Over the past two decades, Senegal has made significant progress in maternal, neonatal, infant, and adolescent health. Mortality rates have declined substantially, reflecting the impact of policies and investments in health services. Despite these gains, recent stagnation in some indicators and persistent regional disparities reveal ongoing structural and financing challenges. Access to care, availability of qualified personnel, quality of infrastructure, and the efficiency of referral systems remain uneven, leaving some populations at higher risk. To ensure that these achievements are sustained and expanded, it is important to understand how SRMNIA-N is financed at both national and subnational levels.

This policy brief therefore examines the mobilization, allocation, and distribution of resources for SRMNIA-N in Senegal during the 2024–2025 period. It draws on financial data from government sources, technical and financial partners, and Regional Health Directorates to provide a comprehensive picture of the funding landscape. The analysis highlights a structural financing gap of nearly 30 percent of the total cost of the PS SRMNIA-N 2024–2028, a heavy reliance on a small number of external donors, and significant imbalances across strategic priorities, particularly in infrastructure, human resources, essential medicines, nutrition, and emergency obstetric care. It also finds that resource allocation is not consistently aligned with regional health needs, limiting both equity and effectiveness.

Based on these findings, the brief offers recommendations to strengthen domestic financing, improve regional planning and financial governance, and enhance coordination between the State and partners. Implementing these measures will help ensure more equitable, resilient, and sustainable financing for SRMNIA-N and support Senegal’s broader national health objectives.