{"id":"https://openalex.org/W7224105016","doi":"https://doi.org/10.1186/s12889-026-30084-7","title":"Understanding vulnerability to reproductive, maternal, neonatal and child health outcomes in Senegal using a population segmentation","display_name":"Understanding vulnerability to reproductive, maternal, neonatal and child health outcomes in Senegal using a population segmentation","publication_year":2026,"publication_date":"2026-10-28","ids":{"openalex":"https://openalex.org/W7224105016","doi":"https://doi.org/10.1186/s12889-026-30084-7"},"language":"en","primary_location":{"id":"doi:10.1186/s12889-026-30084-7","doi":"https://doi.org/10.1186/s12889-026-30084-7","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12889-026-30084-7","pdf_url":null,"source":{"id":"https://openalex.org/S200437886","display_name":"BMC Public Health","issn_l":"1471-2458","issn":["1471-2458"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Public Health","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1186/s12889-026-30084-7","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5000117398","display_name":"Palash Singh","orcid":"https://orcid.org/0000-0003-1967-8455","observed_orcids":["https://orcid.org/0000-0003-1967-8455"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Palash Singh","raw_affiliation_strings":["Sonder Collective, Konepajankuja 1, Helsinki, 00510, Finland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Sonder Collective, Konepajankuja 1, Helsinki, 00510, Finland","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067870995","display_name":"Finou Th\u00e9r\u00e8se Mendy","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210148460","display_name":"Ideas42","ror":"https://ror.org/05sj5yq92","country_code":"US","type":"other","lineage":["https://openalex.org/I4210148460"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Finou Th\u00e9r\u00e8se Mendy","raw_affiliation_strings":["Ideas42, Washington, D.C., United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ideas42, Washington, D.C., United States","institution_ids":["https://openalex.org/I4210148460"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160064969","display_name":"Camille Kramer Courbariaux","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405283891","display_name":"YUX Design (Senegal)","ror":"https://ror.org/02fxdnp31","country_code":"SN","type":"company","lineage":["https://openalex.org/I4405283891"]}],"countries":["SN"],"is_corresponding":false,"raw_author_name":"Camille Kramer Courbariaux","raw_affiliation_strings":["YUX Design, Dakar, Senegal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"YUX Design, Dakar, Senegal","institution_ids":["https://openalex.org/I4405283891"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160060294","display_name":"Yann Le Beux","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405283891","display_name":"YUX Design (Senegal)","ror":"https://ror.org/02fxdnp31","country_code":"SN","type":"company","lineage":["https://openalex.org/I4405283891"]}],"countries":["SN"],"is_corresponding":false,"raw_author_name":"Yann Le Beux","raw_affiliation_strings":["YUX Design, Dakar, Senegal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"YUX Design, Dakar, Senegal","institution_ids":["https://openalex.org/I4405283891"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159954504","display_name":"Jeremy Cooper","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1303444417","display_name":"Gates Foundation","ror":"https://ror.org/0456r8d26","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I1303444417"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jeremy Cooper","raw_affiliation_strings":["Institute for Disease Modeling, Gates Foundation, Seattle, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Disease Modeling, Gates Foundation, Seattle, USA","institution_ids":["https://openalex.org/I1303444417"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000360468","display_name":"Daniel Helld\u00e9n","orcid":"https://orcid.org/0000-0001-8969-2194","observed_orcids":["https://orcid.org/0000-0001-8969-2194"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Daniel Helld\u00e9n","raw_affiliation_strings":["Institutes for Transdisciplinary Scholarships, Calgary, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institutes for Transdisciplinary Scholarships, Calgary, Canada","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148174859","display_name":"Lang Gao","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Lang Gao","raw_affiliation_strings":["Sonder Collective, Konepajankuja 1, Helsinki, 00510, Finland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Sonder Collective, Konepajankuja 1, Helsinki, 00510, Finland","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5007386692","display_name":"Michael Kalnoky","orcid":"https://orcid.org/0009-0008-3656-7371","observed_orcids":["https://orcid.org/0009-0008-3656-7371"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Michael Kalnoky","raw_affiliation_strings":["Sonder Collective, Konepajankuja 1, Helsinki, 00510, Finland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Sonder Collective, Konepajankuja 1, Helsinki, 00510, Finland","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5136087081","display_name":"Anu Mishra","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1303444417","display_name":"Gates Foundation","ror":"https://ror.org/0456r8d26","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I1303444417"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Anu Mishra","raw_affiliation_strings":["Institute for Disease Modeling, Gates Foundation, Seattle, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Disease Modeling, Gates Foundation, Seattle, USA","institution_ids":["https://openalex.org/I1303444417"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160045795","display_name":"Julia Morvan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405283891","display_name":"YUX Design (Senegal)","ror":"https://ror.org/02fxdnp31","country_code":"SN","type":"company","lineage":["https://openalex.org/I4405283891"]}],"countries":["SN"],"is_corresponding":false,"raw_author_name":"Julia Morvan","raw_affiliation_strings":["YUX Design, Dakar, Senegal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"YUX Design, Dakar, Senegal","institution_ids":["https://openalex.org/I4405283891"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159999709","display_name":"Adja Souadou Mane Sow","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405283891","display_name":"YUX Design (Senegal)","ror":"https://ror.org/02fxdnp31","country_code":"SN","type":"company","lineage":["https://openalex.org/I4405283891"]}],"countries":["SN"],"is_corresponding":false,"raw_author_name":"Adja Souadou Mane Sow","raw_affiliation_strings":["YUX Design, Dakar, Senegal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"YUX Design, Dakar, Senegal","institution_ids":["https://openalex.org/I4405283891"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5120614331","display_name":"Mouhamadou Moustapha Pouye","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210092571","display_name":"Minist\u00e8re de la Sant\u00e9 Publique et Action Sociale","ror":"https://ror.org/00e4qtq76","country_code":"SN","type":"government","lineage":["https://openalex.org/I4210092571"]}],"countries":["SN"],"is_corresponding":false,"raw_author_name":"Mouhamadou Moustapha Pouye","raw_affiliation_strings":["Ministry of Health, Dakar, Senegal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ministry of Health, Dakar, Senegal","institution_ids":["https://openalex.org/I4210092571"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060694730","display_name":"Aboubacry Dram\u00e9","orcid":"https://orcid.org/0009-0005-8983-5542","observed_orcids":["https://orcid.org/0009-0005-8983-5542"]},"institutions":[{"id":"https://openalex.org/I4210092571","display_name":"Minist\u00e8re de la Sant\u00e9 Publique et Action Sociale","ror":"https://ror.org/00e4qtq76","country_code":"SN","type":"government","lineage":["https://openalex.org/I4210092571"]}],"countries":["SN"],"is_corresponding":false,"raw_author_name":"Aboubacry Drame","raw_affiliation_strings":["Ministry of Health, Dakar, Senegal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ministry of Health, Dakar, Senegal","institution_ids":["https://openalex.org/I4210092571"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024302237","display_name":"Elisabeth Dowling Root","orcid":"https://orcid.org/0000-0002-9566-4031","observed_orcids":["https://orcid.org/0000-0002-9566-4031"]},"institutions":[{"id":"https://openalex.org/I1303444417","display_name":"Gates Foundation","ror":"https://ror.org/0456r8d26","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I1303444417"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Elisabeth Root","raw_affiliation_strings":["Institute for Disease Modeling, Gates Foundation, Seattle, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Disease Modeling, Gates Foundation, Seattle, USA","institution_ids":["https://openalex.org/I1303444417"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5160037659","display_name":"Ahmadou Bouya Ndao","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210092571","display_name":"Minist\u00e8re de la Sant\u00e9 Publique et Action Sociale","ror":"https://ror.org/00e4qtq76","country_code":"SN","type":"government","lineage":["https://openalex.org/I4210092571"]}],"countries":["SN"],"is_corresponding":false,"raw_author_name":"Ahmadou Bouya Ndao","raw_affiliation_strings":["Ministry of Health, Dakar, Senegal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ministry of Health, Dakar, Senegal","institution_ids":["https://openalex.org/I4210092571"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5000117398"],"corresponding_institution_ids":[],"apc_list":{"value":3290,"currency":"USD","value_usd":3290},"apc_paid":{"value":3290,"currency":"USD","value_usd":3290},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.88145622,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10209","display_name":"Global Maternal and Child Health","score":0.9937000274658203,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10209","display_name":"Global Maternal and Child Health","score":0.9937000274658203,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12741","display_name":"Maternal and Neonatal Healthcare","score":0.00279999990016222,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13633","display_name":"Public Health and Social Inequalities","score":0.0015999999595806003,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/maternal-outcomes","display_name":"maternal outcomes","score":0.6930000185966492},{"id":"https://openalex.org/keywords/child-health-outcomes","display_name":"child health outcomes","score":0.9139999747276306},{"id":"https://openalex.org/keywords/neonatal-outcomes","display_name":"neonatal outcomes","score":0.7490000128746033},{"id":"https://openalex.org/keywords/reproductive-health","display_name":"reproductive health","score":0.8019999861717224},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.6610000133514404},{"id":"https://openalex.org/keywords/population-segmentation","display_name":"population segmentation","score":0.8519999980926514},{"id":"https://openalex.org/keywords/health-equity","display_name":"health equity","score":0.46700000762939453},{"id":"https://openalex.org/keywords/health-care-utilization","display_name":"health care utilization","score":0.6850000023841858},{"id":"https://openalex.org/keywords/health-behavior","display_name":"health behavior","score":0.6990000009536743},{"id":"https://openalex.org/keywords/urban-rural-differences","display_name":"urban-rural differences","score":0.8450000286102295},{"id":"https://openalex.org/keywords/senegal","display_name":"Senegal","score":0.6340000033378601}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7207000255584717},{"id":"https://openalex.org/C140556311","wikidata":"https://www.wikidata.org/wiki/Q214746","display_name":"Biostatistics","level":3,"score":0.6949999928474426},{"id":"https://openalex.org/C95713431","wikidata":"https://www.wikidata.org/wiki/Q631425","display_name":"Vulnerability (computing)","level":2,"score":0.6126999855041504},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.6067000031471252},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.5692999958992004},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.5318999886512756},{"id":"https://openalex.org/C2778149918","wikidata":"https://www.wikidata.org/wiki/Q3291156","display_name":"Population health","level":3,"score":0.44909998774528503},{"id":"https://openalex.org/C70727504","wikidata":"https://www.wikidata.org/wiki/Q1806878","display_name":"Latent class model","level":2,"score":0.4113999903202057},{"id":"https://openalex.org/C121752807","wikidata":"https://www.wikidata.org/wiki/Q1981388","display_name":"Reproductive health","level":3,"score":0.4007999897003174},{"id":"https://openalex.org/C2250968","wikidata":"https://www.wikidata.org/wiki/Q1512929","display_name":"Health equity","level":3,"score":0.3465999960899353},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.32010000944137573},{"id":"https://openalex.org/C2992125907","wikidata":"https://www.wikidata.org/wiki/Q1741837","display_name":"Child health","level":2,"score":0.3163999915122986},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.31279999017715454},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.31049999594688416},{"id":"https://openalex.org/C47344431","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health policy","level":3,"score":0.2937000095844269},{"id":"https://openalex.org/C521751864","wikidata":"https://www.wikidata.org/wiki/Q1729207","display_name":"Christian ministry","level":2,"score":0.2773999869823456},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.27300000190734863},{"id":"https://openalex.org/C78491826","wikidata":"https://www.wikidata.org/wiki/Q3045352","display_name":"Social determinants of health","level":3,"score":0.26190000772476196}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1186/s12889-026-30084-7","doi":"https://doi.org/10.1186/s12889-026-30084-7","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12889-026-30084-7","pdf_url":null,"source":{"id":"https://openalex.org/S200437886","display_name":"BMC Public Health","issn_l":"1471-2458","issn":["1471-2458"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Public Health","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1186/s12889-026-30084-7","doi":"https://doi.org/10.1186/s12889-026-30084-7","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12889-026-30084-7","pdf_url":null,"source":{"id":"https://openalex.org/S200437886","display_name":"BMC Public Health","issn_l":"1471-2458","issn":["1471-2458"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Public Health","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"},{"display_name":"Reduced inequalities","score":1.0,"id":"https://metadata.un.org/sdg/10"}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320306137","display_name":"Bill and Melinda Gates Foundation","ror":"https://ror.org/0456r8d26"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2807708612","https://openalex.org/W7118926234","https://openalex.org/W2120530453","https://openalex.org/W7099799388","https://openalex.org/W4410791854","https://openalex.org/W3109105686","https://openalex.org/W4320178939","https://openalex.org/W7099019869","https://openalex.org/W6939497123","https://openalex.org/W7166816870"],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"Senegal":[2,59,103],"has":[3],"made":[4],"improvements":[5],"in":[6,17,37,58,116,125,233,238,259],"maternal":[7,159,264],"and":[8,33,68,71,75,101,105,119,147,158,160,170,185,212,220,243,263,265,290],"child":[9,34,76,124,161,221,266],"health":[10,35,77,162,222,229,239,260,267,285],"over":[11],"the":[12,38,95,99,126,132,141,150,154,166,181,194,197],"last":[13],"decades,":[14],"but":[15],"disparities":[16,230],"outcomes":[18,36,78,169],"persist.":[19],"There":[20],"is":[21,40],"a":[22,87,117,123,274],"limited":[23],"understanding":[24],"of":[25,144,156,172,183,196,253],"how":[26,72],"vulnerability":[27,214],"to":[28,47,122,179,189,215,279],"poor":[29,216],"maternal,":[30,73,218],"reproductive,":[31,217],"neonatal":[32,219],"country":[39],"distributed.":[41],"As":[42],"such,":[43],"this":[44],"study":[45,85,91,133],"aims":[46],"understand":[48],"what":[49],"distinct":[50],"population":[51,247],"segments":[52,191,203],"can":[53],"be":[54],"identified":[55],"among":[56,231],"women":[57,112,232,255],"based":[60,93,192],"on":[61,94,193],"multidimensional":[62],"social,":[63],"cultural,":[64],"behavioural,":[65],"economic,":[66],"environmental":[67],"health-related":[69],"characteristics":[70],"reproductive":[74],"differ":[79],"across":[80,246],"these":[81],"segments.":[82],"Methods":[83],"This":[84],"uses":[86],"cross-sectional":[88],"descriptive":[89],"segmentation":[90,136,225],"design":[92],"pooled":[96],"data":[97],"from":[98,276],"2018":[100],"2019":[102],"Demographic":[104],"Health":[106,157],"Surveys":[107],"(DHS)":[108],"that":[109,204],"included":[110],"7816":[111],"who":[113],"had":[114],"been":[115],"union":[118],"given":[120],"birth":[121],"prior":[127],"5":[128],"years":[129],"which":[130],"was":[131,137,177],"population.":[134],"The":[135,224,250],"done":[138],"iteratively,":[139],"with":[140,149,153,235],"initial":[142],"list":[143],"variables":[145,171,184],"developed":[146],"matched":[148],"DHS":[151],"together":[152],"Ministry":[155],"experts.":[163],"After":[164],"assessing":[165],"associations":[167],"between":[168],"interest,":[173],"principal":[174],"component":[175],"analysis":[176,188,252],"used":[178],"reduce":[180],"number":[182],"latent":[186],"class":[187],"create":[190],"fit":[195],"model.":[198],"Results":[199],"We":[200],"found":[201],"9":[202],"were":[205],"differentiated":[206],"by":[207],"urban":[208],"or":[209],"rural":[210],"location":[211],"varying":[213],"outcomes.":[223,268],"findings":[226],"show":[227],"deep":[228],"Senegal,":[234],"substantial":[236],"heterogeneity":[237],"behaviours,":[240],"service":[241,261],"utilisation,":[242],"structural":[244],"determinants":[245],"groups.":[248],"Conclusions":[249],"segment-level":[251],"Senegalese":[254],"reveals":[256],"entrenched":[257],"inequalities":[258],"access":[262],"Achieving":[269],"meaningful":[270],"progress":[271],"will":[272],"require":[273],"shift":[275],"national-average":[277],"targets":[278],"equity-oriented,":[280],"data-driven,":[281],"segment-specific":[282],"strategies":[283],"combining":[284],"system":[286],"strengthening,":[287],"sociocultural":[288],"interventions,":[289],"broader":[291],"socioeconomic":[292],"development.":[293]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-29T00:00:00"}
