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3 RESULTS<br />

3.1 Availability of Basic Services<br />

Basic services include outpatient curative care for sick children, childhood<br />

immunization services within the facility, child growth monitoring, modern family planning,<br />

antenatal care, and services for sexually transmitted infections (STI).<br />

The availability of a range of services including maternal and child health, antenatal<br />

care, and reproductive health services, as well as the frequency with which these services are<br />

provided, are the key elements that influence the use of services by patients. Patients are<br />

more likely to seek care in a facility if they are sure that the services will be available upon<br />

arrival.<br />

Table 3.1 presents data on the availability of basic services, detailed by the type of<br />

facility, managing authority, and region.<br />

The SCSPA 2012–2013 in Senegal found a satisfactory level of availability of basic<br />

services; overall, 75 percent of facilities offered all basic services. Curative services for<br />

children and STIs are, on average, available in almost all facilities (94 percent and 98<br />

percent), while antenatal care is provided in 89 percent and family planning is offered in 85<br />

percent of facilities. Similarly, more than 8 in 10 facilities also provide immunization<br />

services and growth monitoring (83 percent and 86 percent, respectively).<br />

Child curative services, services for STIs, and antenatal visits are available in 75<br />

percent or more of facilities regardless of type, while immunization services and to a lesser<br />

extent those for growth monitoring and family planning are available mainly in health centers<br />

and health posts. These results are a reflection of the health policy regarding which<br />

preventive health services are generally provided in health centers and health posts, while<br />

hospitals remain referral facilities.<br />

There is greater availability of basic services in public facilities than in private<br />

facilities with 85 percent and 26 percent, respectively, providing all basic services.<br />

In addition, there is widespread availability of basic services. In the regions of Dakar,<br />

Kaolack, Kolda, and Tambacounda, basic services are less available.<br />

9

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