ArticleBMJ global health2026
Policy in practice: assessing Senegal's family planning progress using a mixed-methods approach.
Article in BMJ global health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundSenegal has made significant progress in family planning (FP), with the modern contraceptive prevalence rate (mCPR) increasing from 12% in 2010 to 26% in 2023, along with a sharp decline in unmet need. Once among West Africa's lowest performers, Senegal now stands out for its advancements in FP access and equity.
objectivesThis study examines the main factors driving Senegal's FP progress-including policy leadership, financing mechanisms and community engagement-while identifying ongoing challenges and lessons for policy and practice.
methodsWe employed a mixed-methods approach, combining trend and decomposition analyses with a review of FP policies, financing and programmes, guided by the WHO's health system building blocks. Qualitative data were collected from interviews and focus groups with policymakers, providers, community leaders and users across various regions.
resultsSenegal's early gains in FP were driven by strong political leadership, task-shifting, community-based service delivery and supply chain improvements. Social mobilisation campaigns, including
conclusionSenegal's FP progress demonstrates how strategic governance, service innovation, and community engagement can increase contraceptive use. To sustain and build on these achievements, renewed investment is necessary in youth-focused services, domestic funding, and equity-centered strategies that are integral to larger health and development plans.
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