Senegal has a long and uninterrupted history of stability since its independence in 1960. Léopold Sédar Senghor, the country’s first president, promoted state-led nation-building, a vision that continues to influence the Government of Senegal (GOS). Since independence, Senegal’s governments have devoted considerable resources to the social sectors. Education accounts for 40 percent of Senegal’s operating budget which has led to significant increases in primary school enrollment over the past ten years. Substantial improvements have also been made in the health sector over the previous decades, including decreased infant mortality1 and reduced maternal mortality2.