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HP+ ended September 27, 2022

Better Policy for Better Health

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News

In Mali, Local Leaders Oversee Domestic Funding of Community Health Workers

A community health worker administers a newborn check-up at a village health facility in Mali.  Photo by Souleymane Bathieno.

In Mali, as is the case in many African countries, community health workers (CHWs) provide essential healthcare services—and the need for services provided by this essential workforce is only expected to increase over time. Despite a strong reliance on CHWs, the program is largely donor-dependent, jeopardizing the sustainability of the workforce in the long term.

Between October 2019 and January 2020, local stakeholders—including mayors, community health associations, and communities—mobilized more than 7.8 million FCFA (approximately US$13,305) in local resources to support payment of CHWs in the regions of Kayes and Sikasso following the end of stipend payments from USAID’s High-Impact Health Services Project in September 2019. In February 2020, HP+ Mali, in collaboration with the Association of Malian Municipalities, developed an interview guide for monitoring municipal commitments in favor of CHWs and support given to the Essential Community Care program.

Later in 2020, regional health directorates used these tools during field trips to Kayes and Sikasso to assess management of the funds and become acquainted with locally developed mechanisms that support the CHWs. The assessment revealed that approximately 95 percent of CHWs have remained at their posts following cessation of donor funding and more than 50 percent of these workers are being supported by locally developed mechanisms. Critically, local authorities are transparently managing the community-mobilized funds, ensuring that local contributors are involved in verifying the appropriate allocation to the intended beneficiaries. By taking ownership over these processes, local stakeholders are ensuring that the essential health services provided by CHWs continue to be available to communities, creating an enabling environment for health that is sustainable, transparent, and effective.

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Related Materials

Strengthening Family Planning Policies Today to Secure Essential Services for Tomorrow
Strengthening Family Planning Policies Today to Secure Essential Services for Tomorrow
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Celebrating Seven Years of HP+ in Mali
Health Policy Plus in Malawi Celebrates Achievements as Closing Approaches
Health Policy Plus in Malawi Celebrates Achievements as Closing Approaches
  • About
    • Project Overview
    • Partners
    • Leadership
    • Contact
    • Work with Us
    • Home
  • Our Work
    • Family Planning
    • HIV
    • COVID-19 Response
    • Health Financing
    • Maternal Health
    • Modeling
    • Capacity Development
    • Gender
    • Health Equity
  • Countries
    • Africa
    • Asia
    • Latin America & the Caribbean
  • Resources
    • Publications
    • Models
    • News
    • Viewpoints
    • Conferences & Events
    • Webinars
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Health Policy Plus
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policyinfo@thepalladiumgroup.com

Health Policy Plus (HP+) is a seven-year cooperative agreement funded by the U.S. Agency for International Development under Agreement No. AID-OAA-A-15-00051, beginning August 28, 2015. HP+ is implemented by Palladium, in collaboration with Avenir Health, Futures Group Global Outreach, Plan International USA, Population Reference Bureau, RTI International, ThinkWell, and the White Ribbon Alliance for Safe Motherhood.

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