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

Bouna Ahmedou Sow, a school director in Mauritania, highlights the major challenges facing education systems, including the lack of teacher training and inadequate infrastructure to keep up with population growth. Schools, often located in rented houses, are struggling to cope with the growing demand for students. Teachers have to manage overcrowded classes, especially with struggling students, while working in precarious conditions. Sow stresses the importance of creating a supportive environment for teachers with respected contracts and daily support. He advocates for infrastructure that keeps pace with demographic growth to ensure an effective and inclusive education system.

Education, Development, Infrastructures scolaires, Démographie

The BTI 2024 Country Report: Mauritania by the Bertelsmann Stiftung examines President Ould Ghazouani's consolidation of power, characterized by controlling the ruling party, legally neutralizing former President Ould Abdel Aziz, and legitimizing authority through renewed official discourse. Despite improved communication, implemented policies have not led to significant changes. Economically, the COVID-19 pandemic and Russia's invasion of Ukraine have exposed Mauritania's vulnerability, relying on volatile international prices for main exports and cereal imports for food consumption. The upcoming natural gas production along the maritime border with Senegal holds promise but continues a trend of investments in the extractive sector with limited impact on the overall economy. Historically, since its independence in 1960, Mauritania has faced socio-economic and political challenges, including severe droughts in the 1970s, tensions between Arabic-speaking and non-Arabic-speaking communities, and a series of military coups.

Bribery, Security, Election, Human Rights, Hyperprésidentialisme

In this op-ed published on March 15, 2023, Jean‑Pierre Olivier de Sardan questions the effectiveness of security strategies in the Sahel. Jihadism is spreading not only in Mali, Burkina Faso, and Niger, but also into northern regions of coastal countries like Benin, Ghana, Togo, and Côte d’Ivoire . Where state authority has collapsed, jihadist groups have imposed a “de facto government” based on extortion, propaganda, and terror. He notes that military responses, including Operation Barkhane, have failed to halts their expansion . Instead, he advocates for a comprehensive approach: strengthening public services, restoring a protective state, offering alternatives for jihadist defectors, engaging in negotiations with moderate insurgents, and supporting rural development and humanitarian aid. The core argument stresses the need for people‑centered security rather than a standalone military focus.

Governance, Security, Jihad, Services publics

The article “Burkina Faso: rethinking territorial administration and development planning (first part)” analyzes the country's social, political and security crises, attributed to ineffective governance and inadequate local development. He proposes a reform of territorial administration, suggesting regionalization inspired by the Kenyan model, where the regions would have increased autonomy and limited legislative powers under the control of the central state. This approach aims to strengthen the legitimacy of local governments, improve territorial governance and involve populations more in decision-making, while preserving national unity.

Governance, Public Administration, Local development, Réforme

WATHI's article analyzes the growing threat of regional disintegration in West Africa, exacerbated by multiple crises: insecurity, political instability, armed conflicts, and socio-economic challenges. Factors such as the military coup in several countries (Mali, Burkina Faso, Niger), the rise of jihadist armed groups, and tensions between local communities are worsening regional fragility. These dynamics threaten state cohesion and regional integration efforts. Faced with this critical situation, the article calls for urgent collective action, focused on restoring democratic governance, strengthening local institutions, and promoting inclusive development policies. It emphasizes the importance of African solutions, driven by responsible states and committed populations, to avoid total fragmentation. Resignation is rejected in favor of a proactive approach to building a stable future

Inequality, Conflict, Crisis management, Jihad, Poverty, Social cohesion, Institution

WATHI's article analyzes the growing threat of regional disintegration in West Africa, exacerbated by multiple crises: insecurity, political instability, armed conflicts, and socio-economic challenges. Factors such as the military coup in several countries (Mali, Burkina Faso, Niger), the rise of jihadist armed groups, and tensions between local communities are worsening regional fragility. These dynamics threaten state cohesion and regional integration efforts. Faced with this critical situation, the article calls for urgent collective action, focused on restoring democratic governance, strengthening local institutions, and promoting inclusive development policies. It emphasizes the importance of African solutions, driven by responsible states and committed populations, to avoid total fragmentation. Resignation is rejected in favor of a proactive approach to building a stable future

Inequality, Conflict, Crisis management, Jihad, Poverty, Social cohesion, Crisis, Institution