This Concept Paper is a key step in the process for designing a sector-wide USAID/Senegal Project Appraisal Document (PAD) and the authorization and award of a new generation of health programs by 2016.  The proposed objectives outlined in this Concept Paper build on the current integrated portfolio of activities that will come to an end in October 2016.  In FY 2010 the Mission launched its integrated health program, which works across health earmarks and at all levels of the health system. The five components, representative of a health system strengthening (HSS) approach, work together to expand the Government of Senegal’s (GOS) integrated package of services to improve family planning, reproductive health, maternal, neonatal and child health at the community and clinical levels. USAID continues to play an important role in supporting the GOS to meet its health challenges for the remainder of this decade, especially as the health sector undergoes major changes in the organization and administration of health service delivery. This new, five-year project will continue to respond to the urgent need to save lives now, with proven cost-effective high-impact health interventions for women, children and infants and other vulnerable populations