[The co-construction of change in community health service provision in Senegal].

An experience of collaboration between researchers and the Ministry of Health of Senegal has encouraged the social uses of results from research on the health of communities. This article presents the contributions of partnership-based research to tackling health inequalities. Following a diagnostic shared with all the actors (practitioners and users) that allowed us to identify the reasons behind the under-utilization of well-equipped and renovated health establishments, three innovations were implemented: district surgery, complementary health insurance and flat-rate fees.