Published on 22/06/2023

5 organizations, including ENDA Santé, are implementing the Santé Urbaine (SU) project to support the Dakar medical region and contribute to health outcomes.

With a population of 3.8 million, Dakar is one of the most densely populated areas in Senegal, representing 23% of the country's total population. The pressure exerted by the city's inhabitants on their environment (urbanization, transport) has adverse effects on health.  

Limited access to drinking water, rough sewage and waste management or drainage has the potential to exacerbate challenges such as vulnerabilities to climate change and emerging health threats, including the response to the COVID-19 pandemic, and maintaining essential health services during a health emergency.  

Added to this is the lack of resources, which limits access to health care, particularly sexual and reproductive health care, for poor families, especially women and young people.  

To provide some answers, a consortium made up of the lead partner PATH, ENDA Santé, ACTION et DEVELOPPEMENT, Alliance du Secteur Privé de la Santé du Sénégal (ASPS), and Open Développement (Open Dev ) has set up the project Urban Health (SU)supported and financed by USAID. These organizations bring diverse and synergistic expertise in health systems strengthening, service quality and integration, data for action, innovation and sustainability, private sector engagement, and social and behavioral change.  

The aim is to improve health outcomes in the areas of reproductive, maternal, neonatal, child and adolescent health (SMRNIA), nutrition, family planning, malaria prevention and treatment, and water, sanitation and hygiene (WASH). 

ENDA Santé is responsible for the mobilization and participation of the community and all stakeholders in the governance of the health sector. Civil society organizations and grassroots community players are involved in a number of health-related initiatives. These have made a significant contribution to improving people's health. However, these actions are poorly coordinated. What's more, we note that civil society and community players do not play a very effective role in drawing up health programs. This leads to a lack of effectiveness and efficiency in interventions.

Rethinking the urban health ecosystem with a holistic approach to engaging the private sector, local partnerships and communities

Urban healthThe Urban Health project offers an unprecedented opportunity to improve health equity in Dakar. It will help key stakeholders to rethink the urban health ecosystem, including strengthening local government accountability, improving access to finance, responsiveness and quality of services, building health system resilience, and adopting a whole-of-society perspective to engage the private sector, local partnerships and communities. 

The challenge is to encourage the participation of civil society players and communities as a whole in the emergence of a strong healthcare system in which all players participate in the healthcare effort to ensure accessible, quality healthcare for all. 

ENDA Santé's action, in collaboration with the Guédiawaye, Yeumbeul and Keur Massar health districts, begins with capacity-building sessions for community actors (ACCP) in these districts on the SRMNIA+ Nut+ Wash package. The sessions bring together community players and civil society organizations, and promote a shared understanding of the issues at stake, to enable players to take preventive action.