Production des statistiques sanitaires au Sénégal : entre enjeux politiques et jeux d’acteurs

Abstract

Health priorities defined by international organizations and technical and financial partners focus on diseases considered to be ?priorities? to the detriment of neglected diseases, which are perceived as being more important at the local level due to their impact on the already limited health systems. We describe how health actors within healthcare structures adjust and adapt to public health requirements.

Key informant perspectives on the challenges and opportunities for using routine health data for decision-making in Senegal

“…The strikes in Senegal are unique in that they constitute a rare documented case of specifically withholding health data as leverage in negotiations with authorities. As reported by the respondents in our study and previously described elsewhere, the retention of health data retention during strikes has been a persistent problem in Senegal since at least 1996 [ 17 , 37 , 38 ]. Between 1997 and 2000 for instance, the health worker strikes prevented the collection of routine data [ 17 ].…”

“…As reported by the respondents in our study and previously described elsewhere, the retention of health data retention during strikes has been a persistent problem in Senegal since at least 1996 [ 17 , 37 , 38 ]. Between 1997 and 2000 for instance, the health worker strikes prevented the collection of routine data [ 17 ]. The malaria RHIS data collected during the 2010–2012 period are generally understood to be of poor quality since they were backfilled in March 2013 after the resolution of multiyear disputes [ 39 ].…”

“…Though an increasing body of evidence from Low and Middle Income Countries (LMICs) has contributed to our understanding of the determinants of RHIS data use, there is a scarcity of up-to-date peer-reviewed evidence specific to the Senegal context [ 15 , 16 ]. Previous studies that have sought to address the issue of data use in Senegal either did not focus on RHIS data specifically, or emphasize country-specific issues sufficiently [ 15 ], limited themselves to issues specific to family planning and reproductive health [ 16 ] or focused on health system governance issues related to data production [ 17 ]. Nonetheless, results from these studies suggest that common data use challenges in Senegal include limited access of relevant data to the appropriate user due to poor data sharing practices or insufficient digitization of data, as well as barriers related to communication technologies for storing and sharing data.…”

“…This study aims to examine the current RHIS data use environment in Senegal, identify the barriers and facilitators to RHIS data use, as well as opportunities for moving the RHIS data use agenda forward. Since the few existing studies in Senegal exploring data use were conducted prior to the aforementioned transformative changes, did not specifically focus on RHIS and did not address perspectives from the civil society [ 15 – 17 ], we aim to fill an important gap in the literature.…”

Circulations et quêtes thérapeutiques en santé mentale au Sénégal

“…D'autre part, le travail de saisie informatique est réalisé par des agents de santé pour qui il représente un surcroit de travail et pour lequel ils ne sont pas toujours suffisamment formés et motivés (Ahanhanzo et al, 2015). Enfin, les indicateurs sont définis en fonction d'urgences et de partenariats décidés à un niveau international notamment dans le cadre des ODD ou du Fond Mondial, et non pas par rapport à des priorités définies localement (Hane, 2017). Dans le cas du Sénégal, l'inclusion de la santé mentale dans les ODD et l'obligation d'évaluer les progrès obtenus grâce à des indicateurs a déjà conduit à expérimenter un module « santé mentale » dans l'Enquête démographique et de santé continue (EDS-C) 2018 à notre initiative en partenariat avec l'Agence Nationale de Statistiques et de Démographie (ANSD).…”