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 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

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 article introduces an open-access and highly detailed dataset on temporary migration in Senegal, derived from mobile phone data collected by the operator Sonatel between 2013 and 2015. It provides measures of migration flows and stocks across 151 locations every half-month, focusing on movements lasting between 20 and 180 days. By overcoming the limitations of conventional surveys, the authors present an algorithmic framework that detects migration events from digital traces and distinguishes between daily, temporary, and permanent mobility. The dataset, methodologically validated, represents a unique resource for scholars and policymakers to analyze internal mobility patterns, resilience to economic or climatic shocks, and regional planning dynamics. This approach also offers a scalable model for migration statistics generation in other developing contexts.

Migration, Conflict, Education, Election, Threat, Urbanisation, Soicial sciences, Researh, Knowlege production, Information

The 2025 Mid-Season Regional Biomass Bulletin by Action Against Hunger (ACF) provides an overview of agro-environmental conditions across the Sahel and West Africa. It reports that overall biomass production is average to good, except in specific zones of Mali, Niger, Chad, and northern Burkina Faso where vegetation remains below normal. Irregular rainfall and uneven temporal distribution have delayed the agricultural season in several pastoral regions, affecting pasture regeneration and water availability for livestock. The bulletin warns of potential rapid degradation of natural resources and emphasizes the need for continuous agro-pastoral monitoring through the end of the season to prevent food and livelihood crises.

Economic Development, Pastoralism, Natural ressources, Security, Development, Gold, Poverty, Human security, Vulnerability, Researh, Knowlege production