This policy brief examines the implications of Germany’s new budgetary orientations for Mali, particularly the significant reduction in German humanitarian and development assistance. Mali faces multiple crises, including food insecurity, armed conflicts, political instability and climate shocks, which make the country highly dependent on international aid. Germany has long been one of the main donors, funding humanitarian relief, agricultural resilience, health services and social cohesion projects implemented by NGOs and international agencies. However, recent budget cuts—combined with the withdrawal or reduction of assistance from several Western partners—could worsen Mali’s humanitarian situation. Reduced funding may limit access to basic services, undermine local economic initiatives and weaken conflict prevention mechanisms. The article also highlights the importance of the humanitarian-development-peace nexus in addressing complex crises and promoting long-term stability. It recommends maintaining priority funding for Mali, strengthening aid localization and promoting community empowerment to reduce dependence on external assistance.

Economic Development, Natural ressources, Security, Education, Development, Gold, Aid, Soicial sciences, Researh, Knowlege production

This policy brief examines the consequences of the drastic reduction in U.S. foreign aid, particularly the suspension of USAID funding announced after 2025, on the Lake Chad Basin region. The region already faces multiple crises, including violent extremism, structural poverty, large-scale population displacement, food insecurity, and climate-related environmental stress. For decades, international aid—especially from USAID—has played a crucial role in supporting humanitarian assistance, healthcare, education, social cohesion, and peacebuilding initiatives. Based on interviews conducted with non-governmental organizations operating in Nigeria and Cameroon, the study highlights how funding cuts are disrupting humanitarian programs and weakening essential services for vulnerable populations. The reduction of aid risks deepening instability, increasing humanitarian needs, and exacerbating recruitment by violent extremist groups. The brief therefore stresses the need to diversify funding sources and strengthen local institutional capacities in order to reduce dependency on international donors and ensure more sustainable responses to the region’s complex crises.

Economic Development, Natural ressources, Security, Education, Gold, Human security, Aid, Soicial sciences, Researh, Knowlege production

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

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

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 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