Strengthening Decentralized Health Systems

Reporting Organization:Unite de sante internationale-Universite de Montreal
Total Budget ($CAD):$ 19,000,000
Timeframe: February 26, 2010 - December 31, 2020
Status: Implementation
Contact Information: Unspecified

Partner & Funder Profiles

Reporting Organization

Unite de sante internationale-Universite de Montreal

Participating Organizations

Funders (Total Budget Contribution)

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Country - Total Budget Allocation

Mali - $ 19,000,000.00 (100.00%)

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Areas of Focus

Health - Total Budget Allocation

Primary Health Care (60 %)

Health Systems, Training & Infrastructure (20 %)

Health Promotion & Education (10 %)

Nutrition (10 %)

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The project aims to improve the health of populations living in four regions in Mali (Kayes, Tombouctou, Gao, and Kidal), with a primary focus on women and children. Project objectives are: improvement of health services management by key stakeholders (community health associations, territorial communities, and decentralized health institutions); improvement of the quality of social and health services provided to populations in the four regions, specifically targeting women and children; and increasing the usage by these populations of preventive and curative health services. The project supports the Ministry of Health in implementing its sector strategy, focusing on improving geographic and financial accessibility of health services, meeting demand, improving service quality and usage, and building institutional capacity. Through the technical assistance (International Health Unit consortium/CARE Canada/Centre for International Studies and Cooperation (CECI)) as well as the direct financial assistance components, this project supports the Division for Regional Health (DRS) and the Division for Regional Social Development (DRDS) in the regions of Gao, Kidal, Tombouctou and Kayes. The project supports civil cociety through the Fédération nationale des associations de santé communautaire (FENASCOM) and its members as well as the community health associations (ASACOs). It also provides support at the local level to community associations to which the Government of Mali has transferred health care capacities.

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Target Population

Gender and age: Unspecified
Total Direct Population: Unspecified
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Results & Indicators

Expected Results


Achieved Results

Results achieved as of March 2016 include: (1) the rate of maternal deaths from obstetrical complications in institutions decreased from 0.9% in 2013 to 0.08% in 2015; (2) the neonatal mortality rate remained the same in 2015 as in 2014 (37 deaths out of 1,000); (3) the rate of neonatal deaths in institutions decreased from 0.5% in 2013 to 0.3% in 2015; (4) the number of villages with transportation to a healthcare centre increased from 370 in 2014 to 1,069 in 2015; (5) the percentage of healthcare centres offering obstetrical and urgent neonatal care reached 20% in 2015 (compared to 14% in 2014); (6) the percentage of community health centres (CHCs) equipped with a functional malnutrition testing and management service remained stable; (7) the number of CHCs equipped with an incinerator or a burner increased from 10 in 2014 to 64 in 2015; (8) the number of mutual assistance agreements signed increased from 358 in 2014 to 391 in 2015; (9) the number of joint committees set up to monitor mutual assistance agreements increased from 85% in 2014 to 98% in 2015; (10) the rate of post-natal consultations increased from 32% in 2013 to 35% in 2015.

These results help to improve people’s health, particularly of women and children, and increase access to basic health care in the Kayes, Sikasso and Ségou regions.


  • None Selected
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Associated Projects (If applicable)

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