UNITAID

ACCESS SMC

Malaria Consortium

Catholic Relief Service

Mali

Mali

Country Indicators 

  • Population: 15.3 million 
  • Life expectancy at birth: 54.6 
  • Under five mortality: 123 
  • HDI: 176 

Country Overview 

Malaria overview  

The whole of the Malian population is exposed to malaria, which is endemic in the central and southern regions, where about 90% of the population lives. The northern desert region experiences malaria in epidemics. Some 2.1 million malaria cases were reported in 2012, resulting in 1,833 deaths. Malaria is a leading cause of illness in Mali, and accounts for 42% of all outpatient visits to health centers.  

There are wide variations in malaria transmission patterns between Mali’s five climatic zones, ranging from year round transmission in the southern Sudano-Guinean zone, to short seasonal peaks in the Sahelian zone and occasional epidemics in the northern desert regions.  

Which areas of Mali are eligible for SMC? 

Most of central and southern Mali is eligible for SMC. The far southern region has a longer rainy season. Given that SMC administration can only continue for four months, this makes it unsuitable for this region.  

What is Mali’s experience with SMC? 

Prior to ACCESS-SMC, SMC had already been implemented in several districts of Mali. Five districts were supported by UNICEF and WHO, and another district was supported by the US Government’s President’s Malaria Initiative (USAID/PMI).   

ACCESS-SMC in Mali 

Where is SMC being delivered? 

In Mali, ACCESS-SMC is supporting the National Malaria Control Program (NMCP) to deliver SMC in 14 districts in 2015, reaching 866,294 children. The districts to be covered are: Bafoulabe, Diema, Nioro, Koulikoro, Fana, Djenne, Niono, Nara, Kadiolo, Yanfolila, Markala, Bougouni, Macina, and Douentza 

 

District 

Children covered 

Bafoulabe 

57,845 

Diema 

52,439 

Nioro 

56,995 

Koulikoro 

52,201 

Nara 

60,086 

Kadiolo 

59,276 

Yanfolila 

36,242 

Markala 

54,450 

Niono 

90,366 

Djenne 

51,251 

Fana 

61,518 

Bougouni 

113,627 

Macina 

58,724 

Douentza 

61,274 

Total 

866,294 

When is SMC being delivered? 

In Mali, SMC is delivered to children starting in August, with monthly distributions continuing until the end of October. In districts which are flooded in August, implementation will start and end one month later in order to avoid logistical problems.   

How is SMC managed?  

ACCESS-SMC is determined to build sustainable SMC delivery systems in Mali, to ensure rapid scale-up through this project can be maintained into the future. For this reason, SMC delivery is being led by the NMCP and fully integrated into regional and district health teams. ACCESS-SMC supports each of these levels with technical assistance, and logistical and financial support.   

How is SMC administered? 

In Mali, SMC is delivered over five days each month (a ‘cycle’) through 3,887 trained volunteer Community Health Workers (CHWs). CHWs deliver SMC using two methodologies: fixed post and mobile teams.  

How do SMC drugs reach the ‘last mile’? 

ACCESS-SMC is working together with Pharmacie Populaire du Mali (PPM) to ensure drugs reach participating health facilities in time for SMC delivery. PPM is responsible for handling, storage and transport of the SMC drugs from the central medical stores down to the district medical stores. The district health team are responsible from here on for ensuring that the SMC drugs arrive at the Health Centers, from where CHWs collect them daily during the SMC cycle to administer to children. ACCESS-SMC has developed a logistics management information system (LMIS) which is being used in Mali to track commodities at each level of the health system.