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
- 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.
- CCMImpact: Lessons learned from CIDA-funded community case management programs in Cameroon, DRC, Malawi and Mali
Read about the lessons in access, quality and demand regarding case management programs in Cameroon, the Democratic Republic of Congo, Malawi and Mali.
- 8 iCCM Programs Highlight Diverse Approaches to Reduce Top Child Killers
This brief shows how PSI is exploring models to scale-up integrated community case management (iCCM) of pneumonia, diarrhea and malaria for remote populations.
- iHEA 2013: Chakraborty – Equity profiles of three social franchise networks in West Africa
American Evaluation Association
October 16-19, 2013
Presenter: Nirali Chakraborty
Title: Equity profiles of three social franchise networks in West Africa
Presenter: Nirali Chakraborty
- 2012 Mid Year Region and Country Dashboards, West and Central Africa
- Reaching Women in Need of Family Planning at Clinic Immunization Days
This case study reviews PSI/Mali actions to address the estimated 30% unmet need for family planning in Mali by raising awareness among women of reproductive age at clinic immunization days for children under 1, and providing them with high-quality family planning services.
- 2011 Region and Country Dashboards, West and Central Africa
- Research Brief # 7: Changing the Definition of Adulthood Important in Delaying Sexual Debut in Africa