ABSTRACT
This study interrogates the interrelations between religious practices, spirituality and biomedical health-care seeking in the management of prostate cancer in Côte d’Ivoire (Abidjan), within a context characterised by therapeutic pluralism and the pronounced salience of religion. The central problematisation examines how socially and spiritually constructed symbolic meanings of illness shape patients’ care trajectories. The objective is to understand how faith, religious beliefs and spiritual practices influence therapeutic decision-making, medical adherence, and the temporalities of engagement with health services. Employing a qualitative methodology, the study draws on semi-structured interviews with men living with prostate cancer, health-care professionals and religious leaders, complemented by an interpretative discourse analysis. Findings indicate that the illness is frequently construed as a spiritual trial, a sanction, or a divine test, legitimising concurrent or alternating recourse to prayer, religious interventions and biomedical care. The discussion highlights logics of complementarity, alongside tensions between medical rationality and religious rationality. In conclusion, the study underscores the social utility of an integrative approach to care that is attentive to patients’ symbolic universes, thereby enhancing therapeutic adherence and the effectiveness of prostate cancer control policies in Côte d’Ivoire.

ABSTRACT
Africa, despite its minimal contribution to the global greenhouse gases emissions, is disproportionally affected by climate change. This crisis primary driven by human activities, manifest in unpredictable weather patterns, decline in food production and livestock numbers, spread of vector-borne diseases, and melting ice caps. Despite awareness of the causes and impacts, the situation persists. This article argues that ethical leadership and sustainable development are crucial for addressing Africa’s climate challenges. Its analysis is based on two philosophical ethical theories: utilitarian ethical theory and deontological ethical theory. Utilitarian ethics, emphasizing the greatest good for the greatest number, guides leaders in making decisions that benefit the majority of their citizens through sustainable practices. Deontological ethics, focusing on moral duty and respect for individuals and future generations, underscores the need for ethical leadership that prioritizes environmental protection. By combining these ethical frameworks, this paper proposes a model for ethical leadership in Africa. This approach, informed by utilitarian ethics, deontological theory, and Plato’s concept of philosopher-king, provides a foundation for effective environmental protection and sustainable development, ensuring a more equitable and resilient future for Africa.

ABSTRACT
Health promotion has now become a major field of reflection and intervention within public health. It reflects a gradual shift from an essentially biomedical conception of health towards a comprehensive approach that takes into account the social, economic, cultural, political and environmental dimensions of health and illness processes. This course offers a sociological perspective on health promotion, considering it not merely as a technical approach to health intervention, but as a social, institutional, political and relational process. In particular, it seeks to understand how material living conditions, social positions, power relations, available resources and collective representations contribute to producing differentiated health outcomes. The course is organised around four complementary areas: the conceptual and ethical foundations of health promotion; the actors involved and institutional dynamics; the social, economic and environmental determinants of health; and, finally, intervention methodologies and strategies. Particular attention is given to empowerment, community participation, health democracy, intersectoral collaboration and action research. The overarching pedagogical aim is to enable students to understand the social mechanisms underlying the production of health inequalities and to develop the critical capacity required to analyse, design and evaluate health promotion policies and interventions.

ABSTRACT
Regional inspectorates are expected to embody the discipline they audit, and Indonesia's Government Regulation No. 30 of 2019 treats discipline and commitment as behavioural components of civil servant performance. This study examines the partial and simultaneous effects of work discipline and civil servant loyalty on employee performance at the Regional Inspectorate of West Kutai Regency. Using an explanatory quantitative design, a closed Likert-scale questionnaire grounded in Hasibuan's discipline and loyalty indicators and Robbins and Judge's performance dimensions was administered to all 87 non-structural employees through saturated sampling. Data were analysed using descriptive statistics, assumption tests, and multiple linear regression. Work discipline had a positive and significant effect on performance (β = 0.894, p < 0.001), whereas loyalty had no significant partial effect (β = −0.018, p = 0.815). Jointly, the two variables were significant (F = 145.538, p < 0.001) and explained 77.6% of performance variance. Further decomposition shows that loyalty correlates substantially with performance on its own (r = 0.647) yet adds no explanatory power once discipline is controlled, suggesting that loyalty registers in performance only when it is expressed as rule-compliant conduct. The findings call for appraisal practices that recognise commitment beyond compliance.