French-speaking Africa Research Articles

Variability of agricultural income for empowerment: Case of cucumber and potato leaves producers in Goréké (San Pedro – Côte d’Ivoire)

Female entrepreneurship in rural areas in French-speaking Africa is more related to rural, processing and marketing activities. The objective of this study is to present the variability of agricultural income of female producers for their empowerment. To this end, fifty female producers from the village of Goréké were interviewed. The areas, poultry droppings + sawdust, NPK 12 22 22, masses and incomes were observed. A Principal Component Analysis showed that on a hectare of cucumber, reasonable amounts of NPK 12 22 22 (80 kg) and organic residue (6,000 kg) provided the best mass (16,000 kg). At the level of potato leaves, 1,600 kg of organic residue and 20 kg of NPK provided the best mass (1,600 kg). Furthermore, the potato leaf producer had an average income during the shortage period of 2226,642 ± 1602,093 CFA francs compared to that of cucumber which is 584,714 ± 296,718 CFA francs. On the other hand, during the abundance period, the average incomes are respectively 713,793 ± 536,983 for potato leaves and 467,771 ± 237,374 CFA francs for cucumber. This difference is explained by the higher selling price per kilogram of potato leaves. In conclusion, the potato leaf producer would be more financially independent. In perspective, training will be provided to market gardeners to optimize the masses produced by rationalizing the masses of fertilizer used for an improvement in income.

Impact of air pollution on mortality: Geo-epidemiological study in French-speaking Africa

According to the World Health Organization, air pollution is responsible for 90 % of deaths in Africa. However, limited data on exposure to air pollution is available, and studies are rare, particularly in French-speaking Africa. This study aims to investigate the impact of air pollution on mortality in 12 French-speaking African countries (Algeria, Burkina Faso, Burundi, Cameroon, Guinea, Ivory Coast, Madagascar, Mali, Morocco, Democratic Republic of Congo, Senegal, Tunisia). Using data from the Institute for Health Metrics and Evaluation (IHME), annual concentrations of the PM2.5 pollutant from different cities were integrated into a spatial interpolation model (IDW) at the scale of each country. The interpolation was validated using cross-validation models. For each of the considered cardiorespiratory diseases (LRI, stroke, COPD, IHD), the attributable mortality fraction was estimated using literature data and population exposure calculated using demographic data from each country. Large variations in ambient PM2.5 concentration between the 12 countries are observed, with concentrations ranging from 1.76 μg/m3 in Morocco to 64.99 μg/m3 in Cameroon. Concentrations are higher in West Africa than in Central or North Africa. In 2019, 136 457 deaths attributable to air pollution were recorded in the 12 countries: 40.8 % from ischemic heart disease, 38.5 % from stroke, 13.2 % from lower respiratory infections and 7.5 % from chronic obstructive pulmonary disease. Our model allowed us to obtain a spatial distribution and the number of deaths related to air pollution. However, the estimation of the health impact from air pollution could be improved by more systematic and comprehensive local exposure assessments from a robust air quality monitoring system.

Coup d'état in Africa and stock market returns: The case of French companies

This article studies the impact of recent coups d'état in French-speaking Africa on the stock market performance of French companies. Using stock prices of 197 French companies over the period September 2020 to September 2023, our results highlight a negative impact of coups d'état on the stock market performance of French companies. We also observe the heterogeneity of these companies' reactions depending on: (i) the country affected by the coup; (ii) the companies' sector of activity; (iii) coups d'état with reshuffle or change of political regime; (iv) pro- or anti-France post-coup actions. In so doing, this article provides the first evidence of the impact of recent coups in Africa outside the affected territories.

Implementation strategy for advanced practice nursing in Gabon: A multicenter mixed-method study.

To describe the expectations, acceptability, and challenges identified by nurses and key healthcare stakeholders regarding the implementation of advanced practice nursing in Gabon. Advanced practice nursing presents an opportunity to address the epidemiological transition and the shortage of healthcare professionals in Africa. In anticipation of establishing a master's degree program in advanced practice nursing and its subsequent implementation, it is important to understand Gabon's specific needs and characteristics. This study used a multicenter cross-sectional mixed-method design. From April to May 2022, a total of 187 healthcare professionals were included from two hospitals and two universities in Gabon. Data were collected through questionnaires and complemented by focus group discussions, guided by the existing literature, the PEPPA framework, and Hamric's model. The implementation of advanced practice nursing was generally well accepted. Factors influencing acceptability included being female, awareness of advanced practice nursing, and supporting the role of advanced practice nurses in diagnosing chronic diseases. Barriers to implementation included the absence of a legal framework for the profession and a lack of recognition of nursing skills by both nurses and doctors. Facilitators included the establishment of a master's degree program, formalization of a legal framework, raising awareness, providing training to medical doctors and other healthcare professionals about advanced practice nursing, and the development of nursing leadership. Advanced practice nursing can play a crucial role in addressing healthcare resource shortages and the dual burden of chronic and infectious diseases in Gabon, as well as in other African countries. To successfully implement advanced practice nursing in Gabon and French-speaking Africa, it is essential to regulate the nursing and advanced nursing professions by creating a legal framework and establishing nursing councils. An effective implementation strategy for advanced practice nurses should be based on the specific needs of the country. COREQ, STROBE.

Availability and Cost of Basic Drugs for Sickle Cell Disease in 13 African Countries

Background Sub-Saharan African countries are the hardest hit by sickle cell disease (SCD). Several studies have demonstrated the remarkable efficacy of hydroxyurea (HU) in African sickle-cell populations. As a result, many specialists recommend widespread use of this drug in Africa to reduce the disease's high morbidity/mortality. Nevertheless, in those countries health insurance mechanisms do not exist or and many families affected by SCD do not have enough income to pay for the care. In addition to cost, frequent supply chain disruptions lead to low drugs availability. The cost of basic treatments for SCD and their actual availability in different African countries is not yet known. Yet this information is essential for guiding health policies or the action of non-governmental organizations, and for planning the cost of assistance that could be provided to these patients. The aim of this study was to determine the availability, frequency of supply disruptions and cost of basic treatments for SCDin sub-Saharan African countries. Methods A cross-sectional online international survey was carried out from 24 March to 08 May 2023 among health professionals from French-speaking sub-Saharan African countries following SCD patients and registered in the database of the non-governmental organisation (NGO) Drep-Afrique. Participants completed questions covering the availability (on a scale from 0 (drug not available) to 10 (no availability concern) and the cost of basic drugs in their centres: HU, penicillin V, folic acid, morphine and vaccines. Results 120 health professionals, mainly physicians (91%), from 13 French-speaking Sub-Saharan African countries took part in this study. 58% of the participants worked in SCD referral centres and 36% in university hospitals. 91,000 homozygous SCD patients were reported as being followed in their centres. The median availability score for hydroxyurea and morphine were respectively 5 (IQR 3-8) and 5 (IQR 2-7), compared with 10 (IQR 10-10) for folic acid, 8 (IQR 4-10) for penicillin V, 3 (IQR 1-8) for anti-pneumococcal and 5 (IQR 2-8) for anti-meningococcal vaccines. Frequent supply chain disruptions were declared: 78% for HU, 77% for anti-pneumococcal vaccine, 66% for morphine, 45 % for Penicillin V, while they were rare for folic acid (8%). The median price of HU for one month's treatment of a 30 kg child (mean dose 20 mg/kg/day) was $19.3 (IQR 13.5- 25.3) and varied greatly from country to country (from $38 in Guinea to $10.1 in Togo (p=0.0002) (figure 1). The median price of pneumococcal vaccine was $35.3 (IQR 16.9- 58.7), and thant of meningococcal vaccine $31.4 (IQR 11- 57.5), also with significant differences between countries. The cost of pneumococcal vaccine was 1.6 times higher in centres where the supply chain disrupted than when there is no disruption (p=0.02). Conclusion This study shows that the cost of HU varies from one country to another in French-speaking Africa. Although not very high, it remains unaffordable for the most patients' families. For example, in 2023, the median monthly salary is 238 $ in the Democratic Republic of Congo (the country with the highest prevalence of SCD in the world with Nigeria), compared with a median monthly cost of HU of 25 $ in this country for a child in our study. The high cost of vaccines, beyond the first years of life when a free national program is available in most of African countries, is also a problem. In addition to cost, availability and frequent supply disruptions prevent regular intake of hydroxyurea and, to a lesser extent, of penicillin V. International solidarity and the governments of these countries should work to bring down the cost of hydroxyurea and improve the distribution circuit for these essential medicines.

Impact of air pollution on mortality: geo-epidemiological study in French-speaking Africa

Abstract According to the WHO, air pollution is responsible for 90% of deaths in Africa. However, few data on exposure to air pollution is available, and studies are rare, particularly in French-speaking Africa. This study aims to investigate the impact of air pollution on mortality in 13 French-speaking African countries (Algeria, Benin, Burkina Faso, Burundi, Cameroon, Ivory Coast, Guinea, Madagascar, Mali, Morocco, Democratic Republic of Congo, Senegal, Tunisia). Using data from the IHME, annual concentrations of the PM2.5 pollutant from different cities were integrated into a spatial interpolation model (IDW) at the scale of each country. The interpolation was validated using cross-validation models. For each of the considered cardiorespiratory diseases (LRI, stroke, COPD, IHD), the attributable mortality fraction was estimated using literature data and population exposure calculated using demographic data from each country. Large variations in concentration between the 13 countries are observed, with concentrations ranging from 1.76µg/m3 in Morocco to 67.03µg/m3 in Benin. Concentrations are higher in West Africa than in Central or North Africa. In 2019, 291,417 deaths attributable to air pollution were recorded in the 13 countries: 19.7% for ischemic heart disease, 6.5% for lower respiratory infections, 3.6% for chronic obstructive pulmonary disease, and 18.8% for stroke. Our model allowed us to obtain a spatial distribution and the number of deaths related to air pollution. However, the health impact of pollution could be improved by more systematic and comprehensive data collection through a system for monitoring concentrations of atmospheric pollutants. Key messages • This study estimates the number of deaths attributable to air pollution in 13 French-speaking African countries using a spatial interpolation model. • This study highlights the need for more data on air pollution exposure in French-speaking Africa.

Training, care delivery, and research in physiotherapy in sub-Saharan French-speaking Africa.

No abstract available.

Assessment of the Use of Spinal Anesthesia for laparotomy: A Survey among French-speaking anesthetists

Introduction. The aim of this survey was to assess the use of spinal anesthesia for abdominal surgery among anesthesia practitioners in sub-Saharan Africa. Methods. A questionnaire was distributed among the participants at the 37th Congress of the Society of Anesthesia-intensive Care Medicine of French-Speaking Africa held in Cotonou, Benin from November 23 to 25, 2022. Participants working in abdominal surgery anesthesia were selected randomly. The most relevant variables for evaluation were the use of spinal anesthesia, type of abdominal surgery, the type of local anesthetic, the additive of anesthetic, the satisfaction of the patients, the acceptance of this anesthesia by the surgeon and the reasons of switching from spinal to general anesthesia. Results. The study included forty-eight anesthesiologists from different nationalities in French-speaking Africa. Most of those practitioners were Anesthetist-Intensive Care Doctors (71%), 44% had between 10 and 15 years of professional experience. Spinal anesthesia is used for laparotomies by 83% of anesthetists. According to the type of surgery, inguinal hernia (85%), hysterectomy (69%) and myomectomy (75%) were found to be the most indications. Participants reported that 79% of the surgeons readily accept performing a laparotomy under spinal anesthesia, and patients are satisfied in 86% of cases. Bupivacaine and Fentanyl are the most local anesthetic used (79%). As adjuvants Morphine and Clonidine were used in 58% and 40% of cases, respectively. The main reasons for switching from spinal anesthesia to general anesthesia (GA) was the failure of spinal anesthesia (48%), followed by long duration of the intervention (19%). Conclusion. The use of spinal anesthesia is reserved mostly by anesthesiologists for lower laparotomies and never for upper laparotomies. There is not enough data to support the evidence that spinal anesthesia can used safely in emergencies situations for supra-mesocolic laparotomies, especially for peritonitis. This call clinical studies which can demonstrate the feasibility, security et safety of laparotomy performed under spinal anesthesia in limited resources settings.

Les salles de cinéma en Afrique sud saharienne francophone (1926–1980) / Movie Theaters in French-Speaking Africa South of the Sahara (1926–1980), by Claude Forest: A Welcomed and Essential Historical Work

Following extensive research and at a time when French operators are making a strong comeback on the African scene, Claude Forest fills a void and publishes a history of movie theaters in French-speaking Africa that covers the colonial period and the first twenty years of independence, until the French disengagement. While the importation and distribution of films was profitable and developed within the framework of a duopoly, he shows how the flaws of public policies as well as the narrowness of the market prevented the preservation of existing cinemas and the development of African autonomy in this area, not without highlighting the contradictions of cooperation policies and African demands.

French-speaking Africa and translation: From midwifery to maïeutique?

INTRODUCTIONIn the French version of The Lancet Series (2014) midwifery has been translated as maïeutique. Likewise, the term maïeuticien has recently been introduced in some countries to name (male) midwives. This change of terminology has not been the subject of broad stakeholder consultation. The aim of this study is to explore the opinion of African midwives on the use of the terminologies pratique de sage-femme/maïeutique (midwifery) and sage-femme/maïeuticien (midwife).METHODSA quantitative study was conducted using an online survey among members of francophone professional midwifery associations in 17 French-speaking African countries.RESULTSFrom 140 invited midwives, 82 responses were received. The respondents represented 12 francophone African countries. Respondents obviously prefer the terms pratique de sage-femme and sage-femme above maïeutique and maïeuticien. The sage-femme is acknowledged and deeply rooted in African society. Midwifery is comprehensive, while maïeutique does not describe the full scope of midwifery. Though, some respondents believe that maïeutique has the potential to differentiate sages-femmes from other health professionals, can diminishing role ambiguity, and value midwifery practice. Respondents in favor of the term maïeutique are referring to the modernization of the midwifery profession and its scientific evolution.CONCLUSIONSInternationally, midwives closely follow the developments on the linguistic subject of maïeutique. The results of this study may support current discussion about the evolution and modernization of terminology in the francophone community worldwide. Midwives need to be actively involved in these discussions. Nevertheless, at all times we need to be cautious not to break away from midwives’ cherished historical, social, and cultural roots.

Cancer Pain Management in French-Speaking African Countries: Assessment of the Current Situation and Research Into Factors Limiting Treatment and Access to Analgesic Drugs.

IntroductionThere is a dearth of research on the incidence and treatment of cancer pain in Africa. Yet Africa, with other developing countries, accounts for more than half of all cancer diagnoses, and it is estimated that cancer incidence in Africa will double by 2030.ObjectivesThis research protocol outlines an approach to investigate cancer pain in French-speaking African countries. The protocol intends to determine and describe the treatment and management of cancer pain in these countries. Barriers to treating cancer pain will be explored and the results will be collated to make a series of recommendations on policy positions, regulatory frameworks and protocols.MethodsA mixed-methods, co-creation methodology has been selected to ensure the societal impact of the research outcomes. This research will use both qualitative and quantitative data collection methods and analyses. The research will begin with a review of the policies and legislation that exist in relation to cancer pain management and the use of analgesics, in each French-speaking African country. An Experts Steering Committee will then be created to provide guidance on the protocol and research design and access to participants, as well as to execute on the administration of surveys to local structures and international experts. A series of semi-structured, qualitative interviews with experts and clinicians in the field of screening and management of cancer pain and access to treatment will follow. Purposive and snowball sampling will be used to select the respondent experts. The semi-structured interviews will be conducted to determine the main trends and barriers to the treatment of cancer pain in French-speaking African countries. From this qualitative research, two surveys will be developed and then administered: one to validate the policy and regulatory context, and the other to determine experts and healthcare professionals experience and perceptions of cancer pain.Results/ConclusionsThe results will be analyzed using quantitative and qualitative methods to determine themes and perceptions of cancer pain and treatment, from the policy level to the healthcare professional level. Evaluation of the results will lead to recommendations for a comprehensive framework for cancer pain treatment in French-speaking Africa.

Context and Catholicity in the Science and Religion Debate. Intercultural Contributions from French-speaking Africa, written by Klaas Bom and Benno van den Toren

Context and Catholicity in the Science and Religion Debate. Intercultural Contributions from French-speaking Africa, written by Klaas Bom and Benno van den Toren

The missions of Biologie Sans Frontières (BSF)

«Biologie sans Frontières» (BSF) is a non-governmental organisation whose mission is to develop medical biology where it is most needed, particularly in French-speaking Africa. In Guinea Conakry, with Fondation Mérieux and the Guinean Ministry of Health, BSF is in charge of training "trainers/teachers" of technicians. This training will take place at the National Health School of Kindia, a school that has been completely rehabilitated and re-equipped thanks to the support of Fondation Mérieux. This project is supported by the French Development Agency. BSF has an in-depth knowledge of the local needs in medical biology training. After an audit carried out by two BSF members, the findings were alarming: these trainers had no experience in medical biology and their theoretical knowledge was still of low level. Three training courses were then provided by BSF, the first in biochemistry, sero-immunology and immuno-hematology, the second in cyto-hematology and the last one in bacteriology-parasitology. The basic techniques have been acquired, the "student trainers" have shown great assiduity, but the level remains fragile and will require new training, which is essential to help these future teachers to provide structured, functional and above all useful practical work adapted to local practices and needs.

Knowledge and attitudes of ultrasonography physicians regarding the biological effects of ultrasound in French-speaking sub-Saharan Africa.

To assess the knowledge and practical attitudes of ultrasonography physicians regarding the biological effects of ultrasound in French-speaking sub-Saharan Africa. A descriptive cross-sectional study carried out over a period of 03months (from 1st August to 31st October 2019) which included doctors carrying out ultrasound examinations in French-speaking sub-Saharan African countries via an electronic survey form. The 137 ultrasonography physicians came from 13 different countries and included 58% radiologists, 15% gynecologists, 14% cardiologists and 13% general practitioners. The majority of ultrasonography physicians had less than 10years of professional experience (87.60%) and performed more than 25 ultrasonographies per week (65.69%). The biological effects of ultrasound were known by 69.34% of ultrasonography physicians. Only 44% were able to cite the two biological effects of ultrasounds; 59.13% were unaware of the existence of thermal and mechanical indexes and 66.42% had no idea about the normal values of these indexes. They were unaware that their devices showed mechanical or thermal index in 48.91% of cases, consulted these indexes at the beginning of ultrasound explorations in 26.92%, and had no idea about the practical attitudes to adopt in the face of an increase in these indexes in 54.74% of cases. Half of the gynecologists and general practitioners and 55% of the radiologists affirmed that they avoid using Doppler as much as possible to explore the embryo. The level of knowledge of ultrasonography physicians about the biological effects of ultrasound was unsatisfactory in French-speaking sub-Saharan Africa and good attitudes to ultrasound safety were not always adopted.

Describing the good professor from the perspective of theological students in French-speaking Africa

The study presented in this article used a mixed-methods research model to identify and describe the professor qualities that were preferred by a group of theological students in French-speaking Africa. In the quantitative strand of this research, questionnaire data identified student preference for professor qualities related to student development, knowledge, teaching methods, and connecting theory with practice. Qualitative data was then collected in a focus group setting in which the participants articulated what these professor qualities meant to them, why some qualities were more important, and how they recognized these qualities in the classroom. From this data, five phenomenological themes emerged that describe the good professor as an intellectual and moral authority. According to these five themes, the good professor is knowledgeable of the subject matter and how to teach it, as well as making it practical to students. Good professors also listen to students, respond benevolently, and are committed to the long-term intellectual development of students.

English

Parkia biglobosa (Jacq.) Benth commonly called néré in French-speaking Africa is a semi-domesticated indigenous tree with a multi-purpose and highly appreciated use. Its pod-shaped fruits contain a yellowish floury pulp, eaten raw or used to make drinks, couscous and for raw or cooked dough. The objective of this study was to determine the profiles of minerals (Fe, K, Mg, Zn, Ca), beta-carotene, protein, ash, lipid and total sugar content as well as pH and acidity of the pulps from three ecoregions of Burkina Faso. The results showed quantitative difference in the composition of Parkia biglobosa (Jacq.) Benth pulp from the different ecoregions. Pulp from tree of South Sahelian zone contained the highest concentration of beta-carotene and carbohydrates (530.52±68.11 µg/100g; 64.96±8.9% DW, respectively). Whereas, the North Sudanian zone exceeded the others ecoregion in terms of K (3 301.25±872.85 mg/100 g DW); Mg (257.63±90.15 mg/100 g DW); Zn (1.28±0.37 mg/100 g DW); Ca (519.41±591.13 mg/100g DW) and protein (3.76±0.39 g/100 g DW). The South Sudanian zone displays the highest content in Fe (1.92±1.37 mg/100 g DW). As for the equivalent citric acid quantified in this study, the North Sudanian zone had the highest concentrations (0.96 ± 0.18 g/100 g DW) in the pulp. The observed variation has implications regarding the use of these data in food and nutrition programs, and in selecting sources of planting material for reforestation initiatives and agroforestry systems.   Key words: Parkia biglobosa (Jacq.) Benth pulp, nutritional composition, physicochemical characteristics, ecoregions.

Perception of the role of scintigraphic imaging in the exploration of pulmonary embolism by cardiologists in French-speaking sub-Saharan Africa

Perception of the role of scintigraphic imaging in the exploration of pulmonary embolism by cardiologists in French-speaking sub-Saharan Africa

The emergence of the national medical assistance scheme for the poorest in Mali

ABSTRACT Universal health coverage is high up the international agenda. The majority of the West Africa's countries are seeking to define the content of their compulsory, contribution-based medical insurance system. However, very few countries apart from Mali have decided to develop a national policy for poorest population that is not based on contributions. This qualitative research examines the historical process that has permitted the emergence of this public policy. The research shows that the process has been very long, chaotic and suspended for long periods. One of the biggest challenges has been that of intersectoriality and the social construction of the poorest to be targeted by this public policy, as institutional tensions have evolved in accordance with the political issues linked to social protection. Eventually, the medical assistance scheme for the poorest saw the light of day in 2011, funded entirely by the government. Its emergence would appear to be attributable not so much to any new concern for the poorest in society but rather to a desire to give the social protection policy engaged in a guarantee of universality. This policy nonetheless remains an innovation within French-speaking West Africa.

Gender-Based Violence in Mali: A Hidden Disaster in Schools

Introduction: Violence against girls has always been considered as a factor of deschooling in French-speaking Sub-Saharan Africa. It is often inadequately reflected in Education for all policies and programs. The objective is to study the frequency and characteristics of gender-based violence at the tertiary vocational training institute (IFP-TER) in Kayes/Mali. Methodology: The survey was conducted for four months (September 1 to December 30, 2012). A descriptive cross-sectional study was conducted in the establishment of IFP-TER Kayes. The study population consists of all the girls in the school. Extensive sampling was done. Individual interviews were conducted and data entered on the Epidata 3.1 software and analyzed on SPSS version 16.0. Results: 357 girls were surveyed, of whom 336 experienced at least one form of violence. Of the girls who were abused, 52.4% experienced sexual violence, 77% experienced physical violence, and 47.4% experienced emotional abuse. The vast majority of assaults took place at school (50.9%) and 40% in host families of students. Of the girls surveyed, 77% said they were victims of physical violence, jostling; punches and slaps were frequently cited as types of violence with 69.1%; 40.7% and 36.4%. Girls were victims of sexual violence 52.4% of cases, threats and harassment were the most cited with respectively 75.1% and 74.8%; rape was cited in 41.9% of cases. Blackmail predominated among victims of psychological violence (81.5%). Conclusion: The proportion of girls who are abused (94.3%) raises the issue of gender-based violence at the level of IFP-TER. Faced with this situation; it seems advisable to lead an effective fight with the involvement of the various actors in the Kayes region.

African School of Pediatric Oncology Initiative: Implementation of a Pediatric Oncology Diploma Program to Address Critical Workforce Shortages in French-Speaking Africa.

PURPOSEIn 2012, the French African Pediatric Oncology Group established the African School of Pediatric Oncology (EAOP), a training program supported by the Sanofi Espoir Foundation’s My Child Matters program. As part of the EAOP, the pediatric oncology training diploma is a 1-year intensive training program. We present this training and certification program as a model for subspecialty training for low- and middle-income countries.METHODSA 14-member committee of multidisciplinary experts finalized a curriculum patterned on the French model Diplôme Inter-Universitaire d’Oncologie Pédiatrique. The program trained per year 15 to 25 physician participants committed to returning to their home country to work at their parent institutions. Training included didactic lectures, both in person and online; an onsite practicum; and a research project. Evaluation included participant evaluation and feedback on the effectiveness and quality of training.RESULTSThe first cohort began in October 2014, and by January 2019, 72 participants from three cohorts had been trained. Of the first 72 trainees from 19 French-speaking African countries, 55 (76%) graduated and returned to their countries of origin. Four new pediatric oncology units have been established in Niger, Benin, Central African Republic, and Gabon by the graduates. Sixty-six participants registered on the e-learning platform and continue their education through the EAOP Web site.CONCLUSIONThis training model rapidly increased the pool of qualified pediatric oncology professionals in French-speaking countries of Africa. It is feasible and scalable but requires sustained funding and ongoing mentoring of graduates to maximize its impact.