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Enabling a Healthier Senegal Through Universal Health Coverage


  • Abt works in Senegal on the Health Systems Strengthening Plus.
  • HSS+ helps the Ministry of Health achieve universal health coverage.
  • The project enrolled 700,000 people in insurance schemes called mutuelles.
The Challenge

Senegal has long been a model of stability and civilian rule in Africa and has grown significantly during the last decade. A significant part of that development has been improving and expanding access to health care. Abt worked closely with the government and other stakeholders on the Senegal Health Systems Strengthening (HSS) Project, which ran from 2011-2016. A new chapter began in 2016, with the USAID-funded Senegal Health Systems Strengthening Plus (HSS+).

The Approach

Senegal HSS+ is working with the Ministry of Health to develop key policies and strategies to provide an enabling environment for universal health coverage, including mobilizing local support. The project is strengthening data-driven decision making and USAID direct financing of health interventions in six regions of Senegal.

HSS+ interventions focus on strengthening:

  • Health governance and financing
  • Community engagement in health system management
  • Health information systems
  • Direct financing to health regions
The Results

HSS technical assistance helped create 101 community health insurance schemes. In the intervention regions, these community health insurance schemes, or mutuelles, are providing financial protection for more than 700,000 people, or five percent of the population. HSS+ continues to support the Agence de la CMU and local organizations to increase enrollment in the mutuelles.

making senegal healthier