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Summary Annual Report 2008 16<br />

Examples of our work<br />

tings, and held training for municipal representatives,<br />

the ASACO and technical<br />

experts. <strong>SNV</strong> also contributed to revising<br />

the legal health convention, so that<br />

health sector management could be mandated<br />

to the ASACO-municipality partnership.<br />

KIT followed the pilot program<br />

closely, sharing their observations on<br />

tools/approaches with <strong>SNV</strong> and the Ministry<br />

of Health.<br />

Koulikoro, to bolster multi-level cooperation,<br />

the President of the regional Council<br />

undertook research missions and discussions<br />

with local councils and the ASACO.<br />

As a result of these endeavours, he identified<br />

three priority health concerns which<br />

the council will address: diagnosis and<br />

evacuation of obstetric emergencies, essential<br />

medication and the regional health<br />

plan.<br />

After the successful fruition of the pilot,<br />

<strong>SNV</strong> has since replicated the program in<br />

different regions of Mali. In 2008, <strong>SNV</strong><br />

ran the health-partnership program in six<br />

municipalities in the Koulikoro and Dioila<br />

region. The program helped create symbiotic<br />

partnerships between the municipalities<br />

and ASACO. Through frequent<br />

interactions, the actors defined their roles<br />

and responsibilities in health sector management.<br />

The program thus enabled an<br />

effective transfer of knowledge between<br />

the municipalities and ASACO.<br />

Added value:<br />

“This program helped the regional elects<br />

and ASACO understand the best practices<br />

of public service management, as many<br />

of them had been occupying their posts<br />

without having the necessary skills.”<br />

(Moussa Sissoko, President, Health Comission<br />

of the Koulikoro Regional Assembly).<br />

Results: To improve maternal health<br />

standards (one of the Millennium Development<br />

Goals) in the pilot programme<br />

regions, <strong>SNV</strong> guided the ASACO and municipalities<br />

on how to encourage pre-natal<br />

consultations. The efforts bore fruit, bettering<br />

the quality of health care for the<br />

12,608 inhabitants of Wacoro, and the<br />

1,516,486 residents of Koulikoro. Between<br />

2005 and 2006 alone, the rates of<br />

prenatal consultations in Wacoro, Dioila<br />

and Koulikoro increased by 11%, 2% and<br />

6% respectively.<br />

In another municipality, Banco, the municipality/ASACO<br />

partners discussed how to<br />

increase consultations with the community<br />

health centres (CSCOM) which were<br />

being abandoned in favour of traditional<br />

healers. Efforts to raise awareness and<br />

educate traditional healers on modern<br />

medical practices will be undertaken. In<br />

<strong>SNV</strong> West & Central Africa<br />

In Wacoro (Mali), <strong>SNV</strong> and local health authorities work<br />

to improve the rate of pre-natal consultations.<br />

In the near future, the Ministry of Health<br />

aims to institutionalise the pilot program<br />

on a national scale, with help from other<br />

national health bodies. <strong>SNV</strong> and KIT will<br />

provide technical and advisory assistance<br />

during the institutionalisation process.<br />

The transfer of regional funds to local<br />

municipalities will reinforce the multilevel<br />

partnership.<br />

Additional information:<br />

Author: Dr. Brahima Kone,<br />

bkone@snvworld.org<br />

Photographer: Dramane Dao

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