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The humanitarian emergency (HE) management requires coordination that often integrates insufficiently sexual and reproductive health (SRH). The objective of this study was to assess the incorporation of SRH in managing HE (SRH/HE) in Senegal. Method: The evaluation focused on the past 15 years. Interviews with key informants were conducted at three ministries (Health and Social Welfare, Interior, Armed Forces), the Executive Secretary of the National Council for Food Security, three UN agencies (WHO, UNICEF, UNFPA), and three health districts. The review analyzed nineteen national planning and/or programming documents. Results: Senegal has faced various emergencies: floods, locust invasions, climate change (back to shore), sinking of the boat le Joola, and explosion of an ammonia tank in Dakar. In the management of these emergencies, the SRH was considered only for floods. Staff trained on the minimum initial service package (MISP), moved, was not replaced. Preparatory activities were insufficient, and community approaches weak and misdirected. National planning and programming documents neither took into account the preparation of the actors nor the establishment of procedures and forecast resources. Decentralized contingency plans in the regions have neither planned mobilizing additional resources nor training on the topic. Conclusion: The preventive logic requires taking a definitive account of the SRH in HE management in Senegal. Recommendations were, especially but not exclusively, well targeted for the Government and the civil society, technical and financial partners, as well as institutions and training schools.

Inclusion of Sexual and Reproductive Health in Managing Humanitarian Emergencies in Senegal