Magister Theologiae - MTh / The understanding and practice of leadership in Sub-Saharan Africa, in all spheres, is at the heart beat of this work. Questions and concerns over the quality of leadership in most countries in this particular region are reasons which have led to revisit and investigate the formative training of the current cohort of African leadership with a special focus on the ethical aspect of leadership. It is an assumption, in this thesis, that the contemporary cohort of African leadership received their formative training especially in the 1960s and 1970s and that they were deeply influenced by the black consciousness movement and, in association with that, by the emergence of black theology. In this respect, this research project explores the notions of ethics and leadership with a view to determine ways in which an appropriate leadership ethos was portrayed and articulated in the writings of selected exponents of the black theology movement, namely ML King (Jr), Desmond Tutu and Allan Boesak. The purpose of this work is therefore mainly descriptive: to map discourse on a leadership ethos in the context especially of black theology. / South Africa

This thesis expands upon the concept of the global culture wars in sub-Saharan Africa from a Canadian perspective, focusing on the growing division within Canada between conservative, religious values and liberal, progressive ones (Caplan, 2012). This division led to a political and cultural realignment alongside the increased visibility and leadership of religious and faith communities in Canadian public and political life. Amidst this polarization, Conservative Party leader Stephen Harper was elected Prime Minister in February 2006. Under his leadership, a conservative, pro-family agenda was established. This agenda, which advocates a traditional understanding of family life and structure, in particular refers to a legally married, heterosexual couple with children. It was supported by the evangelical Christian population in Canada, which grew from a united religious community in Canada into a significant constituency of the Conservative Party. Harper’s tenure, coupled with the increased visibility and leadership of faith and religious communities significantly affected domestic and international policies during his tenure as Prime Minister, from 2006 to 2015. This thesis examines the Muskoka Initiative on Maternal, Child, and Newborn Health (Muskoka-MNCH) and shows how this initiative, which fostered anti-abortion rhetoric abroad, was utilized to appease the evangelical community’s anti-abortion position in Canada.

HIV/AIDS is a real threat for Sub-Saharan Countries. It increased adult mortality substantially. HIV/AIDS pandemic causes the death of the most productive part of affected population. Human capital passing on to future generations is limited. Low economic performance and income inequality induce higher HIV vulnerability. Contra wise HIV/AIDS has significant negative effect on the welfare of affected population. The sources of pandemic in Sub-Saharan Africa are not only social and cultural. Health and nutrition situation play considerable role. Holistic approach based on education, fidelity, abstinence and improvement of economic situation and moderate condom use (as the last way of prevention) seems to be an effective way of pandemic elimination.

Le XIXe siècle en Afrique noire était non seulement marqué par la l'initiative de la colonisation occidentale, mais aussi par la mission de christianisation. A partir de ce moment jusqu'à la fin de la Seconde Guerre Mondiale, l'identité africaine signifiée par un mode de vie particulier était définie en opposition aux valeurs chrétiennes. Il était donc impossible d'être chrétien et Africain en même temps. C'est ainsi que beaucoup d'Africains chrétiens s'occidentalisèrent et rejetèrent leurs coutumes considérées comme les œuvres du mal. Dans le contexte colonial, ceci était considéré comme normal.Après la Deuxième Guerre Mondiale, les intellectuels africains initièrent beaucoup de mouvements pour affirmer l'identité africaine: ce fut le commencement de l'émancipation culturelle et politique. Un de ces mouvements fut la Société Africaine de Culture, un mouvement intellectuel fondé par Alioune Diop et se situant dans le prolongement de Présence Africaine qui avait déjà rassemblé des intellectuels africains, antillais et européens. Alioune Diop devint alors le leader de l'émancipation culturelle de l'Afrique.En se consacrant à la figure d'Alioune Diop, la thèse souligne l'importance de la biographie intellectuelle, comme méthode de réflexion en histoire africaine. Elle y est présentée comme une approche qui permet de saisir des aspects qui peuvent échapper à l'intérêt accordé aux événements. Une autre caractéristique de cette réflexion est la place accordée à des archives non organisées et aux interviews dans un travail scientifique. La thèse soutient donc qu'il y a une dimension de l'engagement d'Alioune Diop qui, bien que moins connue, constitue une clé de compréhension de sa vie et de son œuvre. Cet intellectuel africain était en effet attentif à la religion et tout particulièrement au christianisme. Il considérait cette religion comme une réalité qui en Afrique pouvait soutenir le changement de nombreuses situations, pour permettre à ses peuples de trouver leur place dans le monde moderne. Ainsi, dans tous les événements qu'il organisa, la religion chrétienne eut une place particulière. Comme le combat d'Alioune Diop consistait à restaurer la dignité africaine au moyen de la culture, le catholicisme, en tant qu'une expression du christianisme alors portée par la culture occidentale essentiellement, avait une place importante dans ses réflexions. La thèse soutient que l'émancipation de l'identité africaine était aussi une émancipation du christianisme en contexte africain, et donc du catholicisme. Elle démontre que le catholicisme dans sa situation actuelle, comme religion africaine, est largement tributaire de l'engagement d'Alioune Diop et des intellectuels qu'il était parvenu à rassembler autour de lui. Cependant, dans le but de comprendre ceci, certaines questions apparaissent importantes: quel est l'exacte contribution d'Alioune Diop dans la correction des dérives de la rencontre entre identité africaine et catholicisme? Comment s'exprime cette rencontre dans un contexte postcolonial? Quels éléments donnent une signification à l'africanisation du catholicisme au XXe siècle? Toutes ces questions structurent l'orientation de ce travail et ouvrent à de nombreux aspects de l'identité africaine à travers d'importants événements comme les deux congrès des écrivains et artistes noirs (Paris et Rome), les deux festivals mondiaux des arts nègres (Dakar et Lagos), les colloques organisés par Alioune Diop avec d'autres intellectuels africains. Il y a aussi une mise en exergue de certaines questions en rapport avec la religion chrétienne: parmi elles, les plus importantes sont: l'œcuménisme, le dialogue entre les religions de l'Afrique en rapport avec la personnalité africaine et l'héritage colonial et postcolonial. / The 19th century in Sub-Saharan Africa was not only marked by the setting up of the European colonialism, but also by the Christian gospel preached in all the colonized territories. From this time until after the World War II, African identity which means the expression of the way of life of the Africans had been considered as an opposite to the Christian values. Clearly, it appeared impossible to be Christian and African at the same time. So, many African Christians had become Occidentalized and rejected their customs as the work of the devil. In a colonial context, this was considered as normal.After the World War II, African intellectuals initiated a lot of movements, in order to restore the African identity in all the issues concerning African peoples: this was the beginning of the emancipation, culturally and politically. One of the most important of those movements was African Society of Culture, an intellectual movement funded by Alioune Diop and situated onward of the movement “Présence Africaine” which had already gathered African, West Indian and European intellectuals. Alioune Diop became practically the leader of the African emancipation in the 20th century. The PhD dissertation, by focusing on the African intellectual Alioune Diop, emphasizes the importance of the biography, put in French “biographie intellectuelle”, as a method in African history. It is presented as a manner to study the African past in order to get to know this past in a way which appears different but very important to discover some details not covered through methods based on events. Another feature of this reflection is the capacity it gives to consider non organized archives and interviews in a scientific work.

Under what conditions can peace be established after violent communal conflict? This question has received limited research attention to date, despite the fact that communal conflicts kill thousands of people each year and often severely disrupt local livelihoods. This dissertation analyzes how political dynamics affect prospects for peace after communal conflict. It does so by studying the role of the central government, local state and non-state actors, and the interactions between these actors and the communal groups that are engaged in armed conflict. A particular focus is on the role of political bias, in the sense that central government actors have ties to one side in the conflict or strategic interests in the conflict issue. The central claim is that political bias shapes government strategies in the face of conflict, and influences the conflict parties’ strategic calculations and ability to overcome mistrust and engage in conflict resolution. To assess these arguments, the dissertation strategically employs different research methods to develop and test theoretical arguments in four individual essays. Two of the essays rely on novel data to undertake the first cross-national large-N studies of government intervention in communal conflict and how it affects the risk of conflict recurrence. Essay I finds that conflicts that are located in an economically important area, revolve around land and authority, or involve groups with ethnic ties to central rulers are more likely to prompt military intervention by the government. Essay II finds that ethnic ties, in turn, condition the impact that government intervention has on the risk of conflict recurrence. The other two essays are based on systematic analysis of qualitative sources, including unique and extensive interview material collected during several field trips to Kenya. Essay III finds that government bias makes it more difficult for the conflict parties to resolve their conflict through peace agreements. Essay IV finds that by engaging in governance roles otherwise associated with the state, non-state actors can become successful local peacemakers. Taken together, the essays make important contributions by developing, assessing and refining theories concerning the prospects for communal conflict resolution.

Cette thèse de doctorat porte sur une facette encore peu explorée dans les études sur la démocratie et la participation : la diffusion internationale d’idées et de technologies sur la gouvernance participative. Les recherches récentes sur ce thème ont insisté sur l’influence des différents acteurs afin d’expliquer le phénomène de la diffusion, en accordant une attention particulière aux organisations internationales. La préconisation de modèles spécifiques de la part de ces institutions est fréquente, comme dans le cas du Budget Participatif (BP), qui, de nos jours, compte plus de 2800 expériences réparties à travers le monde. Cependant, les orientations des institutions internationales suffisent-elles à expliquer la diffusion d’idées et de technologies de gouvernance participative ? Située entre analyse de politiques publiques et étude des relations internationales, cette recherche de doctorat se propose d’examiner le processus de diffusion du BP, au travers d’une méthodologie qualitative, combinant entretiens approfondis, observation participante et analyse de documents. L’étude a été développée à partir d’un cas précurseur, Porto Alegre, et de différents cas de transfert en Afrique Subsaharienne et en Amérique Latine. Les résultats de la recherche semblent indiquer l’existence d’un flux global, de mouvements de diffusion régionale – comme dans la région des Andes –, et de mouvements ponctuels de transfert, au sein desquels le BP se déplace d’une institution à une autre, comme de Porto Alegre, au Brésil, vers la municipalité de Cotacachi, en Équateur, ou encore à Maputo, au Mozambique. L’action d’un ensemble d’individus a été fondamentale pour introduire le BP dans l’agenda international, ainsi que pour aider les processus de transfert à l’étranger. Une fois le BP légitimé au niveau international, les organisations internationales se démarquent, car elles financent les expériences, organisent des ateliers de formation de cadres et produisent du matériel d’implantation. / This thesis explores an obscure facet in studies about democracy and participation, namely the international diffusion of ideas and technologies on participatory governance. Recent researches on the topic highlight the influence of various actors to explain the diffusion phenomenon, drawing particular attention to international organizations. These institutions often recommend the use of specific models, as in the case of the Participatory Budgeting (PB), which currently accounts over 2800 experiences worldwide. Nonetheless, do recommendations from international institutions suffice to explain the transfer of ideas and technologies on participatory governance? Situated between public policy analysis and the study of international relations, this doctoral research seeks to examine the transfer of Participatory Budgeting through a qualitative methodology, combining in-depth interviews, participant observation and document analysis. This research is based on the analysis of the key case of Porto Alegre and several cases of transfer in Sub-Saharan Africa and Latin America. Research findings indicate there is a global flow, a regional diffusion, as in the Andes, and also isolated transfers, in which PB streams from one institution to another, as exemplified on the transfer from Porto Alegre, Brazil, to the municipality of Cotacachi, Ecuador, or to Maputo in Mozambique. It was found that the actions of a group of individuals were crucial to make PB part of the international agenda. These actors have also assisted to promote transfers abroad. Once Participatory Budgeting becomes legitimate abroad, international organizations play a bigger role since they finance these experiences, organize training workshops for staff and develop implementation manuals. / Esta tese de doutorado explora uma faceta ainda obscura nos estudos sobre a democracia e a participação, que consiste na difusão internacional de ideias e tecnologias de governança participativa. As pesquisas recentes sobre este tema têm insistido na influência de atores diversos para explicar o fenômeno da difusão, atribuindo ênfase especial às organizações internacionais. A indicação de modelos específicos da parte de tais instituições é frequente, como no caso do Orçamento Participativo (OP), que hoje conta com mais de 2800 experiências ao redor do globo. No entanto, seriam suficientes as orientações de instituições internacionais para explicar a difusão de ideias e tecnologias de governança participativa? Situada entre a análise de políticas públicas e o estudo das relações internacionais, a proposta da pesquisa de doutorado foi de examinar o processo de difusão do OP, por meio de metodologia qualitativa, combinando entrevistas em profundidade, observação participante e análise de documentos. O estudo foi desenvolvido a partir da análise de um caso de origem, Porto Alegre, e diversos casos de transferência na África Subsaariana e na América Latina. Os resultados de pesquisa apontam para a existencia um fluxo global, movimentos de difusão regional, como na região dos Andes, e movimentos pontuais de transferência, em que o OP se desloca de uma instituição à outra, como de Porto Alegre, no Brasil, para o município de Cotacachi, no Equador, ou ainda para Maputo, no Moçambique. Foi possível constatar que a ação de um conjunto de indivíduos foi fundamental para inserir o OP na agenda internacional, bem como para auxiliar nos processos de transferência no exterior. Uma vez que o OP se legitima no plano externo as organizações internacionais passam a fazer mais diferença, pois financiam experiências, organizam oficínas de capacitação de quadros e produzem manuais de implementação. A técnica utilizada para realizar este estudo foi a do “rastreamento do processo”, que procura identificar as cadeias de mecanismos causais que afetam um determinado fenômeno.

Public transport in many Sub-Saharan African cities consists of paratransit, mini-to-medium-sized buses, which provide public transport and operate demand-driven and unscheduled. This form of public transport is often seen as less safe, less dependable, and environmentally unfriendly. One common intervention is the development of a Bus Rapid Transit system. A Bus Rapid Transit system is characterized by its bus-only lanes and offers a cheaper solution to rail transit systems. The development of such a BRT system changes the structure of the public transport system as BRT often takes over the areas in which paratransit previously operated. This leads to clashes between the stakeholders of the two modes of transport, which can threaten the success of the system as well as the livelihood of the paratransit workforce. This paper uses socio-technical transition theory, as well as stakeholder theory, to provide a clear picture of the entire land passenger mobility system. The focus of this thesis lies on firstly, analyzing the question why the development of BRT is favored over the optimization of paratransit. Secondly, it looks at different interaction approaches between the multi- regimes scheduled public transport (BRT) and paratransit, which can lead to a successful public transport system. Lastly, socio-technical barriers (political, technical, socio-cultural, and economic) are analyzed to understand which obstacles have to be overcome and what corresponding measures are. The results show that the development of Bus Rapid Transit is favored over the optimization of paratransit. Paratransit is seen as unsafe and unreliable, while Bus Rapid Transit offers an efficient, reliable, eco-friendly solution which also targets vulnerable groups. Out of the four different interaction approaches, competition between BRT and paratransit, a hybrid form between paratransit and BRT, the replacement of paratransit, and the prohibition of paratransit, the hybrid form is seen as most successful, as it allows both systems to contribute their strengths. Lastly, the actors involved in the socio-technical system, and socio-technical barriers and corresponding measures were analyzed. The biggest take-away when looking at the actors of the land passenger mobility system is that all stakeholders have to be involved, which includes paratransit drivers and people working on and off the vehicles. This paper has shown that when these stakeholders are not included, there might be resistance that might compromise the success of the BRT. The socio-technical barriers used were divided into economic, financial, infrastructural, and socio-cultural barriers. A successful paratransit / BRT interaction benefits from the move from a target system to a monthly salary for the paratransit driver. There should both be regulations and incentives so that paratransit acts as a reliable partner for the BRT system. It should be noted that a successful BRT / paratransit interaction cannot easily be replicated in another country without looking at the urban form preconditions. Bus Rapid Transit is a feasible solution for many Sub-Saharan cities. For an encompassing public transport system to be successful and to outcompete the car, it is necessary that all stakeholders work together and contribute with their strengths.

Les migrants d’Afrique subsaharienne paient un lourd tribut au VIH/sida et à l’hépatite B en France, puisqu’ils représentaient en 2013 31% des découvertes de séropositivité au VIH et 40% des patients pris en charge pour une hépatite B chronique. Cette thèse a pour objectif de comprendre l’impact de la maladie dans des vies déjà marquées par la migration, dans une dans une perspective holistique, c’est-à-dire qui prend en compte les différents éléments structurants de la trajectoire, qu’ils soient résidentiels (dont la migration), familiaux, professionnels, administratifs etc. L’enquête Parcours a permis de collecter de façon quantitative les histoires de vie de 2468 migrants subsahariens en Ile-de-France, 926 vivant avec le VIH, 779 vivant avec une hépatite B (non infectés par le VIH) et 763 n’ayant aucune de ces infections. Les parcours de vie de ces personnes ont été recueillis au moyen d’un questionnaire biographique qui renseigne les éléments structurants de la trajectoire de vie (professionnels, familiaux, conjugaux, résidentiels, etc…). Pour analyser ces trajectoires, les méthodes classiques d’analyse de survie ont été mobilisées, ainsi que les méthodes d’analyse de séquence du type Optimal Matching. Les trajectoires d’installation des migrants en France, qu’ils soient ou non atteints par le VIH ou l’hépatite B, ont été marquées par une grande insécurité dans les premières années, insécurité en termes de logement, de titres de séjour et d’emploi qui a duré six ans en médiane. Bien souvent, l’annonce de la maladie a précisément eu lieu à ce moment de l’arrivée en France. La migration elle-même a eu un impact majeur sur les trajectoires de vie des personnes sur le plan familial et professionnel. L’annonce d’une hépatite B chronique n’a elle pas d’effet sur les trajectoire de vie, tandis que le VIH entraîne une détérioration importante du bien-être, sans pour autant influer sur les trajectoires de couple ou d’emploi. Enfin, les personnes ayant obtenu un titre de séjour pour soins sont discriminées dans leur accès à la carte de résident ou la nationalité française. / Migrants from Sub-Saharan Africa are very much affected by HIV/AIDS and hepatitis B in France; in 2013 they represented 31% of seropositivity discoveries for HIV and 40% of the patients taken in charge for a chronic hepatitis B. This thesis aims to understand the impact of illness in lives that are already affected by migration, in a holistic approach, which takes into account the different structuring elements of the trajectory, which may be residential (including migration), family-related, professional, administrative, etc. The Parcours survey is a quantitative biographical survey that collected 2468 life trajectories of Sub-Saharan migrants in Paris greater are, 926 living with HIV, 779 living with a chronic Hepatitis B (and not infected by HIV) and 763 who had neither of these two infections. These persons’ life courses have been collected with a biographical questionnaire which gathers information about different structuring elements of the life trajectory (professional, family-related, marital, residential, etc…). To analyse these life courses, classic survival methods were used, along with sequence analyses such as Optimal Matching. A common feature of all Sub-Saharan migrants’ integration pathways is the insecurity they experienced during their first years in France in terms of housing, legal documents and employment, which for most of them lasted more than six years and which was independent from the fact of being infected by HIV or chronic Hepatitis B. The diagnosis of illness often occured precisely at this moment of arrival in France. Migration itself had a major impact on life courses at the family and occupational level. The diagnosis for chronic Hepatitis B has no impact on life trajectories, whereas HIV diagnosis entailed an important degradation of well-being but did not impact on conjugal or employment trajectories. Finally, persons holding a permit of stay for health reasons are discriminated in their access to resident card or French nationality.

This thesis explores the association between the age gap between parents and health outcomes for children in Sub-Saharan Africa. An average man-older age gap between partners has been observed all over the world and is the largest in many Sub-Saharan African countries. A large age gap is common in patriarchal societies and has been associated with less female autonomy and impeded decision-making for the couple, resulting in less contraceptive use and a possible higher risk of interpersonal violence. This thesis examines another association with age gaps by focusing on the health outcomes for children in families with large and small age gaps between the mother and her partner. It is hypothesized that children will have worse health outcomes in families where the age gap between the mother’s partner and the mother herself is larger than average. Using data from the Demographic and Health Surveys (DHS), multilevel logistic regression is run to test the association between three health indicators while controlling for confounding variables such as mother’s age, education level and wealth. The health indicators are treatment of fevers, vaccination against measles and underweight. The results show some statistically significant associations, with all three variables supporting the hypothesis that children in age heterogamous families are doing worse. Children of couples with a larger than average age gap have lower likelihood of being treated for fever or cough, and a higher likelihood of being underweight, and children of couples with a smaller than average age gap have a higher likelihood of having received the first measles vaccination. The results show that the age gap between parents is a factor to take into consideration when studying child health and family structures in Sub-Saharan Africa.

L’Afrique sub-saharienne (SSA) se caractérise par une croissance démographique rapide et une pauvreté notoire. Cette région du monde fait face à une charge de morbidité causée à la fois par les maladies infectieuses traditionnelles et par l’émergence des maladies chroniques. Les essais contrôlés randomisés (ECR) prenant en compte le contexte local sont nécessaires pour renforcer les politiques de santé publique et améliorer l’état de santé des populations. Toutefois à cause des capacités limitées de recherche, les ECR conduits en ASS doivent répondre à des questions prioritaires, les biais (erreurs systématiques) doivent être évités dans les méthodes, et les interventions de santé évaluées doivent être décrites de manière pour faciliter leur implémentation dans la pratique clinique courante. Ces mesures permettent d’éviter le « gâchis de la recherche ». Nos objectifs étaient de décrire l’épidémiologie des ECR conduits en ASS, et d’évaluer la qualité méthodologique (risque de biais) ainsi que le « reporting » des interventions évaluées. Nos travaux ont montré d’une part qu’en ASS, les ECR portent fréquemment sur les maladies à forte morbi-mortalité dans cette région ; mais que les financements des recherches effectuées proviennent surtout des pays à haut revenu (Europe occidentale et Amérique du Nord), et que les auteurs correspondants sont majoritairement affiliés aux institutions des pays à haut revenu. D’autre part, nous avons montré que les méthodes à haut risque de biais peuvent être évitées au moyen d’ajustements méthodologiques simples au coût mineur. L’amélioration de la qualité méthodologique des ECR conduits en ASS implique une large diffusion des méthodes à faible risque de biais ainsi que celle des recommandations pour la description complète des interventions. En outre, une compréhension des barrières et des facilitateurs à l’adhérence à ces méthodes et à ces recommandations est également nécessaire. / Sub-saharan Africa (SSA) is characterized by a high population growth and a significant poverty. In addition, this area deals with a burden of disease due to both traditional infection diseases and the emerging chronic diseases. Randomised controlled trials (RCTs) taking into account the local context are needed to strength health policy and to improve the population health. However, because of constraint research capacities, RCTs performed in SSA must investigate relevant research questions, biases must be avoided in methods, and health interventions evaluated must be reported completely for easing implementation in current clinical practice. Such efforts help to avoid waste of research. Our objectives were to describe the epidemiology of SSA RCTs, and then to evaluate the methodological quality as well as the reporting of evaluated interventions. On the one hand, our works highlighted that SSA RCTs mainly focused on diseases of the highest burden in that area, although they were frequently funded by high-income countries, and most of the corresponding authors were affiliated to those countries. In the other hand, we have shown that methods at high risk of bias can be avoided through simple methodological adjustments of minor cost. Improving the methodological quality of SSA RCTs implies a large dissemination of available methods at low risk of bias and guidelines on the complete reporting of interventions. Furthermore, understanding barriers and facilitators to the uptake of those methods and guidelines is equally required.