| Reporting Organization: | Government of Mali - Ministry of the Economy and Finances |
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| Total Budget ($CAD): | $ 14,000,000 |
| Timeframe: | March 29, 2011 - June 29, 2012 |
| Status: | Completion |
| Contact Information: | Unspecified |
Government of Mali - Ministry of the Economy and Finances
| Mali - $ 14,000,000.00 (100.00%) | |
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| Primary Health Care (35 %) | |
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| Health Systems, Training & Infrastructure (20 %) | |
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| Reproductive Health & Rights incl. Maternal Health (20 %) | |
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| Infectious & Communicable Diseases (15 %) | |
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| Nutrition (5 %) | |
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| Sexual Health & Rights (5 %) | |
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The project aims to improve maternal, newborn, and child health in Mali. It supports the Ministry of Health of Mali in implementing the National Health and Social Development Program, especially making health services geographically and financially accessible, meeting demand, improving the quality of services, and building institutional capacity. As with all budget support initiatives, Canada is working in close cooperation with other donors and the Government of Mali to strengthen its aid effectiveness, by focussing on effective, transparent, and accountable country systems; increasing donor coordination and harmonization; and strengthening mutual accountability. Sector-wide budgetary support also fosters greater policy dialogue among CIDA, government, and partners, thus helping to strengthen efforts for effective, focussed aid, as well as long-term development results. This initiative is continuously monitored and evaluated in coordination with other donors. The initiative’s expected results include a stronger health care system that better meets the needs of women, men, and children; improved prevention and treatment of HIV/AIDS, malaria, diarrhoea, respiratory diseases, and other infectious diseases targeted by an expanded program on immunization; and better nutrition for children under five and pregnant women. This project is part of Canada’s Maternal, Newborn and Child Health commitment. This project is one of two parts of a $64 million contribution.
| Gender and age: | Unspecified |
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| Total Direct Population: | Unspecified |
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The first component of this $14 500 000 initiative was completed in 2012. The Canadian contribution through the Maternal, Newborn and Child Health Budget Support Initiative helped the Malian government’s efforts to improve the indicators. During the same period, although not all the Millennium Development Goals mortality targets were met, there was a significant improvement in all mortality indicators. Infant mortality indicators exceeded the MDG targets. Between 2006 and 2012, the maternal mortality rate fell from 464/100000 to 368/100000, the neonatal mortality rate fell from 46/1000 to 34/1000, the infant mortality rate from 96/1000 to 56/1000, and the infant and child mortality rate from 191/1000 to 95/1000. With respect to strengthening the health system at the regional level, Canada advocated for a better distribution of resources by negotiating an HBS allocation plan to ensure that resources go more to the recipient regions, at a ratio of 60% to the regions, 30% to the central level, and 10% to hospitals and other specialized structures. Canada provided ongoing support for holding PRODESS meetings at all levels in order to improve the management and governance of the health system. A good example of how the system has been strengthened is the system’s resistance in the face of two major crises: the crisis in the North and a population influx to the South. While the health system was completely destroyed in northern Mali, the South was able to deal with the population influx and to continue to provide essential services. However, the PMF reports that the nutritional situation remains below targets. Noteworthy out of the three nutrition indicators: the percentage of pregnant women who received iron increased from 61% to 67% between 2006 and 2011.
