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This does not provide a current nationwide autonomy classification.", "tags": [], "territory": "Senegal CBHI and departmental-union arrangements", "title": "Reported CBHI pooling reform", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC6986231/fullTextXML" }, { "kind": "source_reference", "source": "Matrice des progrès en matière de financement de la santé - Sénégal 2024", "url": "https://www.who.int/fr/publications/i/item/9789290315094" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://iris.who.int/server/api/core/bitstreams/39b3ca3a-6df8-479d-b5dd-cc97385c57a5/content" } ] }, { "analytical_mapping": { "mapping_basis": "mixed-methods national financing-policy case study", "mapping_group": "relationships_and_networks", "mapping_id": "candidate-mapping:SEN:relationships-networks:financing-policy-influence", "source_projection_ids": [ "country-improvement-source:SEN:development-partner-financing-2025" ], "support_state": "candidate_supported", "target_slot": "reported-external-partner-financing-influence", "target_view": "functions", "typed_fields": { "actors": "The study identifies external development partners and domestic policy actors.", "boundary": "Influence is not formal control of provider operations.", "reported_mechanisms": "Reported mechanisms include standard-setting, negotiation, advice, and external financing." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Federspiel et al., Health Policy and Planning. 2025.", "country_ids": [ "SEN" ], "coverage_domains": [ "actors", "authoritative_review", "autonomy", "decision_rights", "governance", "government_responsibilities", "market_structure", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "EDPs use aim- and standard-setting", "institution": null, "locator": { "description": "Abstract and Results: mechanisms of influence." }, "material_id": "material:3ee1ac203e78e2527f630548", "notes": [ "Do not infer current external authority or facility-level control." ], "origin": "candidate-analytical-mappings", "period": "Study analysis of 2000-2021", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/xml", "file_sha256": "1db20d893ae9aa5875f075747381271b7ef5fbe3854795fc7340a354b30850b0", "response_sha256": "1db20d893ae9aa5875f075747381271b7ef5fbe3854795fc7340a354b30850b0" }, "statement": "A case study reports several channels through which external partners influenced domestic financing policy. It does not demonstrate control over providers or current national performance.", "tags": [], "territory": "Senegal", "title": "Reported external influence on financing policy", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC11886842/fullTextXML" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Abdul-Samed AB, Jahan Y, Reichenberger V, et al. Barriers and facilitators of primary care management of type II diabetes mellitus in the West African sub-region: A scoping review. PLOS Global Public Health. 2025;5:e0003733. doi:10.1371/journal.pgph.0003733. https://www.ebi.ac.uk/europepmc/webservices/rest/PMC12052127/fullTextXML", "country_ids": [ "SEN" ], "coverage_domains": [ "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "Senegal (n=1)", "institution": "PLOS Global Public Health", "locator": { "locator_type": "xml_sections", "source_word_anchor": "Ghana (n=4) and Senegal (n=1)", "source_word_count": 5 }, "material_id": "material:5e7130182e6400cceb071fba", "notes": [ "Retain the review's diabetes-primary-care scope and the fact that only one included study was from Senegal.", "Do not generalize this regional secondary synthesis into a current national primary-care, referral, workforce, or governance assessment." ], "origin": "country-evidence-improvement-sources", "period": "Review of English- and French-language primary research published 2000-2023; article published 2025", "publication_date": "2025-05-05", "publication_year": 2025, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "review_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/xml", "file_sha256": "b165f9f29c4b3d90221fda2d88dcb973f19b8e04d9d2445222be05ce056d9e63", "response_sha256": "b165f9f29c4b3d90221fda2d88dcb973f19b8e04d9d2445222be05ce056d9e63" }, "statement": "This West African scoping review included one Senegal study among 12 included papers and synthesizes barriers and facilitators affecting access, utilization, and quality of adult type II diabetes primary care. It is a secondary regional synthesis and does not establish conditions across Senegal's whole primary-care system.", "tags": [], "territory": "Senegal evidence within a West African scoping review of adult type II diabetes primary care", "title": "Barriers and facilitators of primary care management of type II diabetes mellitus in the West African sub-region: A scoping review", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC12052127/fullTextXML" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Federspiel F, Borghi J, Mbaye EM, et al. Development partner influence on domestic health financing contributions in Senegal: a mixed-methods case study. Health Policy and Planning. 2025. doi:10.1093/heapol/czae110. https://www.ebi.ac.uk/europepmc/webservices/rest/PMC11886842/fullTextXML", "country_ids": [ "SEN" ], "coverage_domains": [ "actors", "authoritative_review", "autonomy", "decision_rights", "governance", "government_responsibilities", "market_structure", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "EDPs use aim- and standard-setting", "institution": "Health Policy and Planning", "locator": { "locator_type": "article_section_anchor", "source_word_anchor": "EDPs use aim- and standard-setting", "source_word_count": 5 }, "material_id": "material:993dadb3a6883075ccdab377", "notes": [ "Do not infer authority over an individual provider, current donor influence, or national financing performance from this historical case-study analysis." ], "origin": "country-evidence-improvement-sources", "period": "Case-study analysis of financing trends and policy influence, 2000-2021; article published 2025", "publication_date": "2024-11-21", "publication_year": 2025, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/xml", "file_sha256": "1db20d893ae9aa5875f075747381271b7ef5fbe3854795fc7340a354b30850b0", "response_sha256": "1db20d893ae9aa5875f075747381271b7ef5fbe3854795fc7340a354b30850b0" }, "statement": "A mixed-methods Senegal case study reports that external development partners used standard-setting, negotiation, advice, and external financing to influence domestic health-financing contributions. It examines policy influence, not provider-level operational control or a causal account of national health performance.", "tags": [], "territory": "Senegal national health-financing policy, with documentary and interview evidence", "title": "Development partner influence on domestic health financing contributions in Senegal: a mixed-methods case study", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC11886842/fullTextXML" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministère de la Santé et de l'Action Sociale, Sénégal. Lettre de Politique Sectorielle du MSAS 2025-2029. 2025. https://www.archives.sn/api/fichiers/b0f16149-0690-4d48-8e76-76d1796dd206", "country_ids": [ "SEN" ], "coverage_domains": [ "actors", "authoritative_review", "autonomy", "decision_rights", "governance", "government_responsibilities", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "Comité de pilotage et Revues annuelles conjointes", "institution": "Ministère de la Santé et de l'Action Sociale, Sénégal", "locator": { "locator_type": "pdf_section_anchor", "source_word_anchor": "Comité de pilotage et Revues annuelles conjointes", "source_word_count": 7 }, "material_id": "material:22cbc21ddf3d9204163d62ac", "notes": [ "Do not infer completed monitoring, resource allocation, or achievement of 2029 targets from the policy letter." ], "origin": "country-evidence-improvement-sources", "period": "Sector-policy period 2025-2029", "publication_date": "2025-04-08", "publication_year": 2025, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "6cf400793c1013763a24478f95eadeb5d5ac139d91adccd3d752b666f5b59e6b", "response_sha256": "6cf400793c1013763a24478f95eadeb5d5ac139d91adccd3d752b666f5b59e6b" }, "statement": "The 2025-2029 sector-policy letter specifies a steering committee, joint annual reviews, joint supervision missions, and mid-term and final evaluations. These are formal accountability arrangements rather than evidence that reviews occurred or changed performance.", "tags": [], "territory": "Senegal national health and social-action sector", "title": "Lettre de Politique Sectorielle du MSAS 2025-2029", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.archives.sn/api/fichiers/b0f16149-0690-4d48-8e76-76d1796dd206" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ridde V, Gaye I, Ventelou B, et al. Mandatory membership of community-based mutual health insurance in Senegal: A national survey. PLOS Global Public Health. 2023;3:e0001859. doi:10.1371/journal.pgph.0001859. https://www.ebi.ac.uk/europepmc/webservices/rest/PMC10538694/fullTextXML", "country_ids": [ "SEN" ], "coverage_domains": [ "actors", "autonomy", "decision_rights", "governance", "market_structure", "reform_history", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "Lack of trust in CBHI management", "institution": "PLOS Global Public Health", "locator": { "locator_type": "article_section_anchor", "source_word_anchor": "Lack of trust in CBHI management", "source_word_count": 6 }, "material_id": "material:0e0cf8751a393e6ac12c10d4", "notes": [ "Keep stated acceptability and trust distinct from coverage, insurance performance, or a national mandate." ], "origin": "country-evidence-improvement-sources", "period": "Survey conducted in 2022 among 914 respondents; article published 2023", "publication_date": "2023-09-28", "publication_year": 2023, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/xml", "file_sha256": "d1519727310afbf4a62f7f9845c2046053aaaae3300f6fb6c0770d84804cf7da", "response_sha256": "d1519727310afbf4a62f7f9845c2046053aaaae3300f6fb6c0770d84804cf7da" }, "statement": "The national telephone survey measures respondents' acceptance of voluntary and possible compulsory community-based insurance and its association with trust in current CBHI management. It does not verify actual enrollment, legal change, or functioning of every mutual organization.", "tags": [], "territory": "National phone survey of Senegalese adults", "title": "Mandatory membership of community-based mutual health insurance in Senegal: A national survey", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC10538694/fullTextXML" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Health Organization Regional Office for Africa. Matrice des progrès en matière de financement de la santé - Sénégal 2024. 2025. https://www.who.int/fr/publications/i/item/9789290315094", "country_ids": [ "SEN" ], "coverage_domains": [ "authoritative_review", "autonomy", "decision_rights", "governance", "government_responsibilities", "market_structure", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "l'harmonisation des régimes de financement", "institution": "World Health Organization Regional Office for Africa", "locator": { "locator_type": "html_text_anchor", "section": "Vue d'ensemble", "source_word_anchor": "l'harmonisation des régimes de financement", "source_word_count": 5 }, "material_id": "material:73b6dc8e5dd4ce97f3cd390d", "notes": [ "Keep WHO's assessment of financing arrangements distinct from evidence of current purchasing, payment, or facility autonomy." ], "origin": "country-evidence-improvement-sources", "period": "Health-financing progress-matrix assessment for 2024; published 2025", "publication_date": "2025-05-08", "publication_year": 2025, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "file_sha256": "42ac68f6e3b58ea00a6ded64cc3ca1c17eaecb9011259c17d5517f1c78f2a280", "response_sha256": "42ac68f6e3b58ea00a6ded64cc3ca1c17eaecb9011259c17d5517f1c78f2a280" }, "statement": "WHO's government-requested assessment reviews Senegal's financing architecture and schemes and identifies allocation stability, scheme harmonization, and public-resource accountability as priorities. It is an assessment and recommendation set, not a measure of current provider practice.", "tags": [], "territory": "Senegal national health-financing system", "title": "Matrice des progrès en matière de financement de la santé - Sénégal 2024", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.who.int/fr/publications/i/item/9789290315094" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://iris.who.int/server/api/core/bitstreams/39b3ca3a-6df8-479d-b5dd-cc97385c57a5/content" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministère de la Santé et de l'Action sociale, Sénégal. Plan National de Développement Sanitaire et Social (PNDSS) 2019-2028. Dakar: MSAS; 2019. https://www.sante.gouv.sn/sites/default/files/1%20MSAS%20PNDSS%202019%202028%20Version%20Finale.pdf", "country_ids": [ "SEN" ], "coverage_domains": [ "actors", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "networks", "primary_care", "referral_design", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "gouvernance et financement du secteur", "institution": "Ministère de la Santé et de l'Action sociale, Sénégal", "locator": { "locator_type": "pdf_section_anchor", "source_word_anchor": "gouvernance et financement du secteur", "source_word_count": 5 }, "material_id": "material:81c0a3be692b5df7298e6c10", "notes": [ "Treat this as formal 2019-2028 policy, not proof of current implementation, provider capacity, or national performance." ], "origin": "country-evidence-improvement-sources", "period": "National plan period 2019-2028", "publication_date": "2019-01-01", "publication_year": 2019, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "588265eb1ce845542c2418b014345a8ae36dd9a29c77404d5e8d4afac96dd684", "response_sha256": "588265eb1ce845542c2418b014345a8ae36dd9a29c77404d5e8d4afac96dd684" }, "statement": "The PNDSS formally frames the 2019-2028 sector plan around governance and financing, health and social-service provision, and social protection. It is a policy framework, not evidence that stated arrangements operate uniformly.", "tags": [], "territory": "Senegal national health and social-action sector", "title": "Plan National de Développement Sanitaire et Social 2019-2028", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.sante.gouv.sn/sites/default/files/1%20MSAS%20PNDSS%202019%202028%20Version%20Finale.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Daff BM, Diouf S, Diop ESM, et al. Reforms for financial protection schemes towards universal health coverage, Senegal. Bulletin of the World Health Organization. 2020;98:100-104. doi:10.2471/BLT.19.239665. https://www.ebi.ac.uk/europepmc/webservices/rest/PMC6986231/fullTextXML", "country_ids": [ "SEN" ], "coverage_domains": [ "actors", "autonomy", "decision_rights", "governance", "hospital_organization", "market_structure", "ownership", "primary_care", "referral_design", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "transferring the risk pooling", "institution": "Bulletin of the World Health Organization", "locator": { "locator_type": "article_section_anchor", "source_word_anchor": "transferring the risk pooling", "source_word_count": 4 }, "material_id": "material:2df8f3045f88007b34d9cd8a", "notes": [ "Retain the article's 2020 reporting period and do not infer that all unions, communities, pharmacies, or referral hospitals followed the arrangement." ], "origin": "country-evidence-improvement-sources", "period": "Programme launched 2013; reforms planned and partly implemented from 2018, as reported in 2020", "publication_date": "2019-12-05", "publication_year": 2020, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/xml", "file_sha256": "965a0843eb3e340d19c477e51346572b81bf25533563356b701a94aa2a6e500f", "response_sha256": "965a0843eb3e340d19c477e51346572b81bf25533563356b701a94aa2a6e500f" }, "statement": "The article reports reforms intended to shift part of community-based insurance risk pooling and management to departmental unions while retaining community-level activity. It describes planned and partly implemented changes, not a current national purchasing or autonomy audit.", "tags": [], "territory": "Senegal community-based health-insurance scheme and departmental unions", "title": "Reforms for financial protection schemes towards universal health coverage, Senegal", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC6986231/fullTextXML" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank. Senegal - Health System Development and Financial Protection Program (NAATANGUE 2030), P508171: Program Appraisal Document. 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