Muso

Health can't wait.

aka Under the Baobab Tree   |   San Francisco, CA   |  http://www.musohealth.org/

Mission

Muso’s mission is to eliminate preventable deaths rooted in poverty. We envision a world in which no one dies waiting for health care.

Ruling year info

2005

CEO

Dr. Ari Johnson

Main address

3254 19th St 2nd Floor

San Francisco, CA 94110 USA

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Formerly known as

Under the Baobab Tree

EIN

20-3171837

NTEE code info

Public Health Program (E70)

Research Institutes and/or Public Policy Analysis (S05)

International Development, Relief Services (Q30)

IRS filing requirement

This organization is required to file an IRS Form 990 or 990-EZ.

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Communication

Blog

Programs and results

What we aim to solve

SOURCE: Self-reported by organization

Late access to care is a leading driver of maternal, child, and newborn death globally. While technologies to stop millions of poverty-driven deaths are well-proven and inexpensive, the great challenge in delivery is time. The later a patient accesses care, the more likely that patient is to die. The status quo, reactive way of delivering health care, waiting for patients to come through the door, often leaves behind the poor, who never make it to the door because of cross-cutting barriers to care. Mali and Côte d'Ivoire are at the epicenter of the child mortality crisis, with some of the world’s highest under-five mortality rates as providers often wait for patients to come to them. Families often do not access care for sick children; when they do, they often receive care late, and the health system often fails to deliver evidence-based treatment to the children who do access care.

Our programs

SOURCE: Self-reported by organization

What are the organization's current programs, how do they measure success, and who do the programs serve?

Community-based Health Systems Strengthening

To deliver universal health coverage at scale and end the child and maternal mortality crises, Muso collaborates with governments to design, test, and deploy community-based health systems that deliver care with speed: to all patients who need it, when they need it. Muso has partnered with the Malian government for more than a decade, developing a Proactive Care model focused on ultra-rapid delivery to save lives. The main causes of preventable death work quickly. To achieve rapid access to care, Muso’s Proactive Care model deploys proactive, doorstep health care: Community Health Workers (CHWs) working within strengthened public health care systems actively search for patients door-to-door, to connect them to life-saving services early, without point-of-care fees. Muso delivers proactive, life-saving health care to over 350,000 patients in Mali, including 210,000 patients in one peri-urban site and more than 140,000 across eight rural sites. To drive national and global policy and practice change, Muso bridges locally-led care delivery with rigorous research and technical assistance. We test our approach with academic and government partners, provide technical support to governments and other implementers who wish to adopt the strategies we develop and test, and share results across the global community to end the global child and maternal mortality crisis. Muso's direct service, technical assistance, and operational research inform Mali’s national health program to improve care for the country's 19 million people. In 2021, Muso and the government of Côte d’Ivoire have launched a long-term partnership to end the country’s child and maternal mortality crisis, and strengthen its health system reaching 24 million people.

Population(s) Served
Adults
Economically disadvantaged people
Children and youth

Where we work

Number of Community Health Worker home visits for active case finding, diagnosis, treatment and follow up

This metric is no longer tracked.
Totals By Year
Population(s) Served

Adults, Economically disadvantaged people, Children and youth

Related Program

Community-based Health Systems Strengthening

Type of Metric

Output - describing our activities and reach

Direction of Success

Increasing

Context Notes

This metric reflects cumulative Community Health Worker home patient visits since 2008.

Number of comprehensive and free clinic-based care visits for vulnerable patients

This metric is no longer tracked.
Totals By Year
Population(s) Served

Adults, Economically disadvantaged people, Children and youth

Related Program

Community-based Health Systems Strengthening

Type of Metric

Output - describing our activities and reach

Direction of Success

Increasing

Context Notes

This metric reflects cumulative Community Health Worker clinic patient visits since 2008.

Percent of children assessed by veteran Community Health Workers within 72 hours of their first symptom

This metric is no longer tracked.
Totals By Year
Population(s) Served

Economically disadvantaged people, Children and youth

Related Program

Community-based Health Systems Strengthening

Type of Metric

Output - describing our activities and reach

Direction of Success

Increasing

Context Notes

These metrics reflect our work at our peri-urban site, where we have been operating since 2008.

Our Sustainable Development Goals

SOURCE: Self-reported by organization

Learn more about Sustainable Development Goals.

Goals & Strategy

SOURCE: Self-reported by organization

Learn about the organization's key goals, strategies, capabilities, and progress.

Charting impact

Four powerful questions that require reflection about what really matters - results.

Muso's mission is to eliminate preventable deaths rooted in poverty. Working with the Malian Ministry of Health, we have created a Proactive Care health system optimized to save lives by reaching patients early in the course of their illness. Muso provides life-saving health care to more than 350,000 of the world's most vulnerable people in Mali; conducts and disseminates research to guide global best practices for community health programs; and provides technical assistance to policymakers and implementers who wish to adopt the strategies we develop and test, including supporting health systems reaching over 45 million people in Mali and Côte d’Ivoire. Building on the results we have observed in communities where we have worked since 2005, we have an opportunity to scale a global model for saving millions of lives.

Muso’s Proactive Care model is designed to be simple and adaptable--designed from the start for government implementation at scale. Through direct health care delivery, rigorous research to test our strategies, and technical assistance and advocacy, Muso supports governments to deliver evidence-based Proactive Care strategies. Muso's continued direct service and research will generate evidence that will enable us to support the Malian government, Ivorian government, and global partners to improve national health systems. We will put these critical findings into the hands of global policymakers, implementers, funders, and norm-setting bodies, toward a goal of ending delay in health care for tens of millions of patients.

Muso was founded in 2005 by a group of Malians and Americans who came together to address health injustices caused by poverty. In the subsequent years, Muso has become a global leader in building scalable health systems solutions. Muso has served the Malian Ministry of Health (MoH) as an operational research partner for more than a decade, working with the MoH to develop health systems innovations with the potential to improve early access to care, child survival, and other health outcomes. A recent study found that communities with access to our Proactive Care model observed the lowest child mortality rates in sub-Saharan Africa. Since 2005, we have grown from serving 100 people to reaching more than 350,000 patients across nine sites in Mali in 2021 through our Proactive Care model. We are collaborating with the Malian MoH and academic researchers to conduct one of the world's largest studies in community health to rigorously assess our impact, and guide national and global CHW scale-up. Through our partnership with the Malian government, we are supporting a redesign of the country’s primary care health system for its 19 million citizens. We are additionally launching a long-term partnership with the government of Côte d’Ivoire to strengthen the national health system reaching 26 million people. As we have done this, our Community Health Workers have delivered care through more than eight million home visits and nearly 850,000 clinic visits since 2008. They lead the world’s fastest health system: in 2021, our veteran CHWs treated 98% of children under five within 72 hours of their first symptom. Muso’s frontline health workers are supported by a team operating at the fulcrum of direct service, research, and policy change, and comprised of experts in community health systems design and scale-up, leading researchers and physicians, and experienced partnerships and operations leaders.

A 2018 study published in the journal BMJ Global Health found that communities where Muso works achieved a ten-fold increase in access to care, and achieved and sustained the lowest rate of child death in sub-Saharan Africa, ultimately reaching a rate of child death of 7/1000. To further test our strategies at scale, Muso and our partners launched one of the world’s largest research studies in community health. The ProCCM Trial will test the impact of Community Health Workers proactively finding patients on child mortality and other secondary indicators. Following 98,000 people across 137 cluster sites over three years, this study will collect tens of millions of data points, and produce findings to guide community health care delivery in Mali and around the world.

Together with the Malian government, Muso has documented a historic change in access to care and child survival in the communities with which we partner. Given these transformations, Muso is building bold partnerships to share evidence-based strategies with policymakers and implementers in Mali and around the world. We work to promulgate Proactive Care through the public sector, and to support policy and practice change through national and global uptake of evidence-based strategies. We have served as an operational research partner to the Malian government for more than a decade. In 2019, the Malian government committed to a national health system reform to bring universal health coverage to all of Mali’s 19 million citizens through a scale-up of strategies we have co-tested, including user fee removal, improved health facilities, and Community Health Worker rollout across the country. The quality backbone of this reform will be 360 Supervision, a CHW performance management and support strategy that Muso and the government developed, tested, and scaled. The ProCCM Trial will allow the government to further direct national policy and practice as new evidence emerges.

Muso shares our Proactive Care strategies and results across the global community to support partners who wish to implement our systems in policy and practice. In 2019, Muso began a 12-month technical assistance (TA) partnership with the government of Côte d’Ivoire. Our TA team supported the Ivorian government to adapt and prepare to scale dedicated CHW supervision nationally to support the country’s existing cadre of 11,000 CHWs and strengthen the foundation of the country’s health system. Muso and the Ivorian government recently committed to a new, long-term operational research and TA partnership in which we will together pursue rapid impact on health access and outcomes for the country’s 26 million people.

How we listen

SOURCE: Self-reported by organization

Seeking feedback from people served makes programs more responsive and effective. Here’s how this organization is listening.

done We demonstrated a willingness to learn more by reviewing resources about feedback practice.
done We shared information about our current feedback practices.
  • How is your organization collecting feedback from the people you serve?

  • How is your organization using feedback from the people you serve?

  • With whom is the organization sharing feedback?

  • Which of the following feedback practices does your organization routinely carry out?

  • What challenges does the organization face when collecting feedback?

Financials

Muso
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Operations

The people, governance practices, and partners that make the organization tick.

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Connect with nonprofit leaders

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Connect with nonprofit leaders

Subscribe

Build relationships with key people who manage and lead nonprofit organizations with GuideStar Pro. Try a low commitment monthly plan today.

  • Analyze a variety of pre-calculated financial metrics
  • Access beautifully interactive analysis and comparison tools
  • Compare nonprofit financials to similar organizations

Want to see how you can enhance your nonprofit research and unlock more insights? Learn More about GuideStar Pro.

Muso

Board of directors
as of 8/3/2021
SOURCE: Self-reported by organization
Board co-chair

Rebekah Emanuel

Harvard University

Term: 2015 -


Board co-chair

Aissata Thiam

Elite International Consulting

Term: 2019 -

Sangeeta Tripathi

HEAL Initiative

Ethan Johnson

Ramius

Annie Maxwell

Omidyar Network

Joia Mukherjee

Partners in Health

Katie Taylor

Pan American Development Foundation

Aissata Sow Thiam

Elite International Consulting

Jayson Morris

Nonprofit Consultant

Rebekah Emanuel

Harvard University

Frank Beadle de Palomo

Mothers2Mothers

Jackie Hindawi

Hindawi Charitable Trust

Fatoumata Dicko Traoré

University of Bamako

Board leadership practices

SOURCE: Self-reported by organization

GuideStar worked with BoardSource, the national leader in nonprofit board leadership and governance, to create this section.

  • Board orientation and education
    Does the board conduct a formal orientation for new board members and require all board members to sign a written agreement regarding their roles, responsibilities, and expectations? Yes
  • CEO oversight
    Has the board conducted a formal, written assessment of the chief executive within the past year ? Yes
  • Board composition
    Does the board ensure an inclusive board member recruitment process that results in diversity of thought and leadership? Yes
  • Board performance
    Has the board conducted a formal, written self-assessment of its performance within the past three years? Yes