The objective of this study was the characterisation of the traditional milk chain in Western Region (The Gambia) and Kolda (Southern Senegal); and the analysis of milk chain actors' risk behaviours for milk-borne diseases transmission. For this purpose, cattle herds involved in milk production, milk collectors, milk vendors and small-scale milk processing units were surveyed in the two study sites. A similar general milk chain organisation was found in the two sites with some particularities in farm management, compliance with hygienic measures at different levels, treatment of milk and milk consumption patterns. This results in a variable degree of risk of consumers' exposure to milk-borne diseases. Although the quality of the milk has been improved with the development of small-scale milk processing units, serious efforts are still needed with respect to pasteurisation procedure and to change the mindset of consumers who prefer in their majority drinking raw milk, fresh or soured, without any prior treatment.