Project profile — Support to Maternal and Neonatal Evacuation in the District of Kayes



Overview 

CA-3-A035209001
$19,660,425
Government of Mali – Ministry of Health
2012-02-02 - 2020-06-30
Closed
Global Affairs Canada
WGM Africa

Country / region 

• Mali (100.00%)

Sector 

• Basic health care:
Basic health care (12220) (5.00%)
Basic health infrastructure (12230) (5.00%)
Health education (12261) (5.00%)
Health personnel development (12281) (5.00%)
• Population policy and administrative management:
Population policy and administrative management (13010) (10.00%)
Reproductive health care (13020) (40.00%)
Family planning (13030) (15.00%)
Personnel development for population and reproductive health (13081) (15.00%)

Policy marker 

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

Description 

This pilot project aims to contribute to reducing maternal and neonatal mortality in four districts of the Kayes region. It supports the Government of Mali with the implementation of its Health and Social Development Plan (PRODESS), specifically to improve Maternal and Neonatal Health. The project is designed to complete the integrated community-level health system thereby strengthening the referral and evacuation plan, including the transport of pregnant women from villages to community health centres. The project comprises two complementary components: The first component takes the form of direct financial support to the four selected district authorities through the Regional Health Directorate. It aims to make new resources available for upgrading or building new health units, ensuring key services are available (e.g. emergency obstetric care, prevention of mother-to-child transmission of HIV/AIDS), having appropriate transportation in place, and ensuring availability and quality of qualified personnel, medicines and medical supplies. The second component is providing technical assistance by a Canadian support agency to assist the four districts with the implementation of their operational plans. It aims to help the local communities to get organized in order to set up in their villages a system to effectively reduce the delay in getting women in labour to the health centre. This component also contributes to strengthening the capacity of the local structures to plan and manage human and financial resources as well as to monitoring results. Part of the resources of this pilot project are being dedicated for the analysis of the results and the development and implementation of a results-dissemination strategy designed to inform the possible scaling up of this initiative. This project is part of Canada's Maternal, Newborn and Child Health commitment.

Expected results 

The expected outcomes for this project include: 1) reduction of first and second delays in referral/evacuation of pregnant women from intervention circles, including mitigation of socio-economic and socio-cultural determinants that reduce women's decision-making power; (2) improved access, utilization and quality of maternal and neonatal health services in intervention circles, including through the use of a gender-sensitive approach. 3) Improved capacities of the intervention circle health teams in planning, managing and monitoring all maternal and neonatal health activities, including the capacity to collect, analyze and use gender-disaggregated data, in order to obtain all the data needed to develop an intervention model that can be generalized across Mali.

Results achieved 

Results achieved as of the end of the project (June 2020) include: (1) the lethality of direct obstetric complications decreased from 1.84% in 2015 to 0.28% in 2019; (2) the rate of births assisted by qualified staff increased from 22.36% in 2015 to 62.20% in 2019; (3) 90% of the population is covered by a “minimum package of health services” within a radius of less than 15 kilometers; and (4) 100% of the 109 health areas now have a motorized ambulance and, between 2015 and August 2019, 1,245 women in an obstetric emergency were moved thanks to funds from the village health solidarity units. These results contributed to improved access to, and use and quality of maternal and neonatal health services in circles of intervention, using a gender-sensitive approach.

Budget and spending 


Original budget $25,524
Planned disbursement $0
Transactions
Country percentages by sector
Type of finance Aid grant excluding debt reorganisation
Collaboration type Bilateral
Type of aid Sector budget support
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