This study assesses the impact of the United Nations Multidimensional Integrated Stabilization Mission in Mali (MINUSMA) and identifies the challenges it faces. Using a descriptive methodology based on secondary data (books, journals, UN documents, online materials), the authors rely on content analysis and institutional theory. Findings show that MINUSMA has contributed to peacebuilding by enabling the return of many internally displaced persons, improving relative stability in northern Mali and reducing civilian casualties. The mission also supported the peace process culminating in the 2015 Peace and Reconciliation Agreement and assisted in organizing the 2013 and 2016 elections. However, MINUSMA is one of Africa’s most expensive peacekeeping missions (approximately USD 600 million annually) and among the deadliest due to high casualty numbers. Major challenges include authority conflicts, task allocation issues, insufficient personnel, logistical constraints and weaknesses in the implementation of peace agreements. The study recommends a full and credible implementation of the current peace agreement.

Peace, Conflict, Crisis management, Stabilisation

This article evaluates the impact of Senegal’s free health insurance programme for poor households, implemented through the National Family Security Scholarship Programme (PNBSF). Using 2019–2020 data from the rural area of Niakhar, the study assesses whether free enrollment in community-based health insurance (CBHI) improves healthcare utilisation and financial protection. Despite the programme’s intentions, the findings reveal major implementation failures: limited awareness among beneficiaries, unintentional or “virtual” enrollments, weak communication, and structural shortcomings within CBHI schemes. As a result, free insurance did not increase healthcare consultations during illness, antenatal care visits, or protection against catastrophic health expenditures. The only significant positive effect observed was an increase in facility-based deliveries. The authors conclude that the limited impact stems from implementation gaps rather than the concept of free insurance itself, stressing the need for stronger government commitment and measures to reduce barriers to accessing covered services.

Governance, Inequality, Gender, Conflict, Religious education, Education, Health, Threat, Soicial sciences, Researh, Knowlege production, Politique publique, Protection

The article examines the evolution of assisted deliveries in community health centres (CsCOM) in the Malian districts of Mopti and Bandiagara amid rising insecurity. Using a mixed-methods design combining spatial analyses, health centre performance indicators, and qualitative interviews, the study highlights strong territorial disparities. While most communes show declining or stagnant assisted delivery rates, some centres located near areas of violence experience increasing numbers. This paradox is explained by large-scale population displacement toward perceived safer areas hosting better-performing health centres, often supported by NGOs providing free maternal care and awareness campaigns. Conversely, remote centres show reduced utilisation due to the departure of qualified staff, reduced household income, and fear of travelling during insecurity. The findings demonstrate that conflict does not affect all services or territories equally and emphasise the need for fine-scale analyses to accurately assess how insecurity shapes maternal healthcare utilisation.

Security, Conflict, Political Violence, Education, Human security, Threat, Soicial sciences, Researh, Knowlege production, EMPLOYMENT

This article offers a systematic and reflexive review of 656 publications (1958–March 2022) on intra-West African migration, sourced from Scopus using PRISMA and Mayring’s qualitative content analysis. It documents a sharp rise in output since the 2000s, with research clustered on Ghana and Nigeria, followed by Senegal, Mali, and Burkina Faso. Dominant topics are work/labour, social/family relations, and ethnicity/identity, while environment and climate change have recently gained traction. Studies focus more on outcomes than drivers of migration and tend to privilege urban destinations (the “urban trap”). Women and youth remain underrepresented, and translocal approaches are still uncommon. In terms of knowledge production, authors’ affiliations are predominantly in the US and Europe, reflecting postcolonial hierarchies; the authors call for decolonizing research agendas and strengthening West Africa-based scholarship.

Migration, Gender, Climate change, Environment, Youth, Women

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

The article “The Challenges of the Debate on the Decolonization of Global Health in Francophone Countries”, published in Santé Publique (Vol. 37, No. 1, 2025) by Valéry Ridde, Amandine Fillol, Fatoumata Hane, and Fati Kirakoya-Samadoulougou, examines the controversies surrounding decolonization within Francophone global health. The authors highlight the growing academic interest in this topic alongside persistent institutional resistance to questioning colonial power structures. They discuss epistemic injustices that marginalize non-Western knowledge and emphasize the need for reflexivity, relational responsibility, and cognitive justice. The editorial calls for transforming research practices, partnerships, and policies to authentically integrate Southern voices and knowledge systems, fostering more equitable and inclusive global health governance.

Natural ressources, Justice, Education, Social, Health, Soicial sciences, Researh, Knowlege production, Colonization

This study assesses the Health and Social Development Program (PADSS2) implemented in Mali’s Mopti region to improve healthcare access for pregnant women and children amid increasing terrorist attacks. Using a controlled interrupted time series analysis (2016–2021), the authors compared intervention and control districts. Results show modest but positive effects: assisted deliveries increased by 1.5%, antenatal consultations by 1–2%, and under-five child visits also rose. However, intensified terrorist activity led to a sharp decline in child consultations (up to 40%). The program’s overall impact remained below expectations due to security challenges, governance constraints, and limited implementation capacity. The authors call for stronger collaboration between donors and researchers, and better integration of security dynamics in the design and evaluation of public health interventions in fragile contexts.

Gender, Security, Conflict, Education, Human security, Influence, Health, Soicial sciences, Researh, Knowlege production, Information

The paper examines whether greater accessibility to electronic money boosts financial inclusion in WAEMU countries over 2010–2022. Using annual data and Method-of-Moments Quantile Regression (MMQR) to tackle heterogeneity and endogeneity—plus IV-2SLS robustness checks—the authors find that both geographic and demographic penetration of e-money service points significantly increase financial inclusion. Two mechanisms drive the results: (1) expanding formal financial services (payments, transfers, savings) to rural and peri-urban areas by cutting transaction and travel costs; and (2) a catalytic effect that is stronger where initial inclusion is higher, deepening usage among already banked populations. Additional positive correlates include schooling, trade openness, mobile subscriptions, and internet access. Despite progress, WAEMU’s inclusion rate lags developing-country averages, implying a need to scale digital infrastructure, security/trust measures, and human-capital investments.

Governance, Démographie, Inclusion