ArticleHealth policy OPEN2020
An assessment of the core capacities of the Senegalese health system to deliver Universal Health Coverage.
Article in Health policy OPEN, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Evaluating a maternal and child health capacity-building program in Senegal: environment-adjusted district efficiency and gap reduction using DHIS2 data.BMC health services research · 2026Article
- Factors associated with delayed hospital presentation following stroke in Senegal: a mixed methods study.International journal of emergency medicine · 2026Article
- Evaluation of alternative blood culture systems in detecting pathogenic bacteria: a multi-site, observational prospective study.The Lancet regional health. Western Pacific · 2026Article
- Data sharing for zoonoses surveillance in Senegal: challenges and opportunities.Frontiers in veterinary science · 2026Article
- Cervical cancer screening and its associated factors among women of reproductive age in senegal: evidence from 2023 continuous demographic and health survey in Senegal.BMC public health · 2025Article
- Development partner influence on domestic health financing contributions in Senegal: a mixed-methods case study.Health policy and planning · 2025Article
- Challenges and Opportunities of Universal Health Coverage in Africa: A Scoping Review.International journal of environmental research and public health · 2025Article
- From past to present: tracing Africa's path to universal health coverage.Frontiers in public health · 2025Review
- Antenatal care visits and associated factors in Senegal: a multilevel poisson regression analysis of the 2023 DHS survey.Frontiers in global women's health · 2025Article
- Supporting One Health policies to manage antibiotic resistance in Senegal: a systems analysis using group model building.Frontiers in public health · 2025Article
- Which socio-economic groups benefit most from public health expenditure in Senegal? A dynamic benefit incidence analysis.SSM - population health · 2024Article
- Availability of basic infection control items and personal protection equipment in 7948 health facilities in eight low- and middle-income countries: Evidence from national health system surveys.Journal of global health · 2024Article
- External influences over Senegalese health financing policy: delaying universal health coverage?Health policy and planning · 2024Article
- Utilization of Proximate Healthcare Facilities and Children's Wait Times in Senegal: An IV-Tobit Analysis.International journal of environmental research and public health · 2023Article
- Achieving Universal Health Coverage in Low- and Middle-Income Countries: Challenges for Policy Post-Pandemic and Beyond.Risk management and healthcare policy · 2023Review
- Mandatory membership of community-based mutual health insurance in Senegal: A national survey.PLOS global public health · 2023Article
- Stability of healthcare quality measures for maternal and child services: Analysis of the continuous service provision assessment of health facilities in Senegal, 2012-2018.Tropical medicine & international health : TM & IH · 2022Article
- Availability of essential diagnostics in ten low-income and middle-income countries: results from national health facility surveys.The Lancet. Global health · 2021Article
- An intelligent framework using disruptive technologies for COVID-19 analysis.Technological forecasting and social change · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Senegal is firmly committed to the objective of universal health coverage (UHC). Various initiatives have been launched over the past decade to protect the Senegalese population against health hazards, but these initiatives are so far fragmented. UHC cannot be achieved without health system strengthening (HSS). Here we assess the core capacities of the Senegalese health systems to deliver UHC, and identify requirements for HSS in order to implement and facilitate progress towards UHC. Based on a critical review of existing data and documents, complemented by the authors' experience in supporting UHC policy making and implementation, we evaluate the main foundational and institutional bottlenecks relative to the six health system building blocks, together with an analysis of the demand-side of the health system, which facilitate or hamper progress towards UHC. Despite the fact that many institutions are now in place to deliver UHC, important weaknesses limit progress along the two dimensions of UHC. Substantial disparities characterise resource allocation in the health sector, and health risk protection schemes are highly fragmented. This spreads down to the rest of the health system including service delivery and consequently, impacts on health outcomes. These constraints are acknowledged by the authorities, solutions have been proposed, but these necessitate strong political will. Moreover, progress towards UHC is constrained by the difficulty to act on social determinants of health and a lack of fiscal space.
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