CSwMR

Availability of Child Health Services
Table 3.6 describes the availability of child health services including curative care for
sick children, growth monitoring, and child vaccination, according to the type of facility,
managing authority, and region.
Nearly nine out of ten public facilities offer all three child health services (88 percent)
compared with only four in ten in the private sector (42 percent). A greater proportion of
health posts provide the three services—84 percent compared to 68 percent of health centers
and 30 percent of hospitals. Hospitals are referral facilities where the most frequently offered
service is curative care (82 percent). In contrast, for immunizations, health posts outperform
all the other facilities with 87 percent availability.
The availability of curative services and growth monitoring is better in nearby
facilities (health huts or posts), which is an asset for the population because of their
geographical and socio-cultural accessibility. Despite the fact that 97 percent of health huts
offer services for curative care and 87 percent provide growth monitoring services,
DPT/pentavalent vaccinations are only available at 45 percent of huts during outreach.
Table 3.6 Availability of child health services
Among all facilities, the percentages offering specific child health services at the facility by background characteristics,
Senegal SCSPA 2012–2013
Outpatient
curative care for
sick children
Growth
monitoring
Percentage of facilities offering:
Child
vaccination 1
All three basic
child health
services
Routine vitamin A
supplementation
Number of
facilities
Background characteristics
Facility type
Hospital 82 61 34 30 52 17
Health center 94 68 75 68 62 30
Health post 95 89 87 84 85 317
Managing authority
Public 98 91 92 88 90 302
Private 75 63 42 42 40 62
Region
Dakar 78 71 70 68 55 71
Diourbel 98 98 97 97 97 25
Fatick 100 100 100 100 100 22
Kaffrine 100 100 91 91 100 14
Kaolack 100 75 79 67 89 23
Kédougou 84 75 72 72 75 9
Kolda 97 81 70 62 76 17
Louga 98 96 87 87 96 23
Matam 100 99 99 99 86 17
Saint Louis 100 100 88 88 100 29
Sédhiou 100 95 95 95 94 12
Tambacounda 94 68 74 68 55 24
Thiès 98 91 80 77 86 48
Ziguinchor 100 84 95 84 91 29
Total 94 86 83 80 82 364
Health hut 97 87 45 44 52 74
GP = General practitioner; CHW = Community Health Worker
1
Routine provision of DPT/pentavalent, polio, and measles vaccination in the facility to children. For the health huts, routine
provision of DPT/pentavalent only applies.
17