Community Health Worker Program Sustainability in Africa: Evidence From Costing, Financing, and Geospatial Analyses in Mali

Geographic targeting in rural areas could help Mali reduce spending on community health workers, while maintaining quality of care and optimizing service delivery. In this article, Health Policy Plus and Palladium authors examine past spending by Mali’s community health worker program to identify cost-saving and funding reallocation opportunities. The article is part of Communities as the Cornerstone of Primary Health Care: Learning, Policy, and Practice, a 15-article supplement published by Global Health Science and Practice which explores how countries are reinvigorating primary healthcare systems with communities across diverse settings. The supplement highlights a systems approach that recognizes the roles of communities and their interaction with other health system actors to accelerate outcomes and reflect the diversity of the community health ecosystem.

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