PATH's work in Senegal

Our work in health system strengthening in Senegal

PATH’s work in health system strengthening in Senegal spans three projects:

Project Optimize

Optimize was a five-year partnership between the World Health Organization (WHO) and PATH to identify ways in which supply chains can be optimized to meet the demands of an increasingly large and costly portfolio of vaccines.

Passive vaccine storage

PATH is collaborating with Global Good and the Senegal Ministry of Health to evaluate the performance, cost, and usability of a portable passive vaccine storage device that houses five liters of vaccine in real clinical scenarios in Senegal to move toward WHO approval.

With the sun shining through scattered white clouds, a driver in a white truck with ‘Entrepot Mobile PNA – PRA. St. Louis’ on its side and PATH’s logo on its door drives on a dirt road past some white cows.

PATH supports Senegal Health System in delivering essential drugs to health posts. Photo: PATH/Fatou Kande

Health system strengthening

Under a US Agency for International Development (USAID) grant for health system strengthening, PATH is working closely with ABT Associates, USAID, and Pharmacie National d’Approvisionnement (PNA) to strengthen logistics systems, which are critical to the success of health systems performance.

Optimize: Immunization systems and technologies for tomorrow

Project Optimize was a five-year partnership between WHO and PATH. Optimize worked directly with national governments and other institutions to identify issues in the supply chain and test innovative solutions. Optimize also worked with vaccine manufacturers and policymakers to help ensure that new products and policies enable supply chain systems to function effectively. Optimize’s goal was to help define an ideal vaccine supply chain that can be used to develop stronger, more adaptable, and more efficient logistics systems, extending the reach of lifesaving health technologies to people around the world.

Optimize collaborated with the Senegal Ministry of Health to demonstrate innovations in the supply chain that can help the national immunization program. Senegal was one of four collaborating countries for this demonstration work.

The following briefly describes the demonstration projects undertaken in Senegal as part of the Optimize collaboration:

  • The integration of public-sector vaccine, drug, and other health product supply chains.
  • A “moving warehouse” distribution model in Saint-Louis.
  • A logistics management information system to help manage vaccine stock.
  • Solar and new technologies to improve the reliability and performance of vaccine storage.

PATH provided technical support to our Senegal counterparts to promote the long-term goals of national scale-up of successful demonstrations and development of a long-term vision in Senegal for the evolution of immunization supply chain and logistics.

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Evaluation of passive vaccine storage devices in Senegal

Global Good, an entity focused on creating appropriate health technologies for the developing world, has developed a portable passive vaccine storage device that houses five liters of vaccines and with insertion of preconditioned ice blocks can maintain 0ºC to 8ºC temperature for at least 30 days in high ambient temperatures. The device is categorized as a long-hold vaccine cold box, which is a new category (PQS E04/CB03) being developed by WHO. Global Good is collaborating with the Senegal Ministry of Health and PATH to evaluate the performance, cost, and usability of the device in real clinical scenarios in Senegal to move toward WHO approval.

Two phases were carried out in the Saint-Louis and Kaolack regions.

First phase study

The goal of the first phase study was to prove the technical functionality of the device by confirming the following:

  • Durability during transport using the moving warehouses.
  • Temperature hold time, or the total time that the device holds appropriate (0ºC to 8ºC) temperatures given variable vaccine access and retrieval patterns in different ambient temperature environments in Saint-Louis.

Second phase study

PATH continued with a second phase study to understand the device’s comparative costs and fit with current systems. Specifically, PATH aimed to integrate up to 12 devices into static, outreach, and campaign-style vaccine delivery strategies in Saint-Louis and Kaolack regions. Total costs (including labor, transport, and capital expenditures) were compared with the costs of standard practices.

PATH also assessed the optimal delivery, vaccine and ice replenishment, and maintenance approach in Senegal.

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Health system strengthening

The main objective of the USAID/Senegal Health System Strengthening (HSS) program is to improve performance of the decentralized public health system of Senegal, supported by effective and efficient program policies,planning, and budgeting at the central level of the Ministry of Health. The HSS program will cover ten regions: Dakar (Pikine and Rufisque departments only), Diourbel, Fatick, Kaffrine, Kaolack, Kolda, Louga, Sedhiou, Thiés, and Ziguinchor.

PATH is working closely with ABT Associates, USAID, and PNA to strengthen logistics systems, which are critical to the success of health systems performance. PATH is building the capacities of the PNA by producing a procurement and supply manual and updating the existing internal information system from the central level out to the regional pharmacies.

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