RESUMEN
PIP: A situation analysis was performed to provide a comprehensive description of the availability, functionality, and quality of family planning (FP) services and to identify strengths and weaknesses of the national program in Senegal. The 1994 situation analysis included 180 functional service delivery points (SDPs). This report documents the methods used to disseminate the situation analysis and reports the principal findings and lessons learned. The regional dissemination strategy aimed to inform regional and district FP personnel about service delivery issues specific to their location, to involve regional and district FP personnel in the recommendation process, and to maximize the impact and use of findings. The presentation of findings by region encountered difficulties in interpreting data due to small sample sizes, especially that relating to quality of care issues. 1-day seminars were conducted in each of the 10 regions in 1995. It proved very time consuming to schedule a 1-day meeting among district and regional staff. The 10 seminars included 47 districts and 10 directors of health, 10 MCH-FP coordinators, 10 regional supervisors, 47 district medical chiefs, 47 MCH-FP midwives, 47 SDP district supervisors, and personnel from the 2 leading nongovernmental FP groups that serviced 55 SDPs in private and parastatal sectors. Participants were grouped by district. Discussion focused on activities in the SDPs, functional capacity of SDPs, and quality of services. Recommendations emphasized IEC, personnel training and experience, and management and supervision. The seminars revealed the wide differences in perceived program strengths and weaknesses between local and national personnel and in the problems to be solved. Districts were relatively autonomous in deciding how FP services should be delivered and improved. The decentralized dissemination of results was effective in fostering change.^ieng