Despite improvements in certain indicators, the Nigerien healthcare system remains precarious and dominated by a logic of "inhospitable medicine." This fragility is largely explained by the predominance of intervention mechanisms and public policies largely dictated and funded by international donors, often far removed from local dynamics and the operational realities of healthcare services. However, in this constrained context, certain structures stand out for the quality of the care they provide. They are unique in that they are led by committed local actors, true "shadow reformers," who design pragmatic and contextually adapted solutions to daily dysfunctions. Based on an ethnographic investigation, this article examines the logics of innovation at work in these marginal spaces of transformation. Drawing on operational research, it argues for recognition and increased support for these bottom-up reform dynamics, which are likely to constitute a credible alternative – or at least a necessary complement – ​​to conventional approaches to improving health systems.

Politics, Governance, Public Administration, Health, Réforme, Politique publique

Despite some improvements, Niger's healthcare system remains fragile, characterized by "unwelcoming medical practices." Reform policies, often funded by international aid, struggle to adapt to the local realities of healthcare services. However, some facilities are providing better quality care thanks to "local reformers" who develop innovative solutions adapted to daily challenges, despite precarious working conditions. This article analyzes these local innovations using ethnographic data and proposes to explore "bottom-up" approaches to reforming the healthcare system, in addition to current strategies.

Governance, Public Administration, Health, Politique publique, Healthcare system

This article examines the intersection between the politics of regionalism and security politics by analyzing the recent reorganization of regions. It explores how political communities are transforming into security regions, focusing on the political and security dynamics that influence these transformations. The study highlights the key factors contributing to this evolution and analyzes the implications for regional governance and international cooperation. It also highlights the challenges and opportunities associated with this transformation of regional structures.

Politics, Governance, Security, Cooperation, Coopération régionale

The article “On the Unborn Fulani: Slavery, Jihad, and Human Rights in Central Mali,” written by Gilles Holder, analyzes the persistence of power relations and descent-based slavery in the hybrid conflict in central Mali since 2015. It highlights the link between 18th- and 19th-century Fulani jihads, the creation of Islamic states based on a slave economy, and contemporary dynamics of social and political revolt. The article emphasizes that the emancipation of slave descendants remains limited by secular logics of land and economic domination by former Fulani aristocracies. It also explores how current jihadist demands integrate social aspirations for emancipation. Finally, it questions the effectiveness of human rights instruments in addressing these deep-rooted inequalities.

Politics, Political party, State, Natural ressources, Justice, Jihad, Terrorism, Gold, Social, Threat

The article "Are Poverty Reduction Strategies and Agricultural Policies Engaging in West and Central Africa?" by Abdou Salam Fall and Thiendou Niang, published by the Institute of Development Studies (IDS) in June 2005, analyzes the links between poverty reduction strategies (PRSs) and agricultural policies in West and Central Africa. The study examines their coherence, implementation, and the effectiveness of their coordination. PRSs often include agriculture among their priorities, but without real integration with existing agricultural policies. Furthermore, civil society participation in decision-making processes remains limited, resulting in a lack of influence on strategic directions. The article also highlights that structural inequalities (land reform, market access, trade policies) are not sufficiently taken into account. Finally, it recommends better policy coordination, increased participation of local stakeholders, and improved resource management to ensure more effective results.

State, Economic Development, Inequality, Education, Development, Food security, Poverty, Soicial sciences, Researh, Knowlege production

The article "A Community-Based Edutainment Intervention for Gender-Based Violence, Sexual and Reproductive Health, and Maternal and Child Health in Rural Senegal: A Process Evaluation" analyzes a community-based edutainment intervention in Senegal to address gender-based violence (GBV), sexual and reproductive health (SRH), and maternal and child health (MCH). The intervention involves showing the television series C'est la Vie! through viewing clubs in rural villages, followed by thematic discussions and workshops. The study examines the program's adaptation, implementation, and participant response. Despite adjustments related to the rural context, the intervention achieved good participant engagement, although some topics, including sexuality and family planning, remain sensitive. The study concludes that this format is promising for community education but requires greater inclusion of men and further cultural adaptation.

Gender, Political Violence, Education, Rural Areas, Violence, Threat, Soicial sciences, Researh, Knowlege production, EMPLOYMENT

The article “Lessons from the Covid-19 crisis on governance in West Africa”, published by the Think Tank WATHI, analyses the impact of the pandemic on the governance of West African countries. It highlights pre-existing flaws in governance systems and proposes avenues of action to strengthen the resilience of States to future crises. The study highlights the importance of more transparent, participatory and effective governance to ensure the protection of citizens in times of crisis. Key recommendations include: improving the decision-maker selection process, citizen participation in public policies, protecting fundamental rights, fighting corruption and investing in scientific research. The article stresses the need for States to invest more in public infrastructure, particularly in health services, to avoid future major crises.

Politics, Political party, Natural ressources, Education, Gold, Soicial sciences, Researh, Knowlege production, Crisis, Institution

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

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