The article “Le droit à la santé en Côte d’Ivoire” analyzes the evolution of the country’s health system between 2017 and 2023. Significant progress has been made in expanding health infrastructure, training personnel and strengthening political commitment. However, financing remains inadequate: only 6% of the national budget is allocated to health, far below the WHO recommendation of 15%. Heavy dependence on international partners creates fragility and undermines sustainability. Territorial inequalities persist, with rural regions facing shortages of doctors, medical supplies, and functional facilities. The Universal Health Coverage (CMU) initiative represents progress, but its implementation is still limited. Vulnerable groups—women, children, people with disabilities, and survivors of gender-based violence—face the greatest barriers. The report calls for stronger public investment, improved governance, better territorial equity, and enhanced mechanisms for addressing gender-based violence.

Governance, Inequality, Santé publique, Funding

The report carried out by the Japan International Cooperation Agency (JICA) in Côte d’Ivoire assesses the country’s health sector policy aimed at achieving universal health coverage (UHC) for women, children and low-income populations. It highlights achievements but also significant barriers: regional inequalities, low public health financing, reliance on external aid, and limited access to essential services. The survey uses both quantitative and qualitative data collected from health authorities, service providers and beneficiaries. It offers recommendations to strengthen system effectiveness: enhanced coordination, sustainable resource mobilisation, improved governance, and prioritising access for vulnerable groups. Although Côte d’Ivoire has a favourable policy framework, implementation remains uneven. The report is pivotal for guiding future UHC strategies in the country.

Women, Health, Enfant, Santé publique, Protection

Cross-sectional study in Dakar (December 2021) among 301 adults (20–69 years) assessed ultra-processed food (UPF) intake using NOVA and quantified contributions to NCD-related critical nutrients. UPFs provided 17.4% of total energy, 43% of free sugars, 26.9% of total fat, 24.4% of sodium and 24% of potassium. Individuals in the highest UPF tercile consumed more total energy (~1,996 kcal), total fat, free sugars, potassium and protein than those in the lowest tercile. Greater UPF share was positively associated with exceeding recommended total fat intake (OR = 2.58; p = 0.002) and negatively associated with non-recommended intakes of potassium (OR = 0.01; p < 0.001) and protein (OR = 0.43; p = 0.009). Authors conclude UPFs substantially shape diet quality in urban Senegal and may be a major determinant of NCD incidence and prevalence.

Governance, Food security, Health, Santé publique

This paper assesses Senegal’s mpox epidemiological surveillance from 14 July to 10 November 2024. Using a retrospective, cross-sectional, descriptive and analytical design, it includes all cases sampled during the period. One hundred suspected cases were reported (~6 per million), all sampled, with zero confirmations. Alternative viral diagnoses were identified in 32% (mostly varicella-zoster) and 4 co-infections were recorded (12.5%). The median time from symptom onset to result availability was 7 days; the median consultation-to-result interval was 2 days, with longer delays in remote areas. Of 48 preparedness activities, 56.25% were completed and 10.42% were ongoing. System strengths included adaptation to the IDSR kit, multi-level staff training, surveillance procedures, focal points, a diversified reference-laboratory network, and electronic case notification (DHIS2/4S). The authors call for strengthened logistics and laboratory/response capacity in border and hard-to-reach regions to reduce delays and sustain readiness.

Governance, Health, Santé publique

This report by ADEA, published by WATHI, reviews how twelve African countries ensured learning continuity during the COVID-19 pandemic. With schools closed, governments implemented emergency measures such as radio and TV lessons, and online platforms like Zoom, Google Classroom, and WhatsApp. Despite these efforts, challenges remained—limited infrastructure, unequal access, and insufficient inclusion of vulnerable learners. Some countries, including Burkina Faso, Côte d’Ivoire, Morocco, and South Africa, developed specific initiatives to reduce educational disparities. The report highlights the importance of investing in distance education, fostering collaboration between public and private sectors, and building national expertise to ensure educational resilience during crises.

Governance, Inequality, Education, Politique publique, Santé publique, Inclusion

This article examines the trends and determinants of anemia among women of reproductive age in Mali using Demographic and Health Survey (DHS) data from 2001 to 2018. Findings reveal persistently high anemia prevalence despite some fluctuations: a decrease between 2001 and 2006 followed by an increase in later years. Key associated factors include age, educational attainment, socioeconomic status, rural versus urban residence, and number of children. The analysis highlights the strong influence of poverty and unequal access to healthcare in sustaining the problem. The authors recommend multisectoral interventions addressing nutrition, female education, and health service delivery improvements as crucial to reducing anemia and mitigating its adverse impact on maternal and child health.

Inequality, Gender, Natural ressources, Conflict, Religious education, Education, Women, Threat, Soicial sciences, Researh, Knowlege production, Santé publique

This study examines the sharp decline in under-five mortality in Burkina Faso from 2010 to 2021, using Demographic and Health Surveys (DHS) data and the Oaxaca-Blinder decomposition method. Findings indicate that under-five mortality dropped from 128 per 1,000 live births in 2010 to 48 per 1,000 in 2021. The decline is mainly explained (77%) by performance effects, including behavioral changes and the effectiveness of health policies, while demographic composition changes accounted for only 23%. Key factors include the reduction in uneducated mothers, wider use of mosquito nets, urbanization, and improved health behaviors among unemployed women. Nevertheless, significant disparities remain in high-risk regions such as the Sahel and the Southwest, where targeted interventions are essential to improve healthcare access and reduce inequalities. The study highlights the importance of integrating health policies with education, economic development, and sanitation for sustained progress.

Politics, Economic Development, Gender, Conflict, Religious education, Education, Development, Family, Women, Soicial sciences, Researh, Knowlege production, Démographie, Santé publique

This study investigates the prevalence and determinants of female genital mutilation (FGM) in ten high-risk Sub-Saharan African countries. Utilizing Demographic and Health Survey (DHS) data from 129,182 women aged 15–49, the authors report an overall FGM prevalence of 53.5%. Factors associated with a higher likelihood of undergoing FGM include older age, lack of formal education, rural residence, unemployment, poverty, belief that FGM is religiously mandated, support for wife-beating, and limited decision-making power regarding health. The study emphasizes the need for urgent, targeted interventions that address these socio-economic and cultural determinants to eliminate this harmful practice.

Governance, Santé publique, Female genital mutilation, Women's rights

This document analyzes the contextual factors influencing health emergencies in West Africa, focusing on Nigeria, Senegal, and Sierra Leone. It examines how epidemics, such as Ebola, COVID-19, mpox, and Lassa fever, are shaped by sociocultural, economic, and political dynamics. The report emphasizes the need for an integrated approach, recognizing the complexity of health crises and the importance of local knowledge. It highlights existing capacities in the region, including disease control centers and academic institutions, while calling for strengthened governance and coordination of responses. The document advocates for better integration of social sciences into health emergency preparedness and response, aiming to develop more effective and contextually appropriate interventions.

Governance, Soicial sciences, Santé publique, Emergency