Concerted Efforts in Maternal, Newborn and Child Health in Mali and Peru


Reporting Organization:Carrefour de solidarite internationale
Total Budget ($CAD):$ 4,631,342
Timeframe: March 24, 2016 - March 31, 2020
Status: Implementation
Contact Information: Daniel Vanoverschelde
[email protected]

Partner & Funder Profiles


Reporting Organization


Carrefour de solidarite internationale

Participating Organizations


  • Academia and Research

    • Reseau de sante de La Convencion
  • Government and Public Sector

    • CIUSSS de l'Estrie-Chus
    • Centres de sante de reference - cercle Baraouelli
    • Centres de sante de reference - cercle Dioila
    • Global Affairs Canada
    • Government of Peru - Ministry of Health
  • NGOs

    • Associations de santé communautaire (ASACO)
    • Ayni Desarrollo
    • Centres de sante communautaires (CSCOM)
    • Kilabo Association

Funders (Total Budget Contribution)


  • Government and Public Sector

    • CIUSSS de l'Estrie-Chus (1.00%)
    • Global Affairs Canada (83.00%)
  • NGOs

    • Carrefour de solidarite internationale (15.00%)
  • Private Sector

    • Journal la Tribune
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Location


Country - Total Budget Allocation


Mali - $ 2,315,671.00 (50.00%)

Peru - $ 1,759,909.96 (38.00%)

Canada - $ 555,761.04 (12.00%)

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Areas of Focus


Health - Total Budget Allocation


Nutrition (40 %)

Reproductive Health & Rights incl. Maternal Health (40 %)

Newborn & Child Health (20 %)

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Description


The project aims to reduce maternal and perinatal mortality in 12 rural communes in Mali
located in the regions of Koulikoro and Segou and in the districts of Echarate and Megantoni in Peru. The
activities include: 1) training on perinatal health, delivery techniques,
animation / awareness, front-line perinatal health services for mothers
and to children, interculturality; 2) the equipment of 12 community health centers
(CSCOM), 75 maternities in Mali and ten health centers in Peru; 3) the production and dissemination of
television and radio reports on perinatal health and nutrition issues
specific to mothers, newborns and children under five; 4) support for
local production of food through agricultural cooperatives; 5) training courses for
men and women representatives of civil society organizations (CSOs), women
in perinatal health, elected officials, CSCOMs and professionals (men and women) on the
quality of perinatal health services, vigilance community and collaborative management of
Maternal and Perinatal Health Services and 6) Canadian Public Health Awareness
mothers, newborns and children (MNCH).

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Target Population


Gender and age: Adult women Adult men Adolescent females Adolescent males Under-5 children Newborns
Descriptors: Rural
Total Direct Population: 75,884
Total Indirect Population: 115,000
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Outputs


Ateliers de formation agent.es communautaires
Implantation de jardins et autres
1 Ateliers de formation et accompagnement
1 Salle d'urgence obstétrique équipée
139 Répliques éducatives en nutrition données dans les communautés
193 Hommes formés et participant aux comités de vigilance communale
23 Aménagement de parcelles
273 Journées d'accompagnement réalisées par les partenaires locaux
278 Femmes formées et participant aux comités de vigilance communale
32 Séances de sensibilisation aux communautés données
56 Ateliers de formation pour agent.es communautaires donnés
575 Agentes équipées adéquatement
64 Coopératives agricoles constituées
8 Centres de santé avec leurs équipements complétés
8 Maisons maternelles rénovées et équipées
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Results & Indicators


Expected Results


Implement networks of perinatal health and nutrition officers trained adequately to cover all targeted communities. Strengthen the capacities of medical staff in perinatality, women’s rights and interculturality. Equip adequately targeted health centers and set up maternal homes in Peru for women or children with complications. Sensitize the community population on perinatal complications and nutrition. Implement food security projects. Establish vigilance committees in perinatal health favoring better consultation between health centers and targeted communities and to improve the delivery of health services. Increase the number of prenatal visits, institutional deliveries, the rate of nutritious food consumption and the rate of contraceptive use (Peru only). Reduce maternal and infant mortality in targeted areas.

Achieved Results


At the intermediate level some data were obtained in Peru only. A slight increase in prenatal follow-up of 4%, institutional deliveries of 6% and contraceptive use by 16% in the district of Megantoni. However, it is difficult to rely on data from the Ministry of Health because record keeping is deficient. At the more immediate level, 575 health workers were trained in Mali and Peru, 60 health professionals in Peru were trained in obstetric and neonatal emergencies as well as in vertical deliveries, women’s rights and interculturality. Health centers in Peru have all been equipped with modern equipment such as portable ultrasound scanners and staff trained in their proper use. 8 nursery houses have been renovated and are in operation (133 women attended them). These homes allow women in remote areas to stay close to health centers with their families, and are nurtured.

In Mali, training for professionals has not started, but the health and maternity centers have received a first batch of equipment. In both countries vigilance committees have been set up in the 12 communities in Mali and the 8 main communities in Peru. This already improves relations between health centers and communities, identifying weaknesses and proposing improvements as was the case in Peru in the vertical delivery rooms that have been set up in health centers. health. In Mali, 63 agricultural cooperatives have been formed and food production activities are well under way. 23 vegetable plots were installed with the production of moringa.

In both countries, more than 10,000 people were sensitized and informed about the complications of pregnancy and healthy nutrition. In Peru, food security projects will soon be completed, including a pilot iron supplement project with the “Lucky Iron Fish”. Training and sensitization on sexual and reproductive health was also conducted in Peru.

Indicators


SRHR-related Indicators
  • # of women and girls (age) provided with access to sexual and reproductive health services, including modern methods of contraception
MNCH-related indicators
  • %/total of health workers (male/female) trained and using their learned skills
  • %/total of infants (0-5 months) who are fed exclusively with breast milk
  • %/total of women attended at least four times during pregnancy by any provider for reasons related to the pregnancy
  • Relevant data collection on vital statistics (birth, deaths, and causes of deaths) are collected
  • Women’s groups/CSOs participating in the development of strategies and/or projects
SDG Goal 2. End hunger, achieve food security and improved nutrition and promote sustainable agriculture
  • SDG 2.1.2 Prevalence of moderate or severe food insecurity in the population, based on the Food Insecurity Experience Scale (FIES)
SDG Goal 3. Ensure healthy lives and promote well-being for all at all ages
  • SDG 3.1.1 Maternal mortality ratio
  • SDG 3.1.2 Proportion of births attended by skilled health personnel
  • SDG 3.2.1 Under‑5 mortality rate
  • SDG 3.2.2 Neonatal mortality rate
  • SDG 3.7.1 Proportion of women of reproductive age (aged 15–49 years) who have their need for family planning satisfied with modern methods
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Sub Projects


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