Senegal, one of the most stable countries in Africa, has considerably strengthened its democratic institutions since its independence in 1960. Although there have been political successes, the Senegalese population continues to suffer from high rates of infectious diseases and preventable maternal and child deaths due to unhealthy behaviors, weak health systems and governance, and inadequate health service delivery.
L’Agence pour le Développement du Marketing Social (ADEMAS) is a Senegalese non-profit social marketing organization whose expertise spans 17 years. With a foundation in targeted, evidence-based communications and social marketing, ADEMAS’s mission is to increase healthy behaviors among the Senegalese population, specifically in the areas of reproductive health, maternal health, family planning (FP), HIV, malaria, nutrition, diarrhea and sanitation. ADEMAS uses social marketing to make a diverse portfolio of quality products available to underserved populations across Senegal, including Protec and Fagaru natural and scented male condoms, Securil oral contraceptive pill, Securil Press injectable contraceptives, MILDA long lasting insecticide treated bed nets, and Aquatabs water treatment chlorine tablets.
ADEMAS is a member of the PSI Global Network and leverages PSI’s experience in more than 50 countries.
Maternal and Child Health
Through funding from the Maverick Collective, an initiative of PSI, ADEMAS works closely with PSI to address the maternal and child health needs in the southern region of Senegal through mobile unit service delivery. The mobile units provide antenatal and postnatal care, family planning counseling, vaccinations, nutritional monitoring, and breastfeeding promotion and childhood illnesses management including malaria, diarrhea and pneumonia.
The goal of this project is to save the lives of mothers and children in Senegal by increasing access to and demand for life-saving health products and services. It is designed to support the government’s efforts to accelerate the activities for achieving the goals for the National Health Development Plan, particularly those related to maternal and child health.
Contraception
In Senegal, over 1.1 million women have a need for family planning – defined as a woman who could become pregnant, but does not want to have a child within the next two years. Of these, about 500,000 are currently using modern methods of contraception. To close this gap, ADEMAS is working to improve family planning promotional activities and the quality of FP counseling through its mobile clinics and pharmaceutical networks.
ADEMAS also distributes several family planning products such as Protec and Fagaru natural and scented male condoms, Securil oral contraceptive pill and Securil Press injectable contraceptives.
Water, Sanitation and Hygiene
In 2016, ADEMAS and PSI received funding for a five-year USAID project, Assainissement, Changement de Comportment et Eau pour le Senegal (ACCES) to help improve WASH services in six regions of Senegal. Between 2010 and 2011, DHS overall access to rural sanitation in Senegal was reported at 34%. However, data also shows that in Kedougou, one of the six regions, access being as low as 4%. Therefore, it is the goal of this project to increase sustainable access to improved water and sanitation services and improve adoption of hygiene practices in targeted communities for improved health and nutritional status, especially among women and children.
This objective will be achieved through the following outputs, with PSI/ADEMAS being the lead implementer:
- Generate demand for WASH products and services.
- Increase market-based provision of WASH products and services.
- Improve provision and management of multiple use water services.
- Improve the enabling environment for equitable delivery of WASH services.
Malaria
ADEMAS distributes MILDA insecticide-treated bed nets across Senegal and promotes their use, particularly among pregnant women and children under five who are most at-risk of mortality and morbidity due to malaria.
Donors
- U.S. Agency for International Development (USAID)
- Diane Powell, Maverick Collective member
Partners
- Ministry of Health and Social Action of the Republic of Senegal
- National Service for Health Education and Information (SNEIPS)
- United Nations Children’s Fund (UNICEF)
- Micronutrient Initiative
- Natural Resources Consulting Engineers (NRCE)
- Catholic Relief Services
- Caritas
- IMPAQ
- Abt Associates
- Developing Family Planning Markets in Francophone West Africa
In Francophone West Africa, PSI partners with Ministries of Health to achieve the goals set out by the Ouagadougou Partnership to reach at least 2.2 million additional family planning users by 2020. The pillars of our response are access, choice, quality, and equity. - Towards Subsidized Malaria Rapid Diagnostic Tests. Lessons Learned from Programmes to Subsidise Artemisinin-Based Combination Therapies in the Private Sector: a Review
Private sector subsidy programmes of ACTs have been effective in increasing availability of ACTs in the private sector and driving down average prices but struggled to crowd out antimalarial monotherapies. A subsidy of rapid diagnostic tests (RDTs) in the private sector has been recommended by governments and international donors to cope with over-treatment with ACTs and to delay the emergence of resistance to artemisinin. In order to improve the cost-effectiveness of co-paid RDTs, we should build on the lessons we learned from almost 10 years of private sector subsidy programmes of ACTs in malaria-endemic countries.