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 expansion of Jama’at Nasrat al Islam wal Muslimeen (JNIM) into western and southern Mali, marked by seven coordinated attacks launched by the Macina Liberation Front (FLM) on July 1, 2025. These operations targeted Kayes and Nioro du Sahel—two strategic economic and religious hubs—opening a new front far from the group’s traditional strongholds in central and northern Mali. JNIM’s strategy aims to isolate Bamako by attacking key trade routes, fuel convoys, and industrial sites, causing shortages, rising prices, and severe disruption of commercial activity. Despite strengthened military checkpoints, ambushes continue, resulting in kidnappings, destroyed tankers, and population displacement toward Senegal and Mauritania. The FLM’s growing reach, combined with the junta’s increasing political repression and its break with international security partners, deepens Mali’s fragmentation and heightens risks for neighboring coastal states.

Politics, Political party, Natural ressources, Security, Justice, Political Violence, Gold, Human security, Violence, Threat

The article examines the severe decline in press freedom across West Africa, highlighted by the 2025 RSF Press Freedom Index. Eleven of the region’s sixteen countries fell in the ranking, with dramatic drops in Guinea (-31 positions), Burkina Faso (-19), and Guinea-Bissau (-18). This regression reflects a shrinking civic space driven by military regimes, media suspensions, arrests of journalists, and state propaganda. Even countries without constitutional breakdowns, such as Senegal and Benin, face major challenges—economic collapse of the media sector in Senegal and restrictive digital legislation in Benin. In this context, organizations like the Media Foundation for West Africa (MFWA) have become essential, providing training, protection, and visibility to journalists through initiatives such as WAMECA 2025. The article also warns about the surge of disinformation campaigns targeting the region and stresses the importance of public digital infrastructures to maintain a democratic, open, and reliable information space.

State, Democracy, Liberté de presse, Disinformation

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, Gold, Social, Health, Soicial sciences, Researh, Knowlege production, Colonization

The book The Financialization of Health in Senegal (1840–1960), written by Valéry Ridde and published in 2025 by Éditions Science et Bien Commun (Québec), explores the evolution of health financing under French colonial rule. Drawing on extensive archival sources, Ridde reveals that colonial health systems—often depicted as humanitarian progress—were in fact marked by deep inequalities and fiscal exploitation. The study traces the origins of health financialization through patient payments, private medical practice, and limited mutual aid schemes. The Indigenous Medical Assistance (AMI), ostensibly free, imposed taxes and fees that burdened African populations. By examining budgets, hospital structures, and policy reforms, the book exposes the ideological and bureaucratic mechanisms that shaped colonial health governance and laid the groundwork for modern health inequities in Senegal.

Politics, Political party, Natural ressources, Justice, Education, Gold, Social, Health, Researh, water

The Pastoral Surveillance Bulletin for Senegal (August–September 2025), published by Action Against Hunger (ACF), assesses pasture and livestock conditions amid delayed and uneven rainfall. Pastoral zones in the north and centre (Ferlo, Louga, Matam) face significant forage stress, prompting early livestock movements southward and into neighbouring countries. Animal body condition is average, yet low milk production and rising feed costs are undermining household livelihoods. Livestock markets remain active but show stagnant prices. ACF calls for targeted assistance (fodder, water, veterinary care) and stronger coordination among humanitarian actors before the critical lean season expected by December 2025.

Pastoralism, Livestock, Natural ressources, Security, Education, Food security, Gold, Human security, Researh, Knowlege production, Marché, Transhumance, water