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 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.

Security, Conflict, Political Violence, Education, Human security, Threat, Soicial sciences, Researh, Knowlege production, EMPLOYMENT

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 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

This study maps Senegal’s cattle and small ruminant trade network using 2020 sanitary certificates (LPS). Applying temporal network theory, it identifies areas most vulnerable to disease transmission, such as Foot and Mouth Disease. The findings show that livestock mobility—driven by climate, markets, and religious events (Tabaski, Grand Magal)—shapes the dynamics of disease spread. Static models tend to overestimate transmission speed, while temporal analysis highlights key “sentinel nodes” for early warning systems. Strengthening cross-border coordination and improving regular data collection are crucial for effective surveillance and control of transboundary animal diseases in West Africa.

Pastoralism, Livestock, Justice, Conflict, Threat, Trade, Researh, Knowlege production, Information, EMPLOYMENT

This paper investigates how the digital divide shapes access to essential services—drinking water, health, and education—in West Africa using Afrobarometer Round 9 data. The authors build a multidimensional digital divide index integrating access to equipment, internet use, and information isolation. Three main findings emerge: (1) formal education is by far the strongest determinant of digital inclusion, ahead of wealth or geography; (2) the digital divide is strongly associated with lower access to basic services, even after accounting for territorial heterogeneity; and (3) rural–urban differences are less significant than expected, suggesting that marginalization transcends geography. The study concludes that without inclusive and educational policies, ongoing digitalization efforts could inadvertently deepen social and territorial inequalities across the region.

Politics, Inequality, Natural ressources, Religious education, Education, Discrimination, Soicial sciences, Knowlege production, Information, Equality

This Action Against Hunger report assesses biomass production in northern Côte d’Ivoire (Bagoué, Bounkani, Folon, Poro, and Tchologo regions) during the 2025 season. Findings show a marked improvement compared to 2024, with production levels equal to or above the 25-year average. Departments such as Ferkessédougou and Minignan nearly reached historical maxima, while M’Bengué and Ouangolodougou remained below average. The report highlights the strain on pastoral resources due to cross-border transhumance and inflows of herders from Burkina Faso and Mali. The authors recommend maintaining monitoring systems for pastoral zones, strengthening awareness among host and transhumant communities, and guiding herders toward areas with higher biomass potential to ensure sustainable management of grazing resources.

Pastoralism, Natural ressources, Justice, Education, Gold, Poverty, Vulnerability, Soicial sciences, Knowlege production, water

The Pastoral Surveillance Bulletin No. 36 (August–September 2025), published by Action Against Hunger – Mali Mission, provides an overview of pastoral conditions in Gao and Timbuktu regions. Seasonal rains have improved pasture availability, vegetation cover, and livestock health, easing tensions between herders and farmers. Access to water remains satisfactory on 61% of monitored sites. However, security challenges persist, with continued livestock thefts and extortion by armed groups. Market exchange terms remain unfavorable to herders, and institutional support for the pastoral sector is limited. The report calls for strengthening veterinary services, conflict prevention mechanisms, and sustainable management of rangeland resources to improve livelihoods and food security in northern Mali.

State, Livestock, Natural ressources, Security, Education, Gold, Human security, Knowlege production, Marché, water