The Health and Social Action policy in Senegal followed the programme approach and concentrates on primary health care. In this context, the Ministry of Health elaborated an Integrated Health Development Programme (PDIS) which aimed at reducing maternal and child mortality and improving the life of underprivileged families. Since 1999, the European Commission has supported the PDIS with its Health Sector Support Programme (PASS). The objectives of PASS focused on strengthening operational capacities in the three regions of Kolda, Saint Louis and Ziguinchor to further develop the health services and to contribute to the reinforcement of the financial programming in the sector in coherence with the priorities of the national health policy. The evaluation of PASS had to judge on the relevance, the efficiency and effectiveness as well as on the impact and sustainability of the interventions carried out within the programme.
The team of experts reviewed available documents, interviewed the persons responsible at central level and visited all three interventions zones. The experts evaluated project design set objectives, effectiveness of implemented activities, results, impact of the programme. The focus of the evaluation was in: - training and IEC - budget control - monitoring at district level - implementation of the minimal service package - community based health insurance schemes - availability of drugs in the public/private sector - participation of population representatives. They also provided input to the degree of ownership and sustainability of the programm and the need to find alternative funding. In additition, an assessment of the synergies of all partners like health committees, NGOs, other donors etc, was undertaken and recommandations proposed.