Sénégal : un système pénitentiaire en crise. Acteurs et enjeux des débats en cours

The mutiny of prisoners in the jail of Rebeuss on 29 November 1996, sheds light on the crisis of the Senegalese penitentiary System. The mutiny revealed the dilapidated state of prisons and the difficult living conditions of prisoners, hardly improved by the limited social policy of the Senegalese government. The rebellion gives ample opportunity to analyze the discourse of diverse actors engagea in the debates about prisons (public and private press, human rights associations, international NGOs, managers of the penitentiary administration). It also illuminates the multiplicity of approaches proposed to find solutions to the crisis. Some progress is already palpable, however, with the graduai transformation of the rights of the detainees, and with the new interest that is developing within Senegalese public opinion over these issues.Le 29 novembre 1996, la mutinerie des détenus de la maison d'arrêt de Rebeuss met en lumière la crise de l'institution pénitentiaire au Sénégal. Elle révèle l'état des lieux de l'infrastructure carcérale, vétusté, et des conditions de vie difficiles des détenus, qui ne sont guère améliorées par la politique d'ouverture limitée des pouvoirs publics. Elle est aussi l'occasion d'une analyse des discours des acteurs du débat sur les prisons (presse publique et privée, organisations de défense des droits de l'homme, organisations internationales, responsables de l'administration pénitentiaire), et de la pluralité des approches dans les réflexions destinées à améliorer la situation. Néanmoins, des évolutions sont en cours, dont les moindres ne sont pas la transformation progressive du statut des détenus et l'intérêt nouveau pour ces questions de l'opinion publique sénégalaise.Thioub Ibrahima, Ba Babacar, Sene Ibra. Sénégal : un système pénitentiaire en crise. Acteurs et enjeux des débats en cours. In: Revue française d'histoire d'outre-mer, tome 86, n°324-325, 2e semestre 1999. Pour une histoire du contrôle social dans les mondes coloniaux : justice, prisons, et enfermement de l'espace, sous la direction de Florence Bernault, Pierre Boilley et Ibrahima Thioub. pp. 125-148

Factors related to compliance to anti-malarial drug combination: example of amodiaquine/sulphadoxine-pyrimethamine among children in rural Senegal

<p>Abstract</p> <p>Background</p> <p>The introduction of new anti-malarial treatment that is effective, but more expensive, raises questions about whether the high level of effectiveness observed in clinical trials can be found in a context of family use. The objective of this study was to determine the factors related to adherence, when using the amodiaquine/sulphadoxine-pyrimethamine (AQ/SP) association, a transitory strategy before ACT implementation in Senegal.</p> <p>Methods</p> <p>The study was conducted in five rural dispensaries. Children, between two and 10 years of age, who presented mild malaria were recruited at the time of the consultation and were prescribed AQ/SP. The child's primary caretaker was questioned at home on D3 about treatment compliance and factors that could have influenced his or her adherence to treatment. A logistic regression model was used for the analyses.</p> <p>Results</p> <p>The study sample included 289 children. The adherence rate was 64.7%. Two risks factors for non-adherence were identified: the children's age (8–10 years) (ORa = 3.07 [1.49–6.29]; p = 0.004); and the profession of the head of household (retailer/employee versus farmer) (ORa = 2.71 [1.34–5.48]; p = 0.006). Previously seeking care (ORa = 0.28 [0.105–0.736], p=0.001] satisfaction with received information (ORa = 0.45 [0.24–0.84]; p = 0.013), and the quality of history taking (ORa = 0.38 [0.21–0.69]; p = 0.001) were significantly associated with good compliance.</p> <p>Conclusion</p> <p>The results of the study show the importance of information and communication between caregivers and health center staff. The experience gained from this therapeutic transition emphasizes the importance of information given to the patients at the time of the consultation and drug delivery in order to improve drug use and thus prevent the emergence of rapid drug resistance.</p