'I coach them, I treat them, I listen to them': the multifaceted role of the coach -a qualitative study on stakeholders' perspectives on injury prevention and management in Senegal (Africa)

Objective To explore sports injury prevention and management strategies, barriers and facilitators, within an elite sport context in Senegal, by giving voice to the stakeholders (including coaches, health professionals, athletes) that are working or competing in the country. The study was conducted as Senegal prepares to host the Youth Olympic Games in 2026. Methods Between February and May 2025, we conducted a qualitative study, with 16 semistructured interviews of athletes (n=5), coaches (n=7) and health professionals (n=4) locally involved in sport at the national level. Interviews were transcribed verbatim and then analysed following the three coding phases of grounded theory: open coding, axial coding and selective coding, before being analysed using ATLAS. ti software. Results According to these Senegalese elite sports stakeholders, injury prevention is mostly informal and individually led by coaches, often lacking alignment with international standards. Intervention remained reactive rather than proactive and injury management was limited by financial, logistical and cultural constraints. Coaches emerged as central and versatile stakeholders, frequently taking on medical, educational and emotional roles in the absence of structured multidisciplinary systems. Gender-determined practices and mental health stigma further complicated care, especially for women athletes. Conclusion This study highlights the essential role of coaches in injury prevention and management within sports structures of Senegal, even at the elite level. Our findings underscore the need to strengthen support structures with appropriate tools, education and resources. Developing context-specific and culturally relevant strategies is crucial to improve athlete health and promote injury prevention practices in resource-limited settings. HOW THIS STUDY MIGHT AFFECT RESEARCH, PRACTICE OR POLICY ⇒ Findings support the urgent need for the adaptation of evidence-based educational tools and training strategies to be context-specific, low-cost and culturally grounded for low-resource countries. ⇒ The study can inform policymakers and guide the design of injury prevention programmes aligned with the Olympic values of safety, inclusion and equitable access to sport, particularly in the context of the 2026 Youth Olympic Games in Dakar. Protected by copyright, including for uses related to text and data mining, AI training, and similar technologies.