Health Services Team
Proven, Effective High Impact Health Service



•Childhood vaccinations & Tetanus vaccinations of women of reproductive age
•Vitamin A supplementation for children & Iron/folate supplementation for pregnant women
•Intermittent presumptive treatment for Malaria and Use of long lasting insecticide treated bednets
•Oral rehydration treatments in the home (zinc?)
•Family planning services
•HIV and STI prevention

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.


Activities:

Project Kénéya Ciwara(PKC): Since 2003, the USAID/Kénéya Ciwara Project aims to reduce mortality and morbidity in women and children in 13 national districts and the district of Bamako by increasing the quality and use of Health Services in these areas. This project, which supports the Government of Mali’s (GOM) Social-Health Development Program (PRODESS), endeavors to achieve this goal by increasing availability and demand for quality, high impact services at the community level and improving the adoption of essential health practices in the household while strengthening the capacity of all actors in the Health Sector. Specifically the project works to improve services and behaviors around child survival; including immunization, malaria, control of diarrheal diseases, nutrition and vitamin A supplementation, and family planning and reproductive health. The project is implemented by a consortium made up of the following four (4) institutions working in collaboration with the GOM: CARE, JHU/CCP, IntraHealth, the Groupe Pivot/Santé Population (GP/SP)


Assistance Technique Nationale (ATN)
: From 2008 to present the Assistance Technique Nationale (ATN) project has provided technical assistance to the various programs of the Malian Ministry of Health. These programs include malaria prevention and control, immunization, nutrition/Vitamin A supplementation, control of diarrheal diseases, and family planning/reproductive health. The ATN project is implemented by Abt Assosicates with Helen Keller International, Johns Hopkins University, SSDS and IBEX.


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 Initatiative:
Formerly the Policy Project, the Health Policy Initiative 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.
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Last updated: Monday, October 20, 2008