Strategic handbook

Dr. Boubacar Signaté's strategic manual proposes a complete reform of the management of medical and health emergencies in Senegal. It highlights the weaknesses of the system: high maternal and infant mortality, regional disparities, limited funding, insufficient coordination. The text recommends strengthening the training of professionals, modernizing the SAMU, creating a National Emergency Management Agency and interconnected regional centers. It insists on the creation of hospital centers of excellence and the use of technologies (telemedicine, geolocation, digitalization). For major crises, it recommends a national EHS management center, tested contingency plans, and rapid intervention teams. Finally, it proposes sustainable financing through a national emergency fund, the involvement of oil revenues and international partnerships. The integrated approach includes the creation of specialized courses, the harmonization of training and incentives to retain caregivers. The manual calls for a coordinated vision, strong leadership and sustained commitment from authorities to strengthen health resilience.