@article{fdi:010087063, title = {{C}hallenges in implementing the national health response to {COVID}-19 in {S}enegal}, author = {{R}idde, {V}al{\'e}ry and {F}aye, {A}.}, editor = {}, language = {{ENG}}, abstract = {{S}ince the beginning of the {COVID}-19 pandemic in {A}frica, many epidemiological or anthropological studies have been published. {H}owever, few studies have yet been conducted to understand the implementation of {S}tate interventions to fight the {COVID}-19 pandemic. {I}n {S}enegal, the national response plan was planned before the country experienced its first official case of {COVID}-19 on 2 {M}arch 2020. {T}his qualitative study, conducted in {M}arch and {A}pril 2021, based on 189 interviews, aims to understand how the national response has been implemented in several regions of {S}enegal. {I}mplementation of the response to the pandemic was favoured by good preparation, capacity to adapt, responsiveness of health actors, and commitment for both the political and religious authorities. {T}he implementation response was confronted by several constraining factors such as the coercive approach, the challenges of coordinating actors, and the lack of intersectoral response. {T}he central level has sometimes used reflexivity processes to adapt its response, but it has remained highly politicized, centralized, directive, and with little involvement of civil society. {I}n {S}enegal, the response to the pandemic has been implemented in a relatively political and directive, even coercive manner, without necessarily considering prior knowledge and the need to adapt it to local contexts and to involve civil society and community actors in the process.}, keywords = {{SENEGAL}}, booktitle = {}, journal = {{G}lobal {I}mplementation {R}esearch and {A}pplications}, volume = {2}, numero = {3}, pages = {219--233}, ISSN = {2662-9267}, year = {2022}, DOI = {10.1007/s43477-022-00053-4}, URL = {https://www.documentation.ird.fr/hor/fdi:010087063}, }