CSwMR

Table 3.16 Availability of medicines for routine antenatal care
Among facilities offering antenatal care (ANC) services, percentages with essential medicines and tetanus
toxoid vaccine for ANC observed to be available on the day of the survey by background characteristics,
Senegal SCSPA 2012–2013
Background characteristics
Iron
tablets
Percentage of facilities offering ANC that have
indicated medicines
Folic acid
tablets
Iron or folic
acid
tablets
Tetanus
toxoid
vaccine
Number of
facilities
offering ANC
Facility type
Hospital 59 56 59 38 13
Health center 84 84 86 84 24
Health post 86 78 86 88 287
Managing authority
Public 89 82 89 89 287
Private 51 47 51 57 37
Region
Dakar 64 63 64 76 57
Diourbel 84 67 84 98 24
Fatick 84 49 84 88 22
Kaffrine 100 100 100 95 13
Kaolack 88 71 90 90 22
Kédougou 100 100 100 93 7
Kolda 93 93 93 85 13
Louga 93 93 93 95 20
Matam 83 83 83 41 17
Saint Louis 95 95 95 66 26
Sédhiou 94 94 94 100 11
Tambacounda 93 93 93 100 19
Thiès 77 64 77 88 45
Ziguinchor 100 100 100 100 27
Total 85 78 85 85 324
Health hut 37 37 37 NA 21
NA = Not applicable
Note: The medicines and vaccine presented in the table comprise the medicines and commodities domain
for assessing readiness to provide ANC services within the health facility assessment methodology
proposed by WHO and USAID (2012).
Availability of Guidelines, Transportation and Equipment for Delivery Services
Table 3.17 shows the availability of guidelines and protocols, equipment, and trained
personnel in health facilities providing delivery services by the type of facility, managing
authority, and region.
Among the facilities offering normal delivery services, guidelines and protocols for
the Integrated Management of Pregnancy and Childbirth (IMPAC) are only available in about
two facilities in three (61 percent) and much less frequently in the region of Tambacounda,
where the availability is only 5 percent.
Staff are trained in these guidelines in only around a third of facilities, mainly in the
public sector.
In facilities that offer delivery services, both emergency logistics and equipment that
are essential in the campaign against maternal and neonatal mortality are in short supply: 51
percent of facilities have emergency transportation; 57 percent have examination lamps; 40
percent have a suction apparatus (mucus extractor) to fight against asphyxia in the newborn;
6 percent have a vacuum extractor to aid in difficult labor; and 42 percent have a manual
vacuum aspirator or dilation and curettage (D&C) kit for post-abortion care.
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