This study investigates the prevalence and determinants of female genital mutilation (FGM) in ten high-risk Sub-Saharan African countries. Utilizing Demographic and Health Survey (DHS) data from 129,182 women aged 15–49, the authors report an overall FGM prevalence of 53.5%. Factors associated with a higher likelihood of undergoing FGM include older age, lack of formal education, rural residence, unemployment, poverty, belief that FGM is religiously mandated, support for wife-beating, and limited decision-making power regarding health. The study emphasizes the need for urgent, targeted interventions that address these socio-economic and cultural determinants to eliminate this harmful practice.

Governance, Santé publique, Female genital mutilation, Women's rights

This document analyzes the contextual factors influencing health emergencies in West Africa, focusing on Nigeria, Senegal, and Sierra Leone. It examines how epidemics, such as Ebola, COVID-19, mpox, and Lassa fever, are shaped by sociocultural, economic, and political dynamics. The report emphasizes the need for an integrated approach, recognizing the complexity of health crises and the importance of local knowledge. It highlights existing capacities in the region, including disease control centers and academic institutions, while calling for strengthened governance and coordination of responses. The document advocates for better integration of social sciences into health emergency preparedness and response, aiming to develop more effective and contextually appropriate interventions.

Governance, Soicial sciences, Santé publique, Emergency

This article by the We Are Water Foundation presents three concrete cases in the global effort toward universal sanitation: in Burkina Faso, Guatemala, and Kenya. In Burkina Faso, the foundation, together with UNICEF and local authorities, eliminated open defecation in the Sissili province using the CLTS approach, which empowers communities through awareness and self-driven action. In Lake Atitlán (Guatemala), Mosan developed a chemical-free, waterless toilet system that transforms waste into useful resources. In Kibera (Nairobi), UN-Habitat incorporated sanitation needs into a broader urban development plan involving roads, waste collection, and public spaces. The article stresses that access to safe toilets is a basic human right and a vital component of dignity, sustainability, and equitable development.

Governance, Environment, Food security, Hygiène, Santé publique

The UNODC report of January 2023 highlights the trafficking of medical products in the Sahel, including falsified, substandard and unauthorized medicines. Between January 2017 and December 2021, more than 605 tons of these products were seized during international police operations. The investigation reveals the involvement of various actors, including employees of pharmaceutical companies, civil servants, law enforcement officers, members of health agencies and street vendors, all motivated by financial gain. This trafficking seriously compromises public health and security in the region.

Security, Trafic, Santé publique, Médicament