Mali is a landlocked West African nation that is primarily agricultural. Work is seasonal – often leaving large portions of the population unemployed. Most Malians also live in rural settings, where access to health care is limited – and infectious disease, such as malaria, is rampant.
PSI/Mali was founded in 2001 to use commercial marketing strategies for improving reproductive health and child survival, and to reduce new HIV infections. In 2004, PSI/Mali added malaria programs to its portfolio. In 2007, PSI/Mali also introduced programs to reduce the incidence of female genital cutting (FGC).
In 2007, PSI/Mali helped distribute more than 2.4 million free long-lasting insecticide-treated nets (LLINs) to children under age 5. In early 2008, it also began to distribute free LLINs to children under age 1 and to pregnant women nationwide. As of June 2011, PSI Mali had distributed more than 2,000,000 LLINs that year to pregnant women and children: 1,440,000 in 8 districts of the Sikasso Region and another 600,000 in 4 districts of the Segou Region. PSI/Mali also continually monitors Malians’ use of LLINs to find new ways to educate, empower and effectively distribute these crucial malaria-prevention tools.
Mali is among the countries with the lowest contraceptive prevalence rates, despite efforts made in the area of reproductive health; 31.2% of married women face unmet needs and a low (7%) prevalence of modern contraceptive methods.
PSI/Mali has worked with the Government of Mali to increase the contraceptive prevalence rate, in line with 2015 MDGs. As part of this, a national family planning campaign was launched in March 2011, which had the following objectives:
- Increase the number of women using family planning methods, particularly long–lasting methods
- Reduce the rate of maternal and child mortality in Mali.
It is in this vein that PSI/Mali promotes long-lasting methods via:
- Information: PSI/Mali launched a mass media campaign (via radio and television) throughout the country, with the aim of informing the population on the correlation between increased birth spacing and decreased maternal mortality, and to sensitize the population on other advantages of birth spacing.
- Advocacy: PSI/Mali has also engaged in advocacy as a means to gain support not only from national and international decision-makers, but also from religious leaders who have a strong influence on decisions made within the Malian household.
- Community Mobilization: Community mobilization plays a large role in all of PSI/Mali’s interventions
- Creation of a hotline: PSI/Mali has created a telephone hotline where clients can receive all types of information regarding reproductive health, family planning, and various contraceptive methods. The hotline also directs clients toward PROFAM clinics for further support, care, and information.
- Improved IUD insertion and removal services: PSI/Mali has improved these services via the PROFAM social franchising model, which both sensitizes and informs the clientele on different contraceptive methods. Services offered conform to all norms outlined in the quality assurance manual.
In 2007, PSI/Mali began airing campaigns addressing female genital mutilation (FGM). More than 85 percent of women in Mali undergo FGM, and no law exists to prohibit the practice. PSI/Mali and the Malian government are collaborating against FGM with mass media campaigns that dispel myths that female circumcision is obligatory for those practicing Islam.
Introducing Malians to, and encouraging them to continue using a dedicated water treatment product, safely store the treated water, and frequently wash their hands, can play a vital part in wider efforts to break the deadly cycle of contaminated water, diarrheal disease and high child mortality rates in Mali. PSI/Mali distributes Aquatabtablets nationwide, via private sector distribution channels, activities which are complemented by mass media campaigns that promote the use of point of use (POU) water treatment, hand-washing, and household water treatment and storage to protect against diarrheal disease.
Since 2009, PSI/Mali has been working to reduce under-five child mortality and morbidity due to diarrheal disease by implementing an evidence-based mass media campaign aimed at caregivers of children under five. The campaign has included both generic and branded messages, with generic messaging focusing on the major causes of diarrhea and correct use of oral rehydration salts (ORS)/zinc to treat diarrhea, while branded messages have focused on promotion of a diarrhea treatment kit (DTK). In 2010/2011, PSI/Mali also created a new diarrhea treatment kit (DTK) composed of ORS and zinc tablets (Orasel/Zinc), to be launched in the second semester of 2011. The ORS has been adapted to the results of a taste-test performed among mothers of children under five.
About 100,000 of Mali’s 12.7 million people are living with HIV, and nearly 6,000 Malians die of AIDS each year.1 PSI Mali makes high quality, low cost condoms available through a network of thousands of private sector points of sale nationwide and conducts numerous behavior change communication campaigns annually. In 2010, PSI distributed more than 9,000,000 condoms, and in the first half of 2011 alone, it has distributed almost 7,000,000.
- The Global Fund To Fight AIDS, Tuberculosis and Malaria
- U.S. Agency for International Development
- German Government
- Ministry of Foreign Affairs of the Netherlands
- Canadian Government
- Malian Ministry of Health
- High Commission for Combating HIV/AIDS
- Malian Ministry for the Promotion of Women, Children and the Family
- Local and international NGOs
- Besoins en Sante Reproductive Chez Les Femmes Vivant Avec Le Vih Au Mali
Reproductive Health Needs in Women Living with HIV in Mali
- Appling a Total Market Lens: Increasing IUD Service Delivery in Five PSI Countries
PSI piloted a public sector engagement strategy alongside existing private sector approaches in four countries with low IUD use and found that untapped demand can be met, in part, through greater participation of the public sector.
- Le «Grin», Une Approache De Mobilisation Des Jeune Pour L’Adoption De La Pf Au Mali
The Malian population is young, with 65% under 25 years. Similarly, 60% had their first pregnancy by 19 years. 15% of maternal deaths occur in adolescents. According to the 2012 DHS, unmet need for FP is high among young unmarried women. In Mali, the objective of FP 2020 is to increase the rate of modern contraceptive prevalence from 10% to 15% between 2012 and 2018. PSI/Mali in collaboration with the Health Division of the Ministry of Reproductive Health tested a model of youth-friendly services. A Grin is usually a group of young friends having a place to chat and share common values together. This is a widespread practice in Mali.
- Le DIU, éTude Dans Les Structures Sanitaires Publiques Et Communautaires Au Mali
The rate of modern contraceptive prevalence in Mali (9.9%) has increased since 2006 (6.9%). In the capital, the prevalence rate of modern contraceptives is higher than the national average, and increased by 16% to 23% from 2006 to 2012. In 2006, only 0.1% of women aged 15-49 used the long-term methods against 3% in 2012, an improvement although this is still very low.
- La Classe Des Mere, Strategie Efficace Pour La Promotion Du DIU Post Partum Au Mali
The rate of modern contraceptive prevalence in Mali (10%) is among the lowest in the world and unmet need is 29% in the Sikasso region. In 2012, only 3.4% of women 15-49 used the long-term methods. The postpartum IUD is considered as a method used. The low usage is due to rumors about the IUD, socio-cultural barriers and the lack of target information, especially during pregnancy.
- Importance D’Un SystèMe éLectronique De Collecte Et De Gestion Des DonnéEs Lors De La Mise a éChelle D’Interventions De Meilleures Pratiques en Planification Familiale : ExpéRience Du Mali
Faced with low contraceptive prevalence, several key players are in the perfect position to translate global commitments to a local reality. Among the main challenges in monitoring family planning activities are the completeness, quality and availability of routine data services at the community level.
- Approaches to Measuring Equity: Methods & Pilots from 12 Franchise Programs
PSI's presentation at the iHEA conference highlighted equity results from social franchising programs and introduced standard methods for the collection and analysis of equity data.
- AEA 2014: Serving the Poor and Sustaining Condom Markets – An Evaluation of Six African Countries
The Total Market Approach is a system in which all sectors – public, social marketing, and commercial – work together to deliver health choices for all population segments. The goal is to ensure that the poorest communities receive free products, those with slightly greater resources benefit from partially subsidized products, and those with a greater ability to pay purchase products from the commercial sector. The objective of this evaluation is to determine if actions taken by all three market sectors over the last five to seven years have increased condom use in an equitable and sustainable way in six African countries.
- Total Market Approach: Mali
This case study describes the market for male condoms in Mali, and the roles of the public, social marketing, and commercial sectors in the market.
- Total Market Approach in Six African countries
The Total Market Approach (TMA) is a system in which all sectors – public, subsidized and commercial – work together to deliver health choices for all population segments. In 2013, PSI completed six TMA case studies describing the condom markets in Botswana, Lesotho, Mali, South Africa, Swaziland and Uganda. These case studies also propose a set of recommendations for improving the effectiveness, efficiency and sustainability of condom markets.