Key Informant Views of a Free Delivery and Caesarean Policy in Senegal
), Mohamed Diadhiou(2),
(1)
(2)
Corresponding Author
Abstract
This article presents the findings of one component of an evaluation of the national policy for free deliveries and caesareans in Senegal. The policy was introduced in 2005 in five more deprived regions of the country. It aimed to reduce the financial barriers to using maternity services and to increase the number of facility-based deliveries. The findings are drawn from 54 semi-structured interviews with key informants who had technical and administrative or political responsibility for the policy at national, regional, district and health post level. These were carried out from November 2006 to January 2007. The evaluation findings emphasise the importance of careful planning and communication before a major national policy is implemented, and also of simple and clear definition of the package of ‘free’ services on offer. Long term investment in supply will also be needed to increase access for the most remote areas (Afr J Reprod Health 2008; 12[3]:93-112).
RĖSUMĖ
Les vues d’informateur clef d’un accouchement gratuit d’une politique césarienne au Sénégal Cet article présente des constatations d’un composant d’une évaluation de la politique nationale sur les accouchements gratuits et césariens au Sénégal. La politique a été introduite en 2005 dans cinq régions défavorisées du pays. Il a comme but de réduire les barrières financières d’utiliser les services maternels et d’augmenter le nombre d’accouchements à l’aide des installations. Les conclusions sont tirées de 54 interviews demi-structurées avec des informateurs clefs ayant des responsabilités techniques, administratives ou politiques pour la politique au niveau national, régional, au quartier et au poste sanitaire. L’étude a été entreprise du novembre 2006 au janvier 2007. Les conclusions évaluées soulignent l’importance du planning soigneux et la communication avant l’application d’une politique national majeure ainsi que de la simple définition claire de la présentation des services ‘gratuits’ en demande. L’investissement en offre à terme long sera important pour augmenter l’accès pour des régions isolées (Afr J Reprod Health 2008; 12[3]:93-112).
Deliveries, Caesareans, Fee exemption, Senegal, Key Informants
KEY WORDS: Senegal
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