Médicos del Mundo has been involved since 2003 in Senegal in the field of primary health care, sexual and reproductive health, universal health coverage and the defense of the fundamental rights of the most vulnerable groups, particularly the right to health. In the region of Dakar, several interventions are being developed in these sectors, following an approach based on Human Rights and Gender: - Maternal health improvement of the most vulnerable groups of the Pikine Health District; - Promotion of sexual and reproductive rights in the region of Dakar, Senegal; - Defense and promotion of the Human Rights of the LGTBI and support for the reduction of their vulnerabilities; - Promotion of the Right to Health of the most vulnerable, marginalized and excluded groups in the region of Dakar, Senegal. At both the strategic and operational levels, we give priority to networking. Likewise, the projects are developed in collaboration with the Ministry of Health and its decentralized services at the local level, key public institutions such as the National Committee for the Fight against AIDS or the National Division of Reproductive Health and civil society organizations: the National Network of Key Populations, the National Alliance for the Health of the Communities, the Association of Senegalese Jurists, among others. Our intention is not to replace the public health system but to strengthen it so that it complies with its duties, obligations and responsibilities. Therefore, our projects seek to strengthen local capacities, both at the institutional and community level. Operational details & security context
Médicos del Mundo has been involved in Senegal since 2003. With its extensive record in the country, it has the necessary resources at the operational level to carry out its interventions.
1. Material and logistical resources: Médicos del Mundo has an office/house in Mermoz, a central district of the city of Dakar in Senegal. The office is fully equipped with all the necessary equipment (computers, printers, internet, offices, etc.), and has a kitchen, a room and everything that is needed to accommodate the volunteer. Also, three vehicles are available for the activities that are carried out in the region.
2. Human resources: MdM has a permanent technical team based in Dakar (1 expatriate: the country coordinator, and 13 national staff) to carry out their interventions in the region and conduct coordination and supervision tasks. In addition, the team in the field works closely with its assigned team at the headquarters of Madrid, giving support to both the formulation, monitoring and evaluation of interventions, among other coordination tasks.
3. Local, technical and financial partners in the field: networking is the cornerstone of the MdM intervention strategy in Senegal. The projects are implemented in collaboration with the Ministries of Health and Social Action (MSAS) and their decentralized services (Medical Region of Dakar, Sanitary Districts, National Center for the Fight against AIDS), as well as with civil society organizations (National Agency for Communities in Health (ANCS), Association of Senegalese Jurists (AJS), National Network of Key Populations (RENAPOC), etc.) In parallel, a permanent contact is maintained with representatives of donors and international agencies present in Dakar: ECHO, AECID, EIGHT, etc.
Senegal is a relatively safe country, but not without risks. Therefore, it is advised to stay cautious and vigilant, as well as avoid places with high concentrations of people and the common places where foreigners meet, particularly some hotels in Dakar. It is advised that the passport or a copy of it be carried with you, in case the Senegalese authorities might require to identify you. Sexual relations between people of the same sex are punishable by imprisonment and fines. See the section Others. Drug use is heavily punished. See the section Others.
a.Terrorism: In response to the security threats that affect other countries in the region, related to the crisis in Mali and with Boko Haram, prudence and caution are recommended. The level of risk has increased in the northeastern area of Senegal (Matam region), bordering Mauritania. As regards the Casamance region (between the southern border of Gambia and the northern border of Guinea Bissau), there has been an upsurge in violence since beginning of 2018 and security risks persist, linked to the presence of mines and acts of banditry. MdM does not intervene in this region of the country.
b. Natural disasters: No notable risks.
c. Citizen security and criminality: in general, regarding the whole country, it is recommended to:
- Maintain vigilance and prudence during any trips.
- Carry out day trips and preferably in groups of several vehicles.
- Avoid public gatherings and high concentrations of people (especially places of worship and sports events such as the Senegalese fight). It is advised that citizen security measures be stepped up in large agglomerations and avoid isolated areas. It is also necessary to be particularly alert to scams, under the pretext of making friends, selling items or working as a guide.
It is recommended not to wear expensive jewelry or clothes, and to look after your passport, identity documents, money, credit cards and airline tickets. In the city, thefts have been detected recently using the "pull and run" method, so when walking it is recommended to stay away from the road.
In Dakar, it is advised to be cautious when it comes to walking or playing sports in the West Corniche areas and never do it at night. Avoid walking along the tracks near the hills of Mamelles, as there has been an increase in vehicle thefts in that area.
Due to the poor condition of some roads and some means of transport, public or private, extra care must be taken when traveling. Road accidents are relatively frequent.