Ibrahima Sy: La gestion de la salubrité à Rufisque (Sénégal): enjeux sanitaires et pratiques urbaines

PhD-thesis within the framework of the NCCR Nort-South, Université Louis Pasteur Strasbourg, Faculté de Géographie et d’Aménagement, co-supervised by Prof Marcel Tanner, Swiss Tropical Institute (2006)

The study focuses on salubrity management in the urban African context. Public authorities, with their limited means, are not able to adequate services of healthiness to the actual demand. Thus, several African cities are characterized by a phenomenon of insalubrity, among these also Rufisque in Senegal. The issue of healthiness and its management is of relevance since it brings space, society and power in interaction. In this study thus, salubrity management is taken as an indicator for analyzing urban changes and complex dynamics: in the first place, it sheds light on the spatial, social, economic, political, environmental and sanitary dimensions of ongoing changes in the African urban context; moreover it shows the inventions that are linked to these changes. The study analyses practice and perception of urban dwellers in Rufisque in relation to the issue of healthiness. Diarrhea diseases are taken as an indicator of healthiness: the impact of salubrity management on the spread of diarrhea diseases in urban space is analyzed. The study also takes into account the development of several civil initiatives, often supported by NGOs, which try to cope with problems of healthiness in view of the weakening power of the competent authorities. The effect of this trend is a multiplication of networks, agencies and institutions that intervene in the management of the issue and thus the creation of several sub-systems. These new dynamics reveal the invention of the shared management of a certain number of urban services, moving towards a process of urban governance.