Senegal
One of GaneshAID's deepest country engagements: Coach2PEV (C2P) is embedded in the national EPI programme, transforming supervisory culture from inspection-based to coaching-based across nine districts in three regions.
Key Immunisation and Health System Challenges
Senegal's EPI programme has long grappled with supervision quality challenges: a shortage of qualified supervisors, financial constraints, irregular visit coverage, and monitoring systems unable to track performance improvement between visits. Supervision historically relied on paper-based checklists with no mechanisms to verify implementation of recommendations.
The result was low supervision coverage, variable quality, and health workers who experienced supervision as punitive inspection rather than supportive coaching. Without performance-based incentives or structured peer learning, motivation among vaccinators remained fragile.
GaneshAID co-designed Coach2PEV with the Senegal EPI Directorate of Prevention to address these systemic weaknesses — prioritising simplicity, national ownership, and integration into existing health system workflows.
"Ineffective supervision: low coverage, irregular visits, and variable quality, often not supportive or motivating for health workers. Lack of effective mechanisms to track performance and improvements between supervision visits." — C2P Senegal Programme Documentation
GaneshAID Support in Senegal
C2P — Coach2PEV (Coaching to Performance)
Coach2PEV is a co-designed innovation developed with the EPI to ensure simplicity, relevance and ownership. It modernises traditional supervision by introducing improved methods for monitoring and managing performance, with a particular focus on strengthening supportive supervision through coaching and guidance of EPI staff.
4 districts across Dakar, Diourbel and Kaffrine regions
Digitisation and integration of supervision checklists into the C2P platform. Design of training modules and learning materials. Selection of users and training of central administrators and coaches. Launch of the application and pilot evaluation.
5 additional districts — updated tools and reinforced coaching
Expansion with updated tools and training materials. Training and retraining of administrators and coaches. Strengthening of application use and coaching tools based on pilot learnings.
9 districts — national migration and full rollout
Large-scale rollout with full integration of supervision checklists. Training of trainers and users on both mobile and desktop versions. Migration of the solution to national level — embedding Coach2PEV in the national EPI supervision infrastructure.
What changed as a result
Performance outcomes by district
100% gap resolution — In Dakar West, all health facilities resolved deficiencies noted in their improvement plans by the end of the supervision period.
Culture of self-assessment — Health workers now conduct their own diagnosis in the presence of a coach, fostering greater ownership of performance results.
Skills enhancement — Access to 103 micro-learning capsules directly on tablets strengthens technical knowledge and know-how of field agents continuously.
Positive emulation — Performance "championships" between districts create healthy competition and motivate teams, replacing punitive inspection culture.
Coach2PEV has shifted Senegal's EPI supervision from reactive, paper-based inspection to digitally enabled, coaching-based performance management — institutionalised within national supervision cycles.
Partners and Ecosystem in Senegal
The C2P Senegal engagement is built on deep institutional partnership with the Directorate of Prevention within the Ministry of Health. The co-design approach — involving EPI staff at every stage from checklist digitisation to champion design — ensures the platform is perceived as a national tool, not a donor project.
IntrEPID integration pathway
Building on C2P success, Senegal is now adopting IntrEPID — GaneshAID's institutional governance and decision intelligence platform — to integrate performance indicators across disease programmes and reinforce inter-directorate management at the Ministry level. This creates a full system transformation pathway: coaching at facility level → institutional governance at Ministry level.