The 2023 Sectoral Review of the Ministry of Health of Mauritania reports on progress towards universal health coverage, in line with the National Health Development Plan (PNDS) 2022-2030. It highlights advances in human resources, infrastructure, equipment and health financing, with activities such as capacity building of personnel and construction of health structures. However, challenges persist, particularly in terms of availability of medicines and governance of the health system. The review recommends better coordination with technical and financial partners, improvement of monitoring mechanisms and optimization of the use of data for decision-making. The outlook includes continued efforts to strengthen the health system and achieve the objectives of the PNDS, with an emphasis on the effectiveness of interventions and the mobilization of necessary resources.

Governance, Health, Couverture sanitaire

The mission report of the Assistance Publique des Hôpitaux de Paris (APHP), carried out from February 26 to March 3, 2023, aims to improve the care pathway for vulnerable patients at the Outpatient Treatment Center (CTA) in Nouakchott and to strengthen the skills of caregivers for monitoring specific populations. The objectives include the promotion of sexual health, screening and treatment of sexually transmitted infections (STIs), as well as the prevention of cervical cancer and mother-to-child transmission of infections. The report highlights low overall health coverage in Mauritania, with only 60% of women giving birth in health facilities and vaccination coverage of around 60%. HIV prevalence is estimated at 0.29%, stable for ten years, except in Chami where an increase in the population has been observed. In gynecology/obstetrics, the National Hospital Center of Nouakchott (CHNN) has 50 beds and records 3,800 deliveries per year, with a cesarean rate of 37%, which is constantly increasing.

Governance, Public Administration, Health, Couverture sanitaire

The National Strategy for Enrolling Students in High-Security-Risk Zones (SSEZDS) 2019–2024 aims to guarantee a safe and inclusive educational environment in conflict-affected areas of Burkina Faso. Led by the Ministry of National Education, Literacy, and National Languages, the strategy is grounded in INEE standards and the national constitution to ensure uninterrupted basic education. Facing significant demographic growth and frequent armed attacks, the approach is structured around three pillars: securing schools (fencing, guards, crisis management units), reopening schools in liberated regions, and strengthening the education system's resilience (training, survival kits, emergency plans). It involves coordination between state entities, local governments, NGOs, and teacher unions, using a robust M&E framework with performance indicators to assess progress through 2024.

Governance, Security, Education, Crisis

The IRIS study, led by Caroline Roussy, examines the complexity of transboundary threats in the Sahel and West Africa, particularly the spread of terrorism in border areas between Mali, Burkina Faso, and Niger. It highlights that 80% of recorded violence in this region occurs within 100 kilometers of land borders. Borders, often seen as dividing lines, are actually zones of contact and interaction, facilitating the movement of armed groups and the spread of extremist ideologies. The study emphasizes the importance of understanding local dynamics and cross-border interactions to develop effective counter-terrorism strategies. It recommends an integrated approach that considers the socio-economic and cultural realities of border populations, and enhanced cooperation between the concerned states to secure these vulnerable areas.

Governance, Boundary, Security, Cooperation

The document explores the issues surrounding digital sovereignty in West Africa in 2024, examining both the challenges and prospects for achieving digital autonomy. Faced with rising cyber threats, West African countries like Ghana, Nigeria, and Senegal must strengthen their cybersecurity and manage their dependence on foreign infrastructure, particularly from China and Russia. The text analyzes the risks of losing control over data and increased vulnerability to cyberattacks, while also highlighting ongoing digital sovereignty initiatives. These initiatives include developing local infrastructure and implementing policies to protect data; however, they encounter significant obstacles such as a lack of expertise, low investment, and reliance on imported technologies.

Sovereignty, Governance, Economic Development, Security, Conflict, Education, Development, Human security, Threat, Information, EMPLOYMENT

This document analyzes the resurgence of military coups in the central Sahel, notably in Burkina Faso, Mali, and Niger, as well as the resulting democratic challenges. Since 2012, these countries have experienced several overthrows of power, often seen as responses to the security and institutional weaknesses of the incumbent governments. The military transitions that follow typically extend the suspension of democratic rights and cast uncertainty over a return to constitutional order. Analyses of these transitional periods highlight the limited efforts to restore democratic governance, with delayed elections and increasing restrictions on civil freedom and the media.

State, Security

This document analyzes the resurgence of military coups in the central Sahel, notably in Burkina Faso, Mali, and Niger, as well as the resulting democratic challenges. Since 2012, these countries have experienced several overthrows of power, often seen as responses to the security and institutional weaknesses of the incumbent governments. The military transitions that follow typically extend the suspension of democratic rights and cast uncertainty over a return to constitutional order. Analyses of these transitional periods highlight the limited efforts to restore democratic governance, with delayed elections and increasing restrictions on civil freedom and the media."

State, Security

The document explores the issues surrounding digital sovereignty in West Africa in 2024, examining both the challenges and prospects for achieving digital autonomy. Faced with rising cyber threats, West African countries like Ghana, Nigeria, and Senegal must strengthen their cybersecurity and manage their dependence on foreign infrastructure, particularly from China and Russia. The text analyzes the risks of losing control over data and increased vulnerability to cyberattacks, while also highlighting ongoing digital sovereignty initiatives. These initiatives include developing local infrastructure and implementing policies to protect data; however, they encounter significant obstacles such as a lack of expertise, low investment, and reliance on imported technologies.

Sovereignty, Governance, Information, Numérique, Donnée

This policy brief examines the influx of Burkinabe refugees into coastal West African countries (Côte d’Ivoire, Ghana, Togo, Benin), fleeing both jihadist and state violence. Host countries implement varied reception strategies—refugee camps in Côte d’Ivoire, community-based or hybrid models elsewhere. Despite generally open policies, rising tensions stem from competition over local resources and perceptions of insecurity, especially toward Fulani pastoralist communities. Ghana notably conducted mass expulsions. The report advocates for flexible but structured policies, emphasizing local dialogue, systematic refugee registration, and equitable support to host communities. Maintaining an open-door policy is presented as crucial to prevent radicalization and preserve social cohesion in the face of prolonged displacement and regional instability.

Governance, Migration, Boundary, Conflict, Violence, refugee