The report carried out by the Japan International Cooperation Agency (JICA) in Côte d’Ivoire assesses the country’s health sector policy aimed at achieving universal health coverage (UHC) for women, children and low-income populations. It highlights achievements but also significant barriers: regional inequalities, low public health financing, reliance on external aid, and limited access to essential services. The survey uses both quantitative and qualitative data collected from health authorities, service providers and beneficiaries. It offers recommendations to strengthen system effectiveness: enhanced coordination, sustainable resource mobilisation, improved governance, and prioritising access for vulnerable groups. Although Côte d’Ivoire has a favourable policy framework, implementation remains uneven. The report is pivotal for guiding future UHC strategies in the country.

Women, Health, Enfant, Santé publique, Protection

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

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

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.

Gender, Security, Conflict, Education, Human security, Influence, Health, Soicial sciences, Researh, Knowlege production, Information

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 article “Challenges to Girls’ Education: Menstrual Precarity in Schools,” published by WATHI, examines how difficulties in managing menstruation in school settings significantly hinder girls’ access to education. It highlights that many girls lack the means to purchase sanitary products or do not have access to adequate school sanitation facilities, resulting in absences during menstrual periods—thereby undermining their continuity in schooling and academic performance. The article also emphasizes cultural stigmas and taboos associated with menstruation that further exclude girls from participating fully in school life. To address these barriers, the article recommends implementing awareness programs, ensuring the provision of hygiene facilities in schools, and integrating menstrual issues into education and gender policies.

Gender, Poverty, Women, Health, Hygiène

The article provides a nuanced overview of Senegalese youth (ages 18–35): they are better educated than older generations (55 % have secondary or post-secondary education vs. 21–36 %) yet more likely to be unemployed (41 % actively seeking employment vs. 22–36 %) . Key barriers to employment include inadequate training (35 %), reluctance to take certain jobs (24 %), and mismatch between academic qualifications and market demands (16 %) . Nonetheless, 74 % aspire to start their own business, and 17 % prefer public sector jobs . Their top public policy priorities are rising cost of living, health, unemployment, insecurity, and water access . Despite challenges, 71 % believe the country is heading in the right direction, and 60 % have considered emigrating for economic reasons

Governance, Migration, Education, Youth, Health, EMPLOYMENT, Insécurité, Politique publique