Senegal has long relied on local communities to expand health services and improve health outcomes for citizens and is internationally lauded for its effectiveness in promoting good health and facilitating local trust. Here we examine how community health care emerges in Keur Toma, a rural Wolof town in the Senegal River Valley that relies on a global network of labor migrants to fuel its remittance‐based economy. Largely through its hometown association and the migrant men abroad who fund it, Keur Toma has built and sustained the local health infrastructure and staffing essential to achieving health care accessibility, providing consistent investment and critical stop‐gap funding when government assistance falters. Following Robbins's call for investigating “an anthropology of the good,” we highlight the deeply rooted sense of care and obligation to kin and community that fosters the translocal ties that make Keur Toma's health care possible in the state's absence. We highlight what Ngom calls “sanctified suffering”—which valorizes personal fortitude and the ability to endure hardships for family and community, shaped by traditions of solidarity, mutual aid, and Islamic morality—and its role in migrants' hometown commitments to building stronger communities.

中文翻译：

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神圣的苦难和共同利益：塞内加尔小镇的跨地方医疗保健服务

塞内加尔长期以来一直依靠当地社区来扩大卫生服务并改善公民的健康状况，并因其在促进良好健康和促进当地信任方面的有效性而受到国际赞誉。在这里，我们研究了凯尔托马 (Keur Toma) 的社区医疗保健是如何出现的。凯尔托马是塞内加尔河谷的一个沃洛夫乡村小镇，依靠全球劳务移民网络来推动其以汇款为基础的经济。 Keur Toma 主要通过其家乡协会和为其提供资金的海外移民男子建立并维持了当地的卫生基础设施和人员配置，这对实现医疗保健的可及性至关重要，并在政府援助出现问题时提供持续的投资和关键的临时资金。继罗宾斯呼吁调查“善的人类学”之后，我们强调了根深蒂固的对亲属和社区的关怀和义务，这种意识促进了跨地方的联系，使凯尔托马在国家缺席的情况下能够获得医疗保健。我们强调恩戈姆所说的“神圣的苦难”——它强调个人的毅力以及为家庭和社区忍受苦难的能力，这是由团结、互助和伊斯兰道德传统塑造的——以及它在移民家乡建设更强大社区的承诺中的作用。