Senegal Health & Nutrition Financing

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The development objective of the Health and Nutrition Financing Project for Senegal is to increase utilization and quality of maternal, neonatal, and child health and nutritional services, especially among the poorest households in targeted areas of Senegal. The project has three components. The first component is result based financing for health and nutrition services and capacity building. It has following two sub-components: (i) financing of result based financing to directly contribute to the extension of the existing supply-side pre-pilot result-based financing (RBF) scheme in six selected regions in a phased manner; and (ii) building capacities for RBF extension to strengthen the capacities of the Ministry of Health and Social Action (MoHSA) to support the extension of the RBF mechanism in six regions. The second component is improvement to accessibility of maternal, nutrition, and child health services. This component will support several mechanisms whose main purpose is to subsidize demand for healthcare and nutrition services. It has following three sub-components: (i) support to the implementation of the universal health insurance scheme; (ii) strengthening demand for nutrition services and behavior change; and (iii) setting up demand-side RBF (that is maternal health vouchers) to improve access to health care. The third component is institutional strengthening and project implementation. It has following three sub-components: (i) capacity building for better regulation of the hospital sector; (ii) capacity building for better monitoring and evaluation (M and E) of the overall health system; and (iii) capacity building for better general and financial management within the health system.