Project profile — Support to the Health Sector 2014-2016

• Mali (100.00%)

• Health, General: Medical services (12191) (14.00%)
• Basic health care:
Basic health care (12220) (30.00%)
Basic health infrastructure (12230) (5.00%)
Basic nutrition (12240) (5.00%)
Infectious disease control (12250) (15.00%)
Health personnel development (12281) (10.00%)
• Reproductive health care:
Reproductive health care (13020) (5.00%)
Family planning (13030) (1.00%)
• Other Social Infrastructure And Services: Multi-sector aid for basic social services (16050) (15.00%)

• Gender equality (significant objective)
• Environmental sustainability (cross-cutting) (significant objective)
• Participatory development and good governance (significant objective)
• 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 (not targeted)
• Indigenous Issues (not targeted)
• Disability (not targeted)
• ICT as a tool for development (not targeted)

This initiative is a key element of the assistance provided by Canada to contribute to Mali reaching its development goals in the health sector, particularly in improving maternal, newborn and child health. It mainly aims to support the Ministry of Health of Mali in implementing is Ten-Year Health and Social Development Plan 2014-2023. As is the case for all budget support initiatives, Canada is working closely with other donors and the Government of Mali to improve the emphasis on accountability, transparency and effectiveness of national systems by increasing coordination and harmonization among donors and strengthening mutual accountability. Budgetary support also fosters greater policy dialogue between donors, government and partners, which helps to reinforce efforts to provide targeted and effective help and get results from long-term development. Monitoring and continuous evaluation of this initiative are made in conjunction with other donors.

Expected results for this project include an improved access to quality health services, mainly for women and children.

The results achieved as of March 2016 by the Health Sector Budgetary Support Project-A035434, designed to improve the health of the populations of Mali under PRODESS III, have helped to strengthen the care delivery system in Mali, despite some remaining challenges, such as insecurity, health system governance and efficient use of human resources. All macroeconomic and sectoral triggers contained in the specific arrangement have achieved their targets. As far as performance indicators go, though not all targets have been fully achieved, advances were noted in 2014. The analysis of performance indicators, as defined in the specific arrangement, shows that progress has been made in 11 out of 16, or 69%: for example, the proportion of community health centres (CHCs) with at least one physician rose from 27.44% in 2013 to 30.2% in 2014, while the rate of births attended by qualified personnel (physician, midwife or nurse) reached 30.2% in 2014, up from 26.5% in 2013; and the Penta 3 coverage rate went from 89% in 2013 to 99% in 2014. All provisions for follow-up and dialogue with partners have been implemented, including the Monitoring Committee, Technical Committee and Steering Committee.

• Proactive disclosure