The article analyzes the adoption and adaptation of the CMAM Surge model in Niger. Introduced in 2014, this model aims to improve the health system's response to malnutrition cases. Although deployed in 434 health facilities, its application remains heterogeneous. The study identifies the major challenges of its implementation: lack of knowledge of the program by health workers, poor training, coordination problems with NGOs and lack of resources. The Surge approach, initially designed to manage malnutrition crises, encounters difficulties in sustainable integration. Some local reform actors are more successful in adapting it, by involving communities more and developing alternative strategies. The article offers a critical analysis of the strengths and weaknesses of the model and explores ways to strengthen its appropriation and impact.

Natural ressources, Justice, Education, Gold, Health, Civil Society, Soicial sciences, Researh, Knowlege production, Malnutrition

In the interview titled "The State Must Provide the Necessary Means for Research," Dr. Hamidou Lazoumar Ramatoulaye, an epidemiologist and researcher at the Center for Medical and Health Research (CERMES) in Niger, emphasizes the crucial importance of adequate research funding for national development. She highlights the essential role of research in improving health systems and promoting the well-being of populations. Dr. Ramatoulaye stresses the need for the state to invest more in research infrastructures, researcher training, and the creation of partnerships with international institutions. She also advocates for better valorization of research results so they can be practically applied in public policies and medical practices. According to her, without strong state commitment to supporting research, it would be challenging to address the health challenges facing Niger.

Governance, Health, Researh, Funding

The article “An Unequal Partnership? The Partnerships of International NGOs at the Local and National Levels” examines the relationships between international NGOs (INGOs) and national NGOs (NNGOs) in Côte d'Ivoire, focusing on the health sector, particularly cervical cancer prevention. The study highlights the tensions and asymmetries in these partnerships, which are often imposed by INGOs on local actors. While INGOs provide financial and technical support, NNGOs struggle with a lack of autonomy and recognition. The research also emphasizes the increasing bureaucratization of projects, the weak involvement of local partners in decision-making, and the impact of partnerships on local NGO governance. Despite mutual benefits, the authors conclude that these collaborations remain unbalanced and require adjustments to ensure more equitable and effective development.

Power, Economic Development, Natural ressources, Education, Gold, Health, Civil Society, Soicial sciences, Researh, Knowlege production

The article entitled “Evaluation of the provision of care in emergency situations based on the establishment of advanced health posts in the town of Djibo, Burkina Faso, April 2022” analyzes the effectiveness of advanced health posts (PSAs) deployed in Djibo in response to an emergency situation in April 2022. The study examines how these PSAs improved access to health care for the local population in crisis situations. The results indicate increased use of health services and better accessibility for residents, thus contributing to a more effective health response in emergency contexts.

Governance, Health, Politique publique, Emergency, Accessibility

The article analyzes health systems in West Africa and proposes actions to improve their efficiency. He noted the progress made, although hampered by conflicts and health crises like Ebola. States are struggling to finance their health systems, leading to inequalities in access to care. WATHI recommends five areas of action: strengthening prevention, training and better distributing health professionals, improving sector financing, optimizing the daily management of health infrastructures and developing research and regional cooperation. Emphasis is placed on the need for citizen and political commitment for sustainable reforms, taking into account the limited resources of the countries concerned.

Politics, Political party, State, Natural ressources, Education, Gold, Health, Soicial sciences, Researh, Knowlege production

The article examines the communication challenges faced by Ghanaian health professionals when treating French-speaking refugees, particularly Ivorians who arrived in Ghana following the political crises of 2010-2011. These refugees are mainly housed in Ampain, Egyeikrom and Fetentaa camps. The language barrier between English-speaking medical staff and French-speaking patients compromises the quality of care. The authors recommend training in medical French for Ghanaian health staff, the development of an adapted bilingual curriculum and immersion internships in French-speaking countries, such as Côte d'Ivoire. They also propose the training of specialized medical interpreters to facilitate interactions when direct communication is difficult. These measures aim to improve patient-physician communication and ensure quality care for French-speaking refugees in Ghana.

Culture, Health, refugee

The Groupe URD (2023) article analyses the obstacles hindering access to reproductive health care for Chadian adolescent girls. Health infrastructure, often dilapidated and poorly located, discourages its use by young people. Social norms and suspicions surrounding premarital sexuality dissuade adolescent girls from seeking contraceptive services, for fear of being stigmatized. The rate of contraceptive use remains low, with only 8 to 9% of women of reproductive age using it. Early pregnancies are common, partly due to child marriage. Illegal abortions, often carried out in unsafe conditions, lead to serious complications. Gender-based violence is widespread, with one in three women having suffered physical violence since the age of 15. The HIV prevalence rate is 1.2%, with HIV positivity higher among women, particularly adolescent girls.

Governance, Gender, Education, Health

The article “Malnutrition at the heart of the One Health approach” highlights the importance of nutrition within the framework of the One Health approach, which integrates human, animal and environmental health. It notes that the number of undernourished people is increasing, with 70 million people suffering from hunger in West Africa. Malnutrition particularly affects pregnant women and children, leading to reduced immunity and increased child mortality. Climate change is exacerbating these challenges by disrupting food systems. The article calls for concerted action to strengthen food and nutrition security, taking into account the interactions between human, animal and environmental health, in order to effectively address current health challenges.

Climate change, Food security, Health

The “2024-2027 Roadmap for Strengthening the Inclusion of Refugees in the National Health System in Mauritania” aims to fully integrate refugees into the Mauritanian health system. It is part of the country’s commitment to ensuring refugees’ access to health services, in line with the Sustainable Development Goals and the National Health Development Plan 2021-2030. Key objectives include strengthening health infrastructure, improving the supply of essential medicines, and gradually integrating refugees into the national health insurance system.

Governance, Health, refugee