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In Senegal as in most Francophone West African countries rates of fertility and of maternal and child mortality are still high and the contraceptive prevalence rate (CPR) remains low. In light of these challenges Senegal has positioned family planning (FP) as a national priority and authorities have made commitments related to financing organizational structure and review of health policies related to FP. One of the leaders in FP in Francophone West Africa Senegal has undertaken various initiatives in recent years to reach its national and international goals. In this context the 2012-2015 National Family Planning Action Plan (NFPAP) was developed based on the 3D approach which stands for Democratization Demedicalization and Decentralization. As the 2012-2015 NFPAP is coming to an end and the development of a new plan is envisioned it is critical to document the 3D approach its implementation and its achievements. Thus in collaboration with the Directorate of Reproductive Health and Child Survival (DRHCS) the Population Council conducted this study under the Evidence Project with funding from the United States Agency for International Development (USAID). This study aims to document the 3D approach in relation to the NFPAP to describe lessons learned from its implementation and to share good practices with other countries in the Ouagadougou Partnership and beyond. This study is intended to provide evidence to support decision-making especially for the elaboration of the next NFPAP. This study combines a literature review and qualitative research including 26 in-depth interviews (IDIs) with FP stakeholders and eight focus group discussions (FGDs) with women of reproductive age (25-44 years old) who were currently using FP or had used FP within the past five years. This study was conducted in the Dakar and Thies regions.

Assessment of the implementation and achievements of the 3D Approach in Senegal’s National Family Planning Action Plan—Part 2: Summary Report