PMI Impact Malaria
PMI Impact Malaria in Mali
PMI Impact Malaria (IM) is the flagship global service delivery project of the U.S. President’s Malaria Initiative (PMI). To fight malaria and save lives, IM is supporting Mali’s national malaria control program (NMCP) in its efforts to strengthen malaria service delivery.
In 2018, IM began working with Mali’s NMCP to improve malaria case management at the community and public facility levels, with an emphasis on protecting those who are most at risk—particularly young children and pregnant women.
To advance malaria service delivery in Mali, IM focuses mainly on strengthening health worker competence, scaling up drug-based prevention, and bolstering national diagnostic capacity.
Malaria Country Context
Mali’s entire population of nearly 19 million people is at risk of malaria, with transmission varying across the country’s five geoclimatic zones. The disease is endemic in the central and southern regions where more than 90% of the population lives, and epidemic in the north. Internally displaced people migrating from the north are especially at risk given their low immunity to infection. The malaria parasite species Plasmodium falciparum causes the majority of infections.
Malaria is a leading cause of illness and death in Mali, particularly among children under the age of five. In 2018, the national health information system reported 1.9 million confirmed cases of malaria in health facilities, compared to a World Health Organization (WHO) estimate of 7.2 million cases. During this same time, Mali reported 1,000 deaths due to malaria while the WHO estimate was 12,400 malaria deaths. Only 27% percent of caretakers of febrile children reported seeking healthcare within 24 hours of onset, so the proportion of caregivers who report seeking advice or treatment for a child with fever has not changed much since 2006.
This is PMI Impact Malaria’s geographic coverage in Mali:
PMI Impact Malaria has supported Mali’s NMCP in achieving these key accomplishments:
Implemented a 2019 seasonal malaria chemoprevention (SMC) campaign in nine health districts in the Mopti and Ségou regions, reaching 725,000 children under five years of age with medicine to prevent malaria during the rainy season. This involved training and supervising thousands of SMC staff and setting up a mobile money system to pay 4,266 health workers immediately after each SMC cycle, translating to 37,460 mobile money transactions from July to November.
Overhauled the national malaria in pregnancy (MIP) training package to bring it up to global standards recommended by the World Health Organization (WHO), and used the package to conduct MIP trainings for 375 health providers from IM’s two focus regions. 336 of the providers came from community health centers, 35 from 13 reference-level health centers, and four from the regional hospitals.
Conducted a malaria microscopy refresher training for 34 hospital laboratory technicians in the Mopti and Segou regions to create a core group who can properly conduct biological diagnosis of malaria, and supervise this activity in health facilities.
Photo Credit: Kathryn Malhotra/PMI Impact Malaria, Mali
Sources: PMI’s Mali Country Brief, PMI’s Mali Malaria Operational Plan FY 2020, 2019 World Malaria Report Mali Country Profile, PMI Impact Malaria Mali, and Mali’s NMCP
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