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UNISSAHEL in Senegal

(To learn more about the institutional contexte in Senegal: --> see this section)

"Initiative solidarité santé sahel" (I3S) au Sénégal

In Senegal, I3S interventions have supported UHC strategies by partially financing access to free health care for 500,000 children under 5 years of age, their identification through birth registration at health centers and monitoring of children through health records in the southern region (Casamance) in partnership with UNICEF.

The I3S also supported institutional capacity building for the coordination of compulsory health insurance (ICAMO) and the Agency for Universal Health Coverage (ACMU).

Unissahel in Senegal

In Senegal, UNISSAHEL has several objectives, each addressing one facet of these devices. The aim is to study the implementation of health financing mechanisms (free, mutual health insurance), the effects on equity, governance and the sustainability of financing mechanisms.

The projects are divided into different work groups, the work packages. 

Work packages presentation

Work package 1 : Demography, public health and economy

  • Assess the specific effect of free health care on access to health care for children under 5 years old from poor rural households,

  • Analyze trends in mortality and morbidity in children under 5 years of age over the last decade,

  • Determine the motivations for joining (or not joining) community-based mutual insurance schemes for poor unsalaried populations,

  • Identify the reasons why poor households benefiting from free care programs (children under 5 years old, the elderly, and the indigent) use care.

Work package 2 : Anthropology

  • Describe and analyze the mechanisms, actors, and methods of implementation of free initiatives in Senegal (free mother-child care, HIV, tuberculosis, dialysis, Sesame plan),

  • To study the dependent remains for people suffering from various pathologies, or falling into categories, concerned by free services and mutual health insurance,

  • Describe and analyze the effectiveness of mutual health insurance as a health insurance operator in rural and urban areas.

Work package 3 : Governance


This third working group aims to understand how the governance of health systems is reconfiguring itself through the different interventions aimed at achieving UHC.


It is also a transversal research axis, which will concern all the project countries.

Work package 4 : Economy (macro, micro, behavioral econom)

This fourth working group has two components:


  • A microeconomic approach to health and the family, which consists of studying the impact of the policy of free health care for certain categories of population, the establishment of mutual insurance companies and the family solidarity grant program on several elements, including financial risks related to health, inequalities in access to health care, fertility, schooling, and child labor,

  • A behavioral economics approach that aims to study how risk aversion contributes to, or discourages the use of mutual health insurance.

It is also a transversal research axis, which will concern all the project countries. 

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