{"id":5131,"date":"2026-09-23T02:04:03","date_gmt":"2026-09-23T02:04:03","guid":{"rendered":"https:\/\/sotnews.agency\/?p=5131"},"modified":"2026-09-23T02:04:03","modified_gmt":"2026-09-23T02:04:03","slug":"in-senegal-a-mothers-ordeal-exposes-a-health-system-under-strain-health-news","status":"publish","type":"post","link":"https:\/\/sotnews.agency\/?p=5131","title":{"rendered":"In Senegal, a mother\u2019s ordeal exposes a health system under strain | Health News"},"content":{"rendered":"
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Dakar, Senegal \u2013<\/strong> Twenty-four hours before health workers across Senegal were due to walk out on strike, Awa Diba went into labour.<\/p>\n

Her first child was coming into the world as hospitals prepared to limit services to emergency care.<\/p>\n

\u201cThere is a lot of shouting,\u201d Diba says.<\/p>\n

\u201cI saw things inside the hospital that shocked me.\u201d<\/p>\n

Her labour lasted 24 hours.<\/p>\n

Her husband and other relatives were absent. She shared a room with four other women. Cracks ran across the ceiling. The fan did not work. Some rooms had air conditioning; others did not. Electricity was intermittent.<\/p>\n

Women cried. Some were frightened. Sometimes, she says, their cries were met with: \u201cBe quiet.\u201d<\/p>\n

A system she never expected to enter<\/h2>\n

Diba entered the hospital as a trainee nurse and left as a mother, carrying a healthy daughter. The experience left her feeling that the system itself was unwell.<\/p>\n

She grew up in Casamance, in southern Senegal, and studied digital communication at university in Ziguinchor.<\/p>\n

\u201cIt is difficult to find work with that here,\u201d she says.<\/p>\n

In the first quarter of 2026, Senegal\u2019s unemployment rate among people aged 15 to 34 was 28.4 percent, according to the country\u2019s National Agency of Statistics and Demography (ANSD).<\/p>\n

Nursing felt different.<\/p>\n

\u201cYou can have paid internships, or clinics can take you on to do shifts.\u201d<\/p>\n

She moved to Dakar and retrained, completing placements at Hopital Principal de Dakar and the Albert Royer children\u2019s hospital.<\/p>\n

A health system under strain<\/h2>\n

At the end of 2024, 5,236 doctors were registered with Senegal\u2019s National Medical Council, including 4,407 working in the public sector, according to figures provided by the council\u2019s president.<\/p>\n

Dr Marc Manga, a member of the medical union SAMES in Ziguinchor, says the problem is not only about numbers.<\/p>\n

\"An
An anaesthesiologist works in an operating theatre at Fann Hospital in Dakar, Senegal [Godong\/Universal Images Group via Getty Images]<\/figcaption><\/figure>\n

\u201cHow can we talk about quality of care when hospitals lack basic equipment and patients have to travel hundreds of kilometres to get a diagnosis?\u201d<\/p>\n

On September 16 and 17, doctors, pharmacists and dental surgeons went on strike, following a 48-hour stoppage the previous week. Emergency care continued, while routine medical activities were disrupted.<\/p>\n

SAMES is calling for more recruitment, better career and pension conditions, and greater investment in hospitals and medical equipment, particularly outside Dakar. The union says its demands date back to 2023.<\/p>\n

\u201cWe waited, we hoped and we followed up,\u201d says Dr Diabel Drame, the union\u2019s secretary-general. \u201cUnfortunately, no plausible response was given to us.\u201d<\/p>\n

Waiting is something Senegal\u2019s health system knows well.<\/p>\n

Patients wait for doctors. Doctors wait for equipment. Unions wait for promises to be honoured. And the government waits for financial breathing space.<\/p>\n

The cost of waiting<\/h2>\n

Senegal is now producing oil and gas, and its economy grew by 6.7 percent in 2025, according to the International Monetary Fund (IMF).<\/p>\n

But the country is also carrying a heavy debt burden. The IMF estimated total public-sector debt at 132 percent of gross domestic product (GDP) at the end of 2024.<\/p>\n

Government audits after President Bassirou Diomaye Faye took office uncovered previously undisclosed borrowing and led to major revisions of Senegal\u2019s debt figures. The IMF said a reconciliation exercise revised central government debt from 74.4 percent to 111 percent of GDP at the end of 2023, primarily because of previously undisclosed liabilities.<\/p>\n

The paradox is that Senegal is producing more wealth while finding itself with less room to spend it.<\/p>\n

Foreign aid has also long supported healthcare. Cuts to United States aid have affected programmes covering HIV, malaria and reproductive health, according to reporting from Le Monde and other organisations working in Senegal.<\/p>\n

President Faye has gone looking for room to breathe, to Washington for talks with the IMF and the World Bank, then to Abu Dhabi to meet investors and financial backers.<\/p>\n

Faye has described the global debt architecture as \u201cinadequate\u201d and \u201cinequitable\u201d, arguing that it hinders access to essential public services, including healthcare and education.<\/p>\n

At the United Nations, he is expected to call for wider debt relief for African countries.<\/p>\n

Healing old and new wounds<\/h2>\n

Behind the numbers lies an older question.<\/p>\n

Who owes whom?<\/p>\n

In June, Ousmane Sonko, Senegal\u2019s former prime minister, expressed support for economic reparations for Africa over the transatlantic slave trade and slavery, before an international conference on reparations in Accra.<\/p>\n

African and Caribbean governments have increasingly pressed for reparatory justice over the transatlantic slave trade. At a June 2026 conference in Accra, Faye said Senegal was committed to advancing that cause.<\/p>\n

Diba wants to help heal some of those newer wounds.<\/p>\n

She plans to specialise in haematology, caring for patients with cancer, leukaemia and sickle-cell disease.<\/p>\n

But what she notices first is fear.<\/p>\n

\u201cThey are afraid of dying,\u201d she says. \u201cWhen they enter, they think: \u2018I will never come out. I won\u2019t leave here alive. I\u2019m going to die.\u2019\u201d<\/p>\n

Hospitals, she says, are too often the last resort.<\/p>\n

\u201cThey wait until their illness is at the last stage before going to public hospitals.\u201d<\/p>\n

Public does not necessarily mean free. Consultations, tests, medicines and treatment all cost money.<\/p>\n

So people wait.<\/p>\n

They wait to have enough money to see a doctor. They wait for a diagnosis. They wait to give birth. They wait for the government to repair a broken health system.<\/p>\n

A daughter named Myriam<\/h2>\n

After 24 hours of labour, the heat, the shouting and the fear, Diba left the hospital carrying her daughter.<\/p>\n

She named her Myriam.<\/p>\n

In the Quranic tradition, Maryam, or Mary, is the mother of Jesus, a woman who endures the pain and solitude of childbirth before emerging with a child in her arms.<\/p>\n

For Diba, the name carries a story of its own: A daughter born on the eve of a medical strike, into a health system her mother has chosen to serve.<\/p>\n

\u201cI don\u2019t want my daughter to experience this.\u201d<\/p>\n<\/div>\n


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Dakar, Senegal \u2013 Twenty-four hours before health workers across Senegal were due to walk out on strike, Awa Diba went into labour. Her first child was coming into the world as hospitals prepared to limit services to emergency care. \u201cThere is a lot of shouting,\u201d Diba says. \u201cI saw things inside the hospital that shocked…<\/p>\n","protected":false},"author":1,"featured_media":5132,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"rop_custom_images_group":[],"rop_custom_messages_group":[],"rop_publish_now":"initial","rop_publish_now_accounts":{"facebook_2277560469115098_106292521332774":"","twitter_aToxNzczMzI3Njk4OTg4ODUxMjAxOw==_1773327698988851200":""},"rop_publish_now_history":[],"rop_publish_now_status":"pending","_monsterinsights_skip_tracking":false,"footnotes":""},"categories":[11],"tags":[],"class_list":["post-5131","post","type-post","status-publish","format-standard","has-post-thumbnail","category-international-news"],"aioseo_notices":[],"aioseo_head":"\n\t\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t