The thematic issues addressed below are the result of consultation with local authorities and with local or international experts in the field, for which we are warmly grateful.
They are indicators both of the desire for a better understanding of the dynamics of a sector, and concern about improving the efficiency of services operations for populations. They are not exhaustive, but are potentially issues that could have a strong impact. While some of them appear to be able to be dealt with analysis techniques that are known but have not yet been applied thoroughly in Senegal, others require creativity in cross-referencing with data specific to the sector or in terms of calculation method.
We encourage you to visit the ‘ Partners & resources’ pages where we have indicated the first steps for accessing the numerous data items available. And we also invite you to explore the issues addressed in the other themes. There are certainly connections between some of the issues addressed that will be worthy to explore.
The Orange Group and Sonatel would like to thank the Senegal Ministry of Health for having explicitly stated the questions, issues and challenges the populations are confronted with.
overall health situation
Maternal mortality decreased from 510 per 100,000 live births nationally in 2005 to 392 per 100,000 live births in 2010.
If we compare this rate for the same period with that of developing countries (240), industrialised countries (12) and worldwide (210), it still remains very high.
In order of importance, the direct causes were haemorrhage, infections and high blood pressure.
The indirect causes were mainly the background of poverty, the lack of ante and post natal monitoring and the conditions for giving birth. 14% of pregnant women do not have any medical assistance and almost 51% give birth at home. Added to this are domestic and sexual violences, early childbearing, little use of contraception and the practice of female genital mutilation.
Regarding communicable diseases, amongst others are
HIV Aids, Malaria, Tuberculosis, Schistosomiasis and Onchocerciasis.
Most of these diseases were the subject of special attention through national programmes.
HIV/AIDS: the first case recorded in Senegal dates back to 1986 with a transmission mode mainly related to heterosexual relations. The presence of the HIV1 and HIV2 viruses was recorded. The organisation and implementation of the response has allowed Senegal to achieve very encouraging results (0.7% EDS IV 2005 which remained steady at 0.7% EDS-MICS 2010-2011). However, certain social groups such as MSM and sex workers have very high rates (21%). Migration and prostitution remain risk areas; for example rates vary between 15 and 30 per cent prevalence among these populations.
For non-communicable diseases, information still remains fragmented but the data available shows an emergence of these diseases (diabetes, high blood pressure (4.5%), cancer, etc.) in a steadily growing segment of the Senegal population.
As part of the D4D Challenge, the Ministry of Health department of research wishes to explore the analyses mainly resulting from cross-referencing of data on the use of the mobile networks with other data directly or indirectly related to health. The ministry will then be interested to see the practical applications that may be derived from this.
At the current stage of implementation of the healthcare and social action policy, the needs of the research include the following issues:
- mapping of the determining factors of non-communicable diseases
- epidemiological transition
- geographical accessibility of healthcare training
- distribution and specific features of healthcare requirements in rural and urban environments
- correlation between poverty and health
- children's and women's health and infant mortality
- the health of ethnic groups
- correlation between food, diet, access to water and health
- correlation between external conditions and health, such as hours of sunlight, rainfall, humidity and drought, wind, …
- endemic diseases with priority identification of hot-spots
- communicable diseases with priority identification of hot-spots: Aids, Tuberculosis, cholera and meningitis
- conditions of access to treatment (average distance from treatment centres, location of vaccination stores, location of doctors, etc.)
Works may concern both modelling of transmission of diseases or identification of outbreaks, and practical applications such as the modelling of systems for alerting the populations, modelling of the benefits expected from an information system (medical or crowd sourcing) for collecting data on health, optimisation of information campaigns about populations at risk,…