Project profile — Continuing Support for Maternal, Newborn and Child Health - Phase II, Component 2

• Mali (100.00%)

• Basic health care:
Basic health care (12220) (60.00%)
Basic health infrastructure (12230) (5.00%)
Basic nutrition (12240) (5.00%)
Infectious disease control (12250) (30.00%)

• ICT as a tool for development (not targeted)
• Youth Issues (not targeted)
• Trade development (not targeted)
• Indigenous Issues (not targeted)
• Climate Change Adaptation (not targeted)
• Disability (not targeted)
• Children's issues (significant objective)
• Desertification (not targeted)
• Biodiversity (not targeted)
• Environmental sustainability (cross-cutting) (principal objective)
• Participatory development and good governance (not targeted)
• Urban issues (not targeted)
• Climate change mitigation (not targeted)
• Gender equality (significant objective)
• Nutrition (significant objective)

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.

The expected outcomes for this project include: (1) a strengthened health system that better meets the needs of women, men and children (girls and boys) for sustained reduction in maternal, newborn and child mortality; (2) improved prevention and treatment for HIV/AIDS, malaria, diarrhea, respiratory diseases and other infectious diseases targeted by the expanded program on immunization; and (3) improved nutritional status for children under five (girls and boys) and pregnant women.

Results achieved as of March 2018 include the following: 1) an increase in the proportion of HIV positive pregnant women put on standard antiretroviral therapy, from 95.5% to 98.5% between 2016 and 2017; and 2) the tuberculosis detection rate increased from 67% in 2016 to 78% in 2017. In summary, the project helped to limit mother-to-child HIV transmission and save the lives of newborns. The project supported the construction and/or rehabilitation of health centres and their provision of materials, equipment, inputs and supplies to make them more functional and accessible. This had an impact on the proportion of patients admitted through referral/evacuation, which increased from 2.5% in 2016 to 35.2% in 2017. During the same period, the per-capita ratio of health care personnel (health care personnel per 10,000 inhabitants) increased from 5.2% in 2016 to 6% in 2017. This support had a positive impact on the rate of births attended by qualified personnel, which increased from 30.3% in 2016 to 32.1% in 2017.

• Proactive disclosure
• Related activities: Continuing Support for Maternal, Newborn and Child Health - II