Abstract. The uneven spatial distribution of basic facilities within urban areas is a major problem for developing countries like Senegal due to the emphasis of accessibility disparities and the use of this services. The efforts to quantify the problem and its consequences on people are constrained by the lack of satisfactory data and methods. The study seeks to examine the spatial accessibility to basic services (access to water, health, education, economic infrastructure and transportation services) in a very heterogeneous urban system and to highlight inequalities in access for improving the geographical accessibility and to ensure equity. The article explore the use of spatial analysis method (Closest Facility) to measure the potential accessibility to services and facilities in the city of Mbour. The analyses uses all the inhabited houses of the city as the potential demand. Results emphasis unequal access to basic urban services in the city and a center-periphery model with a high concentration of services around the city. The study demonstrates the utility of this method for the identification of disadvantaged areas, decision making and planning of basic services. It also provides paths for improving accessibility in urban areas with a high density of population.
The Division of Reproductive Health (DSR) of the Senegal Ministry of Health and Social Action, in partnership with the Population Council’s FRONTIERS in Reproductive Health program and Management Sciences for Health (MSH), conducted a study to test and compare three ways of providing reproductive health services to rural communities in the Kébémer district of Senegal in terms of their effectiveness, cost, and cost-effectiveness. FRONTIERS and MSH collaborated with the DSR to design the interventions, MSH supported the DSR in implementing the interventions, and FRONTIERS undertook the evaluation. This study, funded by USAID, responded to the recommendations of a 1999 workshop, organized by FRONTIERS and the DSR, on the community-based distribution (CBD) approach, which defined alternative CBD models appropriate for Senegal. The DSR sees the development of community-based service delivery models as essential for the future of health care in Senegal. As noted in this report, the general objective of the study was to contribute to the development of an integrated cost-effective program to increase the accessibility and availability of reproductive health information and services in rural areas of Senegal.
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