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administration. Final section outlines options for the Senegalese
government to consider with regard to the future development of
medical, health, and health-related research in the country.
180. Wade, M.A. Approche Sanitaire du Sgn6gal. Marseille: Universit6 de
Marseille II, 1975, 118 p.; maps; tables.
Analysis of delivery systems, social considerations,
institutional framework, medical personnel, medicine supplies,
and mortality rates.
181. Westinghouse Health Systems. Final Report of Program Development in
Support of Senegal Rural Health Services Development. Columbia,
MD: Westinghouse Health Systems, July 1976, unpaged. (Report
prepared for USAID).
Report of a team which conducted an on-site review of rural
health services in the Sine-Saloum, led to the preparation, in
cooperation with USAID/Dakar, of a Project Paper on rural health
services.
D. Migration and Employment
182. Adams, Adrian. Le Long Voyage des Gens du Fleuve. Paris: Maspero, 1977,
222 p.; bibl.
Analysis of history of migration from the Senegal River
Valley to France. The author examines the impact of development
programs in the region on migration both before and after World
War II. The present development setting in the Bakel region is
discussed with a focus on peasant agricultural organizations. The
author views the current situation as one of 'development for the
peasantry' versus 'development for the civil servant', i.e., state
agricultural administration agents. The establishment of the
OMVS is seen as an extension of government control of the region.
An annex to the study presents the by-laws of a peasant federation
organized in the Soninke zone of Bakel.
183. Adams, Adrian. "Prisoners in exile: Senegalese workers." In: Peasants
and Proletarians: The Struggle of Third World Workers, ed. by R.
Cohen, P. Gutkind and P. Brazier, pp. 307-330. New York: Monthly
Review Press, 1979.
Article focuses on the Tukulor and their migration from
the Senegal River Valley to France. The Tukulor movement, first
to Dakar and then to France is examined in historical perspective,
with an analysis of the impact of land reform on the region. The
migrants' poverty in Dakar and France is discussed. The author
concludes that the migration to France is advantageous to both the
Senegalese and French economic systems in that Senegal is relieved
of an unemployment problem and France is supplied with cheap labor,
an arrangement which is compared to the labor reserves of South
Africa.