Unlike other African countries, Mali’s fertility rate remains at a relatively high rate of 6.8 births per woman. Little research exists on the role that community norms play in use of family planning, particularly in low prevalence countries. Data on 7,671 women from the 2001 Mali Demographic and Health Survey were analyzed to assess the effects of individual and community factors on the adoption of modern contraceptive methods. Only 5% of women were using a modern contraceptive method in 2001.
CARE’s Sexual and Reproductive Health Team presents their new case study, Keneya Ciwara: Supporting Family Planning in Mali (PDF). This case study highlights a program in Mali’s capital, Bamako, which seeks to increase the availability and demand for quality health services at the community level while improving essential health practices in the household.
Le Centre International des Conférences de Bamako (CICB) sert de cadre, depuis le jeudi 24 septembre, ce jusqu’au 26 septembre 2009, aux « Rencontres nationales de diagnostic pour une stratégie d’extension de la Mutualité au Mali ».
La salle Wa Kamissoko du Centre international de conférence de Bamako CICB a abrité le jeudi 24 septembre 2009 un atelier national de diagnostic pour une stratégie d’extension de la mutualité au Mali. Organisé par le Ministère du Développement Social, de la Solidarité et des Personnes Agées, cet atelier visait à l’extension des mutuelles de santé.
A broken health system is a silent killer. People get sicker and die in disproportionate numbers just as they do during an epidemic. Yet the culprit is not lack of knowledge. Nor is it always a shortage of funds. Technically and medically, we know what to do to reduce illness and save lives. But what is sorely amiss is the dearth of knowledge and skill to manage these very complicated health systems. Dr. William H. Foege sums up the issue as "global health waits expectantly for management to match its science."
Excitement is growing about results-based financing (RBF) for health, a financing mechanism that turns the traditional donor approach of paying for inputs on its head. RBF for health is a cash payment or non-monetary transfer made to a national or sub-national government, provider, payer, or consumer of health services after predefined results have been attained and verified.
Paying for performance (P4P) provides financial incentives for providers to increase the use and quality of care. P4P can affect health care by providing incentives for providers to put more effort into specific activities, and by increasing the amount of resources available to finance the delivery of services. This paper evaluates the impact of P4P on the use and quality of prenatal, institutional delivery, and child preventive care using data produced from a prospective quasi-experimental evaluation nested into the national rollout of P4P in Rwanda.
Through detailed interviews with those who know these issues best — the ministers and their stakeholders — this report examines the roles of health ministries, their resource needs, and the challenges they face. Based on the candid and thoughtful input of those interviewed, and the supporting research and consultation activities, this report offers seven action items geared toward building a systematic and sustained program of support for health ministries.
Even though I have worked in Sierra Leone in the past, the role of MLI Country Lead has given me the opportunity to build upon these previous experiences and to work closely with members of the Ministry of Health and Sanitation (MOHS), to support the implementation of health policies and reforms that they have prioritized.
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