[Conceptual framework for integrating reproductive health in school: experience in Senegal]. / Cadre conceptuel pour l'intégration de la santéde la reproduction en milieu scolaire: expérience au Sénégal.

ABSTRACT

OBJECTIVE: Adolescent reproductive health is a public health concern. The objective of this article is to report the conceptual framework for integrating reproductive health services in school from a pilot project carried out in Senegal. MATERIALS AND METHODS: A 10-year strategic plan from 2000 to 2010 for education and training has been established by the Ministry of Education and the component related to health and nutrition has been in charge by the medical health control division (DCMS). By putting into action the strategy of this component, a pilot project for integrating reproductive health in school had been set up and carried out from 2002 to 2006. This project was held within a secondary grade school and in a health structure especially designated for students. RESULTS: School health policy established by the Ministry of Education and the choice of the DCMS as the institutional leadership has helped to define a framework for synergic interventions directed to school-aged children. Thus, the coordination team with health experts has carried out the project held through a participatory process and advocacy since its conception phase putting together the authority of the Ministry, the school-aged children, the teachers and the parents. Capacities strengthening of different stakeholders through training, sensibilisation and information have been made with partnership development and a signed protocol between the Ministry of Education and the Ministry of Health. CONCLUSION: The magnitude of adolescent reproductive health problems justifies the integration of reproductive health services in school.