ADOLESCENTS HEALTH IN MALI / SANTÉ DES ADOLESCENTES AU MALI (SAM)


Reporting Organization:Canadian Red Cross
Total Budget ($CAD): $ 150,000,000
Timeframe:June 14, 2021 - June 30, 2026
Status:Implementation
Contact Information: Sanaa Bouchiki
[email protected]

Partner & Funder Profiles


Reporting Organization


Canadian Red Cross

Participating Organizations


Funders (Total Budget Contribution)


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Location


Country - Total Budget Allocation


Mali - $ 150,000,000.00 (100.00%)

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Areas of Focus


Health - Total Budget Allocation


Adolescent Health (16.67 %)

Health Systems, Training & Infrastructure (16.66 %)

Primary Health Care (16.66 %)

Reproductive Health & Rights incl. Maternal Health (16.66 %)

Newborn & Child Health (16.66 %)

Health Promotion & Education (16.66 %)

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Description


The five-year Adolescent Health in Mali project, whose ultimate goal is to improve the health, rights and well-being of adolescent girls in targeted rural areas, is implemented by the Canadian Red Cross (CRC) in collaboration with the Mali Red Cross (MRC), and with the contribution of the D-Lab of the Massachusetts Institute of Technology (MIT) in Creative Capacity Building (RCC) and Centre pour la promotion des droits de l’homme et du développement en Afrique (CPHDA). It takes place in three districts in the Koulikoro region: Kati, Fana and Ouélessébougou, and have an estimated population of 1,321,000 in 2020 (of which 50.5% are women and nearly a quarter, or 24%, are adolescents aged 10 to 19). The intervention is part of the implementation of the Ministry of Health’s Essential Care in the Community (ECC) Strategy, which covers rural communities located more than five kilometres from a Community Health Centre (CHC). The project is expected to reach approximately 575,000 direct beneficiaries (50 per cent of whom are women) and 1,312,000 indirect beneficiaries, with particular attention to the adolescent population.  

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Target Population


Gender and age: Adolescent females Adolescent males Adult men Adult women Children, boys Children, girls Newborns
Total Direct Population:575,000
Total Indirect Population:1,312,000
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Outputs


1
2
3
4
5
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Results & Indicators


Expected Results


Improving sexual and reproductive health and rights (SRHR) practices for adolescent girls in targeted rural communities 

Reduction of the practice of early marriage among adolescent girls (10 – 19 years) in targeted rural communities 

Improved maternal, newborn and child health (MNCH) practices in rural communities, particularly among adolescent mothers and fathers

Achieved Results


The project is in its third year of implementation. A baseline survey was conducted to measure half of the outcome indicators using cellphones in interactive voice response with a sample size of 3200 people, replacing the planned household survey, due to the pandemic. Most of the activities have started already with a few witnessing some delays. The project is built on the successful approaches in a 5-year MNCH project between 2016-2021. It is advancing the Ministry of Health’s objectives in adolescent SRHR. While it uses the Ministry’s data collection system for community-based health, it has developed complementary data collection tools and indicators for adolescent health, including adolescents with children, that the Ministry has shown interest in monitoring. The staff of primary health clinic reported on the change in their knowledge and attitude on delivering SRHR services to adolescents after attending the training. Many reported they were not aware that they can provide such services to adolescents especially non-married ones when it comes to counseling on family planning and providing contraceptives. It is expected that this change is going to be reflected in their practice. The project also supported the MoH revise its guide for rural maternity facilities and make it inclusive to the provision of SRHR services for adolescents. 

Indicators


SRHR-related Indicators
  • # of health care service providers trained in SRHR services
  • # of people provided with modern contraception (by method)
  • # of women and girls (age) provided with access to sexual and reproductive health services, including modern methods of contraception
  • % of women who decided to use family planning, alone or jointly with their husbands/partners
MNCH-related indicators
  • # of district/health facilities that use sex disaggregated data to inform health service delivery
  • %/total of health workers (male/female) trained and using their learned skills
  • %/total of mothers, and %/total of babies, who received postnatal care within two days of childbirth
  • %/total of sick children under 5 receiving treatment for malaria, pneumonia, or diarrhea
  • %/total of women attended at least four times during pregnancy by any provider for reasons related to the pregnancy
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    Associated Projects (If applicable)


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