Mali

Moving Integrated, Quality Maternal, Newborn and Child Health and Family Planning and Reproductive Health Services to Scale (MOMENTUM) is a suite of projects, funded by the U.S. Agency for International Development, that aims to accelerate reductions in maternal, newborn and child mortality and morbidity in high-burden countries by increasing host country commitment and capacity to provide high-quality, integrated health care. Each of the projects has a specific focus area; together they provide a comprehensive, flexible package of support for countries as they overcome context-specific health challenges towards sustainable development. The PSI-led MOMENTUM Private Healthcare Delivery project supports countries—including Mali—to improve the quality of care provided by the private health care sector and increase opportunities for a total market approach to quality services, products and information in the areas of maternal, newborn and child health, family planning and reproductive health.

With funding from the Bill & Melinda Gates Foundation, Jhpiego is developing an ANC/PNC innovations and implementation research platform. This initiative is designed to strengthen ANC/PNC service delivery through implementation research in Ethiopia, Malawi and Mali, and to disseminate learnings globally. The primary expected outcomes include earlier entry by pregnant women into ANC/PNC care; increased continuity of care; improved quality of care; and an improved understanding of key risk factors, vulnerabilities and morbidity/mortality outcomes. The research collective unifies multiple teams under a single collective, comprised of the following partners: Jhpiego, Harvard School of Public Health, Child Health and Mortality Prevention Surveillance (CHAMPS), RTI International, Christian Medical College Vellore, DAI, the World Health Organization, CARE/India and the University of Manitoba. As part of this collective, Jhpiego is: 1) conducting implementation research on innovative service delivery models and tools in three countries; 2) serving as technical advocacy lead by synthesizing data and findings across the collective to inform an evidence package; and 3) providing technical assistance, as needed, as collective partners conceptualize, design, implement and test new service delivery models. Jhpiego is also partnering with the Johns Hopkins School of Public Health Biostatistics Center and Department of International Health for support with statistical analysis, data management and implementation research design.

This project capitalizes on investments toward the previous national DMPA-SC scale-up plan (2019–2021) in Mali, which achieved full coverage for 34 out of 76 districts and partial coverage for eight health districts. Jhpiego is training 250 providers on DMPA-SC and self-injection in the partially covered regions and will ensure the supply and availability of DMPA-SC in 10 health districts—thereby making it possible to partially fill the coverage gap and meet unmet needs of clients after the first DMPA-SC scale-up plan. Other activities include supporting DMPA-SC procurement planning, communication campaigns for raising awareness about DMPA-SC and self-injection, and management of DMPA-SC and self-injection data in health establishments in the public and private sectors.