USAID Administrator Rajiv Shah meeting with expectant mothers on health issues

Pictured here, USAID Administrator Rajiv Shah stands behind a group of pregnant women who meet regularly with community health workers to discuss health issues at Garage Bentenier, a community health hut about 80 km outside of the capital, Dakar. Photo by Mamadou Touré.

A community health hut is an innovative approach to ensure health services for those who don’t have the money or the transportation to travel great distances to see a doctor.  USAID supports a nationwide network of nearly 1,500 huts in Senegal, staffed by almost 10,000 volunteers, covering a population of nearly two and a half million people. These often small, one or two-room structures are widely accessible around the country, including remote, rural areas where there may be no other health provider available.  It is community-managed, financed and volunteer-staffed, which means it’s not government driven, but in the hands of the people.  USAID began supporting these structures in the early ‘80s and since then, as the largest and most consistent donor, its support has become synonymous with comprehensive community care here.   In fact, it is a very important aspect of the malaria prevention and treatment program (the President’s Malaria Initiative) and critical to family planning and reproductive health programs, all of which work hard to reduce maternal and child mortality, as part of the Millennium Development Goals.