Rural sub-Saharan Africa faces limited medical access, healthcare worker shortages, and inadequate health information systems. Mobile health (mHealth) technologies offer potential solutions but remain underdeveloped in these settings. This review aims to explore the sociocultural context of mHealth adoption in rural sub-Saharan Africa to support sustainable implementation. A comprehensive Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) search was conducted in databases like PubMed, MEDLINE, and African Journals Online, covering peer-reviewed literature from 2010 to 2024. Qualitative studies of mHealth interventions were included, with quality assessed via the Critical Appraisal Skills Program (CASP) checklist and data synthesized using a meta-ethnographic approach. Out of 892 studies, 38 met the inclusion criteria. Key findings include sociocultural factors like community trust influencing technology acceptance, local implementation strategies, user empowerment in health decisions, and innovative solutions for infrastructure issues. Challenges include privacy concerns, increased healthcare worker workload, and intervention sustainability. While mHealth can reduce healthcare barriers, success depends on sociocultural alignment and adaptability. Future interventions should prioritize community co-design, privacy protection, and sustainable, infrastructure-aware models.

The purpose of this research is to estimate the differences in sales levels between businesses owned by individuals who self-identify as Indigenous (IE) and those who do not (NIE), as well as between males (ME) and females (WE), and how this intersection may affect their sales levels. To accomplish this, an Analysis of Variance (ANOVA) is used to compare the means between the groups analyzed, and Tukey’s Honestly Significant Differences (HSD) is used to determine the magnitude and direction of these differences. The results of the study show that indigenous-owned businesses have sales that are 26% lower than the general average, while women-owned businesses have sales that are 70.6% lower in the same comparison. In addition, businesses run by indigenous women have sales that are 93.5% lower on average. These findings suggest that the challenges faced by entrepreneurs reflect the structural inequalities observed in other areas of society and highlight the need for public and private policies focused on reducing these gaps.

This contribution questions young people’s access to digital networks at the scale of intermediate cities in Saint-Louis. Thus, it analyzes the prescriptions of digital actors responsible for the development of digital economy in relation with the orientations of the Senegal Digital 2025 strategy. This is a pretex to highlight the gaps between official political discourses and the level of deployment of digital infrastructures. The study highlights the need to repoliticize the needs of populations for broadband and very high-speed connections to promote local initiatives for youth participation in Saint-Louis. Indeed, datas relating to access and use of the Internet by young people reveal inequalities linked to household income, the disparity of infrastructure and digital equipment, and the discontinuity in neighborhood development, but also to the adaptability of the internet service marketed. Through urban and explanatory sociology mobilized through the approach of young people’s real access to the Internet, our analyzes have shown at the scale of urban neighborhoods the impact of the actions recommended by those involved in the development of populations’ access to Internet. The result is that the majority of young people are forced to access the Internet through medium-speed mobile networks.