Trading out of Poverty: WTO Agreements and the West African Agriculture. A Report of the Food Security II Cooperative Agreement

This report is a brief survey of WTO agreements and their implications for the West African economies (including Chad). The study reviews the positions of West African countries on various WTO issues and compares these positions with positions expressed by major trade partners, particularly the Cairns Group, the European Union, Japan, Sub-Sahara Africa, and the United States.food security, food policy, world trade organization, poverty, West Africa, international trade, market access, Food Security and Poverty, International Relations/Trade, Downloads July 2008-July 2009: 29, F0,

The Informal Sector In Francophone Africa: Firm Size, Productivity, And Institutions

This book is a major step towards improving the understanding of the complex reality of informal sector firms in francophone West Africa. It innovates by concentrating on informal firms rather than informal employment (as other studies do), and identifying \u27large informal\u27 sector firms whose sales rival those of large formal-sector firms but operate in ways that are similar to small informal operators. Not only is the regulatory environment facing these two types of informal firms distinct, but policies aimed at improving their productivity need to be differentiated. This study focuses on the urban informal sector in three capital cities: Dakar (Senegal), Cotonou (Benin), and Ouagadougou (Burkina Faso). The study also breaks new ground with an eclectic methodology and primary data collection. Quantitative and qualitative firm-level data were collected involving a unique and fruitful collaboration among academic researchers, government officials, the West African economic and monetary union commission, informal and formal sector business associations, and labor unions. This volume represents the culmination of a long collaboration between the Centre de Recherches Economiques Appliquees (CREA) at the University Cheikh Anta Diop of Dakar and the World Bank

Encéphalopathie de Gayet-Wernicke compliquant des vomissements sur terrain de néoplasie colique

L'encéphalopathie de Gayet-Wernicke est une complication neuropsychiatrique aiguë secondaire à une carence en thiamine. Les vomissements incoercibles compliquant une obstruction intestinale chronique en sont une cause rare. Nous rapportons un cas d'encéphalopathie de Gayet-Wernicke compliquant des vomissements incoercibles sur terrain de néoplasie colique, chez une patiente de 60 ans

Influence du taux d’hémoglobine sur la réponse à la radiothérapie des cancers du col de l’utérus : Étude rétrospective de 31 cas au CHU de Dakar

Le cancer du col de l’utérus est actuellement le deuxième cancer gynécologique après celui de l’endomètre. Près de 50% des cas diagnostiqués à travers le monde pourraient profiter de la radiothérapie dont l’efficacité dépend en partie du taux d’hémoglobine. Ainsi, nous avons entrepris d’évaluer l’influence du taux d’hémoglobine sur la réponse à la radiothérapie des cancers du col de l’utérus. Il s’agit d’une étuderétrospective de janvier 2006 à janvier 2009 portant sur 31 dossiers de patientes admises pour un cancer du col de l’utérus et ayant bénéficié d’une radiothérapie exclusive. L’âge moyen des patientes était de 53 ans. Les tranches d’âge les plus représentées étaient celles de 44 à 55 ans et de 55 à 66 ans avec respectivement 16 et 12 patientes. Plus de la moitié des patientes 61,29% étaient anémiées en début de traitement. Des doses élevées de radiations étaient retrouvées chez les patientes  anémiées. En effet, certains auteurs ont montré que les patientes anémiées avant de subir une radiothérapie développaient une  radiorésistance tumorale liée à l’hypoxie tissulaire expliquant ces doses élevées. Ces résultats suggèrent une collaboration entre radiothérapeutes et biologistes pour un diagnostic précoce (clinique, biologique) de l’anémie et un suivi biologique des patientes pendant leur traitement afin d’éviter les radiorésistances tumorales et les effets radio-induits tardifs.Mots clés : Anémie, cancer, col utérin, radiothérapie

Maternal and perinatal outcomes in multiple versus singleton pregnancies in Dakar, Senegal: a cross sectional study over 10 years

Background: The birth of twins is a singular event in most societies, and even more when it comes to multiple births. The objective of this study was to investigate maternal and perinatal outcomes in multiple versus singleton pregnancies.Methods: Cross-sectional study carried out at Philippe Maguilen Senghor health center in Dakar, Senegal from January 1, 2011 to June 30, 2019. Data were extracted from this E-perinatal electronic database and then analyzed in statistical package for social science software (SPSS 24, Mac version).Results: A total 42,870 mothers delivered 44,149 newborns including 1250 twins (2.8%) and 29 triplets. The mean maternal age was 27 years. Mothers with multiple pregnancies had 3 times the odds of poor maternal outcome compared to mothers with single pregnancies (OR 2.42, 95% CI; 1.98-2.94, p <0.001, for high blood pressure; OR, 2.66; 95% CI, 2.11-3.32, p= <0.001, for severe pre-eclampsia; and OR, 3.04; 95% CI, 1.64-5.66, p <0.001, for postpartum hemorrhage). Likewise, women with multiple gestations had significantly higher rates of preterm birth (OR 5.62; 95% CI: 4.91-6.41, p <0.001), breech presentations (OR = 11.02; CI = 9.68-12.53, p <0.001) and neonatal deaths (OR = 2.94; CI = 9.6852-12.5328 p= 0.004) as compared to women with singleton gestations. Furthermore, women with multifetal gestations had increased risk for caesarean section (OR 2.14; 95% CI: 1.91-2.41, p <0.001) compared with their singleton counterparts. The risks for episiotomy and perineal injuries were higher for women with singleton gestations as compared to multiple gestation mothers.Conclusions: This study results are in line with previous findings and contradict others. Particular attention should always be paid to multiple pregnancies’ management. However, the pattern of certain complications traditionally correlated with multiple pregnancies is to be confirmed

Completeness of information in electronic compared with paper-based patients’ records in a maternity setting in Dakar, Senegal

Background: Evaluate the consistency of information in paper-based records when registered in parallel with an electronic medical record.Methods: The study was performed at PMSHC in Dakar Senegal. From the end of year 2016, patients’ files were recorded on both paper-based and electronically. Additionally, previous records were electronically registered. To investigate the completeness of records before and after the electronic recording system has been implemented, information about some maternal and fetal/neonatal characteristics were assessed. When the variable was recorded, the system returned 1, unrecorded variables were coded as 0. We then calculated, for each variable, the unrecorded rate before 2017 and after that date. The study period extended from 2011 to June 2019, a nearly ten-year period. Data were extracted from E-perinatal to MS excel 2019 then SPSS 25 software. Frequencies of unrecorded variables were compared with chi-squared test at a level of significance of 5%.Results: A total of 48,270 unique patients’ records were identified during the eight-year period.  Among the study population, data for patients’ age, address and parity were available most of the time before and after 2017 (0.5% missing data versus 0.3% for age and 2.6% versus 1.3% for home address and from 0.3% to 0.0% for parity). However, phone number, maternal weight, maternal height, last menstrual period and blood group were found to be missing up to 96% before 2017. From 2017, these rates experienced a sudden decrease at a significant level: from 82.4% to 27.8% for phone number, from 96% to 56.3% for maternal weight and from 60.1% to 21.3% for blood group. Regarding newborns’ data, it was found that fetal height, head circumference and chest circumference were missing up to just under 25% before 2017. After that date, their completeness improved and flattened under 5%.Conclusions: Structured and computerized files reduce missing data. There is an urgent need the Ministry of health provides hospitals and health care providers with guidelines that describes the standardized information that should be gathered and shared in health and care records

Food insecurity increases risk of depression and anxiety among women in Senegal living with diabetes and/or hypertension

Food insecurity affects close to half the population of Senegal, West Africa, a country simultaneously affected by the ongoing global diabetes pandemic. Diabetes and food insecurity are associated with adverse mental health, yet research exploring the relationship between chronic physical illness, food insecurity, and mental illness in Senegal is currently lacking. The objective of this study was to investigate the association between food insecurity and depression and anxiety, separately, in Senegalese women living with diabetes and hypertension. Food insecurity was measured using the Household Food Insecurity Access Scale. Occurrence of depression and anxiety symptoms was assessed using the Modified Hopkins Symptoms Checklist Survey (HSCL‑25). A sensitivity analysis examining the relationship between food insecurity and depression and anxiety was performed by comparing two previously validated cutoff values (1.75 and 2.25) on the HSCL‑25. Most participants (83%) had some level of food insecurity. More than 80% of the sample were depressed or anxious using 1.75 as the cutoff, while 42 and 60% were depressed or anxious, respectively, using 2.25 as the cutoff. Food insecurity increased relative risk for depression (RRR: 1.40, 95% CI: 1.05‑1.31, 1.75 as cutoff; RRR: 1.06, 95% CI: 0.99‑1.14, 2.25 as cutoff) and anxiety (RRR: 1.17, 95% CI: 1.05‑1.31, 1.75 as cutoff; RRR: 1.11, 95% CI: 1.04‑1.19, 2.25 as cutoff). These findings demonstrate that among populations suffering from diabetes and hypertension, food insecurity is a modifiable risk factor for depression and anxiety and a potential intervention target in this setting

Ins and outs of the cultural polis: informality, culture and governance in the global South

This paper provides an epistemological critique of informality by focusing on cultural governance in two cities of the global South, Rio de Janeiro, Brazil, and Dakar, Senegal. Aiming to enrich debates about urban creativity and urban cultural policy, which are still mainly focused on and articulated from the global North, we consider the broad field of ‘informality’ research as an entry point for such a discussion. Using case studies from African and Latin American contexts, we focus on the interstices of cultural policy and the borderlands of (in)formality, examining how governmental institutions are entangled in informal processes, and how grassroots cultural interventions become part of mainstream cultural circuits. The analysis sheds light on how these creative spaces of cultural production, located in Southern contexts of urban extremes, contribute to the vitality of informal urbanisms and unsettle predominant views that see them merely as sites ofinfrastructural poverty and social exclusion. The paper suggests that a creative remapping of informality, through an inquiry of the ‘ins’ and ‘outs’ of the cultural polis, could improve our translating capacity of academic discourse into institutional/policy-related operations