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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