Other documents that may interest you :

• Journal article / Governance,

  Improving healthcare accessibility for pregnant women and children in the context of health system 11/11/2025

  Summary :

  This study assesses the Health and Social Development Program (PADSS2) implemented in Mali’s Mopti region to improve healthcare access for pregnant wo...

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  Country : Mali

  Organizations : BMJ Global Health
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Journal article / Governance,
Improving healthcare accessibility for pregnant women and children in the context of health system 11/11/2025
Summary :
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.
Keywords :
Gender, Security, Conflict, Education, Human security, Influence, Health, Soicial sciences, Researh, Knowlege production, Information
Organizations :
BMJ Global Health
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• Thematic study / Governance, Security and human rights,

  Clashing conflicts in Africa are worsening the forced displacement crisis 02/12/2025

  Summary :

  Africa is experiencing a historic surge in forced displacement, with 45.7 million people uprooted, representing 3% of the continent’s population . C...

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  Country : Burkina Faso , Cameroon , Chad , Mali , Niger , Nigeria , Ghana

  Organizations : Africa Center for Strategic Studies (ACSS)
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Thematic study / Governance, Security and human rights,
Clashing conflicts in Africa are worsening the forced displacement crisis 02/12/2025
Summary :
Africa is experiencing a historic surge in forced displacement, with 45.7 million people uprooted, representing 3% of the continent’s population . Conflict is the main driver, as 96% of displaced populations originate from countries affected by armed violence. Sudan has become the epicenter, recording 14.4 million forcibly displaced people, including 10 million internally displaced—the highest figure worldwide. Regional conflicts increasingly overlap: 8 of the 11 African countries hosting the most refugees are themselves in conflict, highlighting the interconnected crises of the Sahel, the Horn of Africa, and the Lake Chad Basin. Burkina Faso accounts for one of the largest internal displacement crises. Some fragile improvements appear in Ethiopia and the DRC due to returns in partially stabilized regions. Meanwhile, natural disasters—mainly floods—have increased forced displacement by 33%, adding 5.6 million new victims and compounding the vulnerability of populations already affected by conflict.
Keywords :
Natural ressources, Security, Conflict, Political Violence, Gold, Human security, Violence, Threat, Civil Society, Crisis, Déplacement forcé
Organizations :
Africa Center for Strategic Studies (ACSS)
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• Journal article / Governance, Security and human rights,

  Evolution of assisted deliveries at primary healthcare centres in an unstable security context in Mali 20/11/2025

  Summary :

  The article examines the evolution of assisted deliveries in community health centres (CsCOM) in the Malian districts of Mopti and Bandiagara amid ris...

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  Country : Burkina Faso , Mali

  Organizations : BMJ Global Health
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Journal article / Governance, Security and human rights,
Evolution of assisted deliveries at primary healthcare centres in an unstable security context in Mali 20/11/2025
Summary :
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.
Keywords :
Security, Conflict, Political Violence, Education, Human security, Threat, Soicial sciences, Researh, Knowlege production, EMPLOYMENT
Organizations :
BMJ Global Health
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• Journal article / Governance,

  Effects of a free health insurance programme for the poor on health service utilisation 24/11/2025

  Summary :

  This article evaluates the impact of Senegal’s free health insurance programme for poor households, implemented through the National Family Security S...

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  Country : Senegal

  Organizations : BMJ Global Health
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Journal article / Governance,
Effects of a free health insurance programme for the poor on health service utilisation 24/11/2025
Summary :
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.
Keywords :
Governance, Inequality, Gender, Conflict, Religious education, Education, Health, Threat, Soicial sciences, Researh, Knowlege production, Politique publique, Protection
Organizations :
BMJ Global Health
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