High Impact Health Services

Program:

Since 2003, USAID Mali has been implementing its ten year “High Impact Health Services” (HIHS) program to increase the use of and integrated package of effective services proven to decrease child and maternal morbidity and mortality. The main focus of this strategy is to increase access, availability and quality of key health services in Mali and to promote adherence to positive health behaviors in Malian households that improve child survival and maternal health.

The HIHS program aims to increase access to and use of key health services in six technical areas: family planning/maternal health, malaria prevention/control, HIV/AIDS prevention/counseling and testing, nutrition, vaccination and control of diarrheal disease.

Funding is used to expand access to family planning/reproductive health services to women and men, increase the use of Ante-Natal Care and deliveries with a skilled birth attendant; expand malaria prevention and treatment, expand access to HIV/AIDS prevention and testing services particularly among high risk populations, reduce vitamin A and iron deficiency among children and women of reproductive age and prevent and treat diarrheal disease among children.

HIHS also seeks to strengthen the capacity of the Ministry of Health, the private sector and civil society; including religious groups, and men’s and women’s associations, to deliver an integrated package of essential health services at the community level and empower individuals and communities to take greater control of their health. Increased use of proven, effective services in child survival and reproductive health, by motivating and empowering individuals and communities to take greater control of their health.

USAID’s health program aims to increase access to and use of key health services in three areas: child survival; family planning/reproductive health; and HIV/AIDS. Funding is used to expand access to HIV/AIDS prevention and testing services, further consolidate HIV/AIDS surveillance activities, expand malaria prevention and treatment programs, reduce vitamin A and iron deficiency, increase immunization coverage, prevent and treat diarrheal diseases, expand access to family planning and reproductive health services. In addition, the program seeks to strengthen the capacity of the Ministry Health, civil society, and private sector to deliver key health services.

In 2010 Mali became a Global Health Initiative Plus (GHI PLUS) Country www.ghi.gov/  and a Feed the Future Country www.feedthefuture.gov/.

Our Activities:

Project Kénéya Ciwara II (PKC II):
The USAID Health Program / Keneya CIWARA aims to increase the use of quality health services at the community level and improve health practices at the household level throughout Mali. The goal of the project is not only to extend and build the capacity of Community Health Associations (ASACO) in good governance for the management of health and for community mobilization in order to improve the access of the demand and the use of quality services at the community level, but also to improve the relationships between “Communes” and the ASACOs in so that the territorial collectivities can fully play their role in the development of Health.

In the area of HIV AIDS, the program will target high-risk such as truckers, female ambulatory vendors, miners, sex workers.
Keneya Ciwara II covers a 3 years period with USAID funding going up to 16.5 million U.S. dollars.
The project is implemented by a consortium made up of the following four (4) institutions working in collaboration with the GOM: CARE (Prime), Groupe Pivot Santé Population (GP/SP), IntraHealth and the Center for Communicaton Programs of the John Hopkins University

Assistance Technique Nationale Plus (ATN Plus):
ATN Plus Website Link
Assistance Technique Nationale Plus (ATN Plus) is a five year bilateral program (2008-2013) of USAID Mali designed to support a comprehensive effort by the Government of Mali to expand the delivery of high impact maternal and child health services to key Malian populations, particularly in rural areas, while promoting the use of services and changes in key behaviors.  ATN Plus builds on the successes of ATN implemented from 2003-2008 which successfully provided technical assistance at the national level of the Ministry of Health. ATN Plus will focus on improving maternal health, family planning, essential newborn care, immunization, diarrheal disease, nutrition and malaria services and addressing cross-cutting health systems strengthening and quality assurance issues.  In each of these focus areas, the project will support the Ministry of Health at the national, regional, district/community health center level to develop and scale up policies, improve services and expand access to care, design and implement behavior change communication activities to increase the demand for services, and identify opportunities for public-private partnerships that expand the provision of services.  ATN Plus operates in all eight regions of Mali plus the District of Bamako potentially reaching Mali’s population of 12.5 million men, women, and children.  The consortium for ATN Plus is led by Abt Associates, Inc. (prime) and includes IntraHealth International, Johns Hopkins University/Center for Communication Programs (JHU/CCP), Helen Keller International (HKI), Groupe Pivot Sante et Population, and CARE International. 

Strengthening Pharmaceutical Systems (SPS):
In 2007, USAID within the framework of its High Impact Health Services (HIHS) program in Mali, provided funding to Management Sciences for Health’s Strengthening Pharmaceutical Systems program (SPS) to provide technical support to the Malian Ministry of Health aimed at improving access to essential medicines and other health products. The overall goal of the SPS program is to improve the availability of good quality medicines and other health products for use under priority health interventions of USAID’s HIHS, which supports the Mali Ministry of health’s PRODESS II health strategy. SPS will achieve this goal by strengthening the capacity of the pharmaceutical system in the areas of governance, logistic management, quality assurance and rational use of medicines.

Indoors Residual Spraying (IRS):
Since 2008, RTI International brings its support to the National program fighting against Malaria through the Indoors Residual Spraying (IRS). The two Pilot Districts which were covered during the 2008 IRS campaign were Koulikoro in Koulikoro Region and Bla in Ségou Region. The aim is to reduce under 50% the morbidity and the mortality due to Malaria. In 2009, RTI International will continue to support the PNLP in the same Districts. This will help us to master the IRS program while the Ministry of Health is planning the scaling up of the IRS program. The National Malaria Program (PNLP) is our main partner. The other partners are: the Ministry of the Environment, the Ministry for Social development, the Ministry of Agriculture, the Ministry of the Communication through the National Center of Information, Education and Communication in Health the field (CNIECS).

Population Services International (PSI):
Pathways to Health Project Since 2001, PSI has been working with USAID funding to implement Pathways to Health, a social marketing/HIV prevention project in Mali. PSI partners with the Groupe Pivot/Santé Population (GP/SP), and the Centrale d’Achat Géneriques (CAG), both local organizations, to implement social marketing of family planning and HIV prevention products as well as HIV/AIDS and malaria prevention activities in Mali. These activies include promoting behavior change to reduce the risk of HIV transmission among high risk populations and the social marketing of birth control pills, injectables and male and female condoms.

Health Policy Project:
Formerly the Policy Initiative, the Health Policy Project is currently funded by USAID to build support and acceptance among religious leaders and decision-makers at all levels of Malian society around issues concerning family planning and HIV/AIDS. Policy also provides support to the GOM in the development and adoption of legal and policy texts in these technical areas.

Fertility Awareness Methods Project (FAM):
Since 2006, USAID/Mali has supported the Fertility Awareness Method (FAM) Project, formerly the AWARENESS Project, to help the MOH and other USAID partners to further integrate natural family planning methods into the family planning/reproductive health program in Mali. The FAM Project aims to increase the availability and use of quality family planning/reproductive health services, specifically, the use of modern family planning methods by developing the capacity of the MOH to fully integrate the Standard Days Method (SDM) and the Lactational Ammenorrheal Method (LAM) into the family planning method mix. The FAM project is implemented by the Institute for Reproductive Health (IRH)/Georgetown University.

Save the Children:
Since 2004, USAID has funded Save the Children to implement the Sikasso Community Health Project which works in five health districts to reduce under five child mortality rates by addressing malaria, respiratory infections, diarreheal disease and family planning. USAID is also supporting Save the Children to implement a family planning project in 4 communes in the region of Segou. This project works to increase access to family planning services and improve the quality of these services to increase the voluntary use of modern family planning methods. These projects are funded through the USAID Child Survival Grant and Flexible Fund Grant Programs.

CAPACITY Project:
The CAPACITY project aims to reinforce the capacity of the Ministry of Health’s workforce in maternal health services. Specifically, the project works to increase the alignment between health needs and available human resources in three under-served Northern Regions (Gao, Kidal and Tombouctou) by strengthening the Nursing School of Gao and by identifying/stimulating promising practices at this private-sector nurse-training school. In addition the Capacity project, in collaboration with POPPHI, and the MOH, is implementing a strategy to expand the role of matrons in active management of the third stage of labor (AMTSL) to prevent post partum hemorrhage and reduce maternal mortality. The CAPACITY Project is implemented by IntraHealth.

Fistula Care:
The vision of the Fistula Care project is to increase the availability and accessibility of quality fistula treatment and prevention services, to reduce the number of women with fistula, and to reintegrate women affected by fistula into their communities. These goals will be achieved by building the capacity to treat and prevent fistula in the region of Gao through fistula care training for doctors, nurses and midwives at the Gao Hospital and by reinforcing primary and secondary healthcare facilities in Emergency Obstetric Care (EmOC) to prevent fistula incidence and facilitate referral.

Measure Evaluation - October 1, 2009 – September 30, 2011:
Measure Evaluation supports the Mali Mission in two main ways. One is providing technical assistance to the National Malaria Control Program (NMCP) to strengthen its monitoring and evaluation capacity. The other way is providing support to the USAID Health Team to strengthen their M&E capacity. Specifically Measure has helped the USAID Health Team to update its Performance Management Plan (PMP) and develop a Database enabling Health to capture all annual data and yield a simple and comprehensive report.

Maternal and Child Health Integrapted Project (MCHIP):
MCHIP contributes to USAID Mali efforts to contribute to the reduction of maternal, newborn, and child mortality. To achieve this goal, MCHIP works to ensure increased access to integrated, evidence-based packages of MNCH-FP interventions at both the community and facility levels with a geographic focus on the districts of Kita and Diema in the Kayes region.

Health Care Improvement Project (HCI):
The Health Care Improvement project is a five year USAID/Washington funded -project designed to achieve and document measurable improvements in the quality of health care and health workforce management In USAID assisted countries. In Mali, the HCI project started in 2009 and targets reductions in maternal and neonatal mortality and morbidity in the Kayes region.   HCI, working in close collaboration with the Directorate and regional partners, utilizes high impact interventions which apply modern methods of quality improvement.  This collaborative improvement of obstetric and essential newborn care is being implemented on two levels: 1) The health facility level, including community health centers, district hospitals and regional hospitals; 2) the community level in municipalities.

Malaria Research and Training Center (MRTC):
In FY2011, the University of Bamako/MRTC will assist the MOH to increase the national capacity for malaria diagnosis using microscopy and Rapid Diagnostic Tests (RDTs). The MRTC will provide trainings and supportive supervision to health workers at all the levels of the health pyramid (central, regional, district and CSCOM levels). Training and supervision activities will focus on the correct use of microscopy and RDTs, the correct use of national guidelines with regard to case definition and treatment, and the correct case registrations.

US Pharmacopeia:
The US Pharmacopeia/Promoting the Quality of Medicine (USP/PQM) program is a field support mechanism.
USP/PQM supports quality testing of Artemisinine Based Combination therapies (ACTs) and Rapid Diagnostic Tests (RDT) as well as drug kits for the treatment of severe malaria upon arrival in country.  It also checks post-marketing quality control. USP will strengthen the capacity of the National Laboratory in Drug QA/QC including training the staff and providing equipment and regents to conduct the QA/QC at regional and central level.
USP will also continue to support the implementation of the pharmacovigilance plan developed with the PMI funding

Lutheran World relief (LWR) - September 2009 - August 2012:
LWR will expand access to and utilization of existing national malaria prevention and control services in the districts of Bandiagara and Koro in Mopti Region, and in the districts of Niono and Segou in Segou Region, by leveraging new opportunities for social and economic mobilization and behavior change communication. 

CDC:
Under the above mentioned PASA, CDC provide technical services to USAID  to achieve the followings PR:
Improved capacity of the CSLS and the SE/HCNLS to design, implement and apply results of STI and HIV related surveillance.
Improved capacity of the INRSP to carry out laboratory-based quality control and support STI and HIV surveillance
Improved capacity of the CSLS and civil society to carry out state of the art STI and HIV prevention approaches and activities focusing in particular on groups most at risk of transmission

Helen Keller International (HKI) - October 15, 2008 to October 14, 2011:
The overall objective of this program is to ensure that 90% of industrially-produced and imported wheat flour in Mali is fortified.  The project has financed equipment and the vitamin/mineral premix to the 3 major flour millers in Mali.  At the same time, they are working with the government to develop a national policy mandating flour fortification.

IMaD- October 2008 – September 2010:
Support training for malaria Laboratory diagnostic at all level, development and implementation of Job Aids / training materials for laboratory technicians and support supervision and on refresher trainings.  IMaD also provides QA/QC for RDTs and microscopy.

Gao Nursing School:
The support to the Nursing School of Gao is a three-year program to train and equip health care providers in Mali, particularly in the northern regions of the country (Gao, Tombouctou and Kidal).  The Nursing School of Gao is a private institution that provides at least 80% of  the health personnel/staff in Gao region health services and community health centers (CSCOMs).  The purpose of the award is to provide support to The Nursing School of Gao for optimum quality training to meet the staffing needs of health structures in the northern regions of Mali (Gao, Tombouctou, and Kidal).
The agreement has been extended at no additional cost through June 14, 2011 to allow completion of the students’ practicum portion of training.

Institute For reproductive Health (IRH):
The Instrument contributes to USAID Mali efforts on FP; the FAM Project is focused on scaling up methods based on fertility awareness in Mali.
Specific objectives are 1) strengthening the integration of the standard Days Method in 90% service provider units in 8 District regions of Mali and the District of Bamako; 2) Helping in revitalizing LAM use in two regions besides Koulikoro

Ministry of Health – Direct Funding:
Direct funding is provided to the Ministries of Health and Social Development, and to the National Malaria Control Program (PNLP) for the implementation of high impact health services in MCH, FP, Nutrition, HIV/AIDS, and Malaria at the national, regional and district level. These activities are specified in annual work plans and approved through implementation letters signed jointly by the relevant Ministry USAID.  The approved activities are coordinated with those in other USAID funded projects to achieve greater synergy and impact. The direct funding also supports the salaries of four staff (2 accountants, an internal auditor, and the CCM Secretary General) to manage the funds, and process invoices and financial reports.

Macro – DHS:
Macro Measure International /Measure Phase 3 continues USAID involvement in data collection, analysis and utilization of data for evaluation and monitoring of the health activities and demographic situation in Mali.

DELIVER:
The Malaria commodities Task Order is a Field Support Mechanism whereby the Mission requests Washington to make a direct transfer of money into the mechanism.
The Purpose of the mechanism is to assist PMI Missions to procure malaria commodities at affordable and competitive prices from the international market.

 

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Last Updated on: February 23, 2012