Sénégal

Summary: Phase 1. Exploration phase to build an enabling environment  

Senegal is in the early phase of MMS introduction, with efforts focused on planning, coordination, and system readiness. MMS is reflected in national strategies, supported by a technical working group and a national roadmap.

Between April and August 2024, Nutrition International and the Government of Senegal conducted a landscape analysis, funded by the Eleanor Crook Foundation and The Waterloo Foundation, to assess opportunities and challenges for a potential transition. The analysis generated recommendations on policies, service delivery, supply, and financing, and outlined next steps for introducing and scaling MMS through the public ANC platform.

Several national and international partners are engaged in the transition process. Regulatory authorities oversee product quality, and supply chain monitoring has improved through digital tools such as Jegesinaa and the national HMIS. Financing for MMS remains largely dependent on development partners, and key challenges persist around sustainable funding, supply readiness, and guideline updates.

The next steps include refining research questions, sharing protocols and findings, conducting targeted studies, advancing political endorsement, assessing supply chain capacity, coordinating stakeholder meetings, evaluating conditions for scale‑up, and updating maternal nutrition guidelines to incorporate MMS.

Sources :HMHB Survey 2025,  2nd Africa Regional Meeting Report

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Summary: Phase 2. Pilot/Implementation Research & Program Design

From 1986 to 1993, Senegal faced a growing crisis of malnutrition among children under five. In response, national authorities implemented several measures to safeguard vulnerable groups, particularly women and children. This led to the launch of the high-priority, externally funded Community Nutrition Project (PNC) by the Senegalese Government, operating under the President’s supervision. The PNC, initiated in 1994 with support from the World Bank, WFP, and the German “Kreditanstalt Für Wiederaufbau,” comprised of three key components: food supplementation, nutrition education and child growth monitoring, and drinking water provision. The food supplementation program offered a locally-sourced supplementary food (millet and maize-based) for over six months to pregnant women during their last trimester and to lactating women. This was provided to them through a network of operational centers located in impoverished urban areas.
Nowdays, the implementation of BEP supplementation is coordinated by two government branches: the National Committee for the Development of Nutrition, which is responsible for community nutrition activities, and the Ministry of Health, which oversees services provided through health facilities. Regarding the distribution of BEP supplements, target population includes pregnant and lactating women in emergency and humanitarian settings, with support from multiple donors, including UNICEF, WFP, Nutrition International, Helen Keller International, the World Bank, etc. The BEP products vary by donor and may include LNS-PLW, CSB Plus, and other fortified premixes, all of which are imported (for more details see the UNICEF Supply Catalogue). While manufacturers differ, these products are typically certified by UNICEF or WFP. The duration of BEP supplementation depends on if it is given for prevention purposes of moderate malnutrition, between 3 to 6 months, or for treatment of chronic malnutrition, for 6 months on average. Storage and distribution are managed independently by donors or in collaboration with the local government. Women qualify for the intervention if their MUAC < 21 cm and remain enrolled until their MUAC reaches 23 cm. The product is primarily distributed through antenatal care facilities or community centers, where community health workers facilitate its delivery to pregnant and lactating women.

Sources: BEP Case Studies, Cissé et al. 2002

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