.