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Policy in practice: assessing Senegal's family planning progress using a mixed-methods approach
Sylvain Landry Birane Faye1, Georgette Helene Coumba Sow2, Rose André Faye3
1Laboratoire de Sociologie, d'Anthropologie et de Psychologie (LASAP- ETHOS) FLSH, Universite Cheikh Anta Diop de Dakar, Dakar, Dakar Region, Senegal fayesylvain@yahoo.fr.
BMJ Global Health
|June 9, 2026
Summary
Senegal significantly advanced family planning (FP) by increasing modern contraceptive prevalence rate (mCPR) through strong leadership and community engagement. Sustaining progress requires addressing persistent gaps in access and equity, especially for youth.
Area of Science:
- Global Health
- Reproductive Health
- Health Policy
Background:
- Senegal has achieved substantial progress in family planning (FP), marked by a rise in modern contraceptive prevalence rate (mCPR) from 12% to 26% between 2010 and 2023.
- This advancement has led to a significant reduction in unmet need for family planning services.
Purpose of the Study:
- To examine the key factors driving Senegal's family planning (FP) progress.
- To identify ongoing challenges and extract lessons for policy and practice in FP.
Main Methods:
- A mixed-methods approach was utilized, integrating trend and decomposition analyses.
- Qualitative data were gathered through interviews and focus groups with diverse stakeholders, including policymakers, providers, community leaders, and users.
- The study was guided by the World Health Organization's health system building blocks framework.
Main Results:
- Early FP gains in Senegal were attributed to strong political leadership, task-shifting, community-based service delivery, and supply chain enhancements.
- Social mobilization campaigns and engagement with religious leaders and men fostered supportive norms and increased demand for FP services.
- Decomposition analysis revealed FP knowledge (35%), education (18%), and facility access (16%) as primary drivers, with notable impact on young women. However, progress has plateaued since 2017, with persistent disparities among adolescents, unmarried women, and rural populations due to stigma, provider bias, and limited youth-friendly services.
Conclusions:
- Senegal's FP achievements underscore the impact of strategic governance, service innovation, and community engagement on contraceptive use.
- Sustaining and expanding these gains necessitates renewed investment in youth-focused services, domestic funding, and equity-centered strategies.
- Integrating FP initiatives into broader health and development plans is crucial for long-term success.
Keywords:
Africa South of the SaharaGlobal HealthHealth policyInterdisciplinary ResearchMaternal healthMore Related Videos
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