MALI HEALTH

aka Mali Health Organizing Project   |   Durham, NC   |  www.malihealth.org

Mission

Mali Health improves maternal and child health and aims to eliminate maternal and child mortality. We ensure that mothers and children in Bamako receive high-quality primary care that they could not otherwise access, while working with communities and the health system to improve the way that care is delivered at the community level.

Ruling year info

2007

Executive Director

Ms. Tara Hopkins

Main address

PO Box 51632

Durham, NC 27717 USA

Show more contact info

EIN

20-5917332

NTEE code info

Public Health Program (E70)

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

Programs and results

What we aim to solve

SOURCE: Self-reported by organization

Maternal, infant and child mortality rates in Mali are some of the highest in the world because women and children cannot access basic, high-quality primary 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?

Savings for Health

The Savings for Health program strengthens the ability of women to absorb the costs of seeking care in Mali’s decentralized, fee-based health system. It is a savings and lending program based on Oxfam’s successful Savings for Change and the tradition of the tontine. A team of community-based facilitators help mothers save for unexpected health expenses and access health loans in times of need, while also delivering preventive health education. Women can also access funds for small business activities, and we offer financial training to help women manage their finances. We also have a special savings program for pregnant women, in which we help subsidize the cost of facility-based delivery and ensure women receive all essential pregnancy care, called Savings for Health and
Reproductive Empowerment, or SHARE.

Population(s) Served

Action for Health is Mali Health's oldest program. We provide children under age five from the poorest families with free or subsidized primary care to ensure they grow strong and healthy. We also provide pregnant women with subsidized pre- and post-natal care to ensure healthy pregnancies and safe deliveries. In addition to ensuring mothers and children receive all their essential primary care, we have a team of highly trained community health workers (CHWs) who visit enrolled families regularly to monitor health, growth and development. When needed, they will ensure that children and mothers will go to their health center, and will follow up with them after the visit. Finally, our CHWs also provide preventive health education to mothers about how to avoid common illnesses through good health behaviors. For over three years, we have reversed Mali’s high maternal and child mortality rates – we have not lost a single mother or child.

Population(s) Served

Our Quality Improvement program began when we learned from mothers that access was not the only barrier that keeps them from seeking care at community health centers, known as Centres de Santé Communautaire (CSComs). Equally important is the experience mothers have during their visit. If a mother feels confused or unwelcome, if the midwife or doctor does not help her understand the care she and her children need, she is far less likely to return to the CSCom the next time she or her children are sick, putting them at significant risk.
 
We work with health center staff and their supervisory teams to improve the quality and delivery of maternal and child healthcare. We build a quality improvement team at each CSCom and train them in how to use a quality improvement process based on a Kaizen approach. We help the team to identify and address challenges in four different areas: the delivery of clinical care, the experience of the patient, operations and management of the health center, and health center sustainability.
 
Our approach is unique because we bring together not only members of the staff and management teams, but community members as well. Because of Mali’s decentralized health system, the participation of community members is essential to running a successful health center. After two years of technical support from Mali Health, our goal is that health centers be able to sustainably address challenges by maintaining their own quality improvement processes.

Population(s) Served

Where we work

Our results

SOURCE: Self-reported by organization

How does this organization measure their results? It's a hard question but an important one.

Number of Deaths Among Children Under-5

This metric is no longer tracked.
Totals By Year
Related Program

Action for Health

Context Notes

This is the number of deaths among children directly served by our programs

Number of Maternal Deaths

This metric is no longer tracked.
Totals By Year
Related Program

Action for Health

Context Notes

This is the number of deaths among all pregnant women enrolled in our Action for Health and/or SHARE programs

Percentage of Women who Complete Prenatal Care

This metric is no longer tracked.
Totals By Year
Related Program

Quality Improvement

Context Notes

This figure represents the number of women who complete all recommended prenatal care visits, divided by the total number of women who are expected to complete all prenatal care visits.

Percentage of Women who Complete Postnatal Care

This metric is no longer tracked.
Totals By Year
Related Program

Quality Improvement

Context Notes

This figure represents the number of women who complete postnatal care, divided by the total number of women who are expected to complete postnatal care.

Percentage of Births that Take Place in a Health Center

This metric is no longer tracked.
Totals By Year
Related Program

Quality Improvement

Context Notes

This figure represents the percentage of all known births that take place in a health center under the supervision of one or more skilled attendants.

Percentage of Children who Receive all Recommended Childhood Vaccines

This metric is no longer tracked.
Totals By Year
Related Program

Action for Health

Context Notes

This figure represents the percentage of children who have received all vaccines recommended for their age, out of all children directly served by our programs.

Number of Children Directly Served

This metric is no longer tracked.
Totals By Year
Related Program

Action for Health

Context Notes

This is the total number of children directly served by our programs throughout the year.

Number of Women Directly Served

This metric is no longer tracked.
Totals By Year
Related Program

Savings for Health

Context Notes

This is the total number of women directly served by our Action for Health and/or Savings for Health programs.

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.

We improve the health of mothers and children by making sure that those families most in need always have access to high quality healthcare.

We use three different strategies to improve maternal and child health: improving families' access to care, health promotion and preventive health education, and working to improve the quality and delivery of maternal and child care at the community level.

Action for Health is our oldest program. We provide children under age five from the poorest families with free or subsidized primary care to ensure they grow strong and healthy. We also provide pregnant women with subsidized pre- and post-natal care to ensure healthy pregnancies and safe deliveries. In addition to ensuring mothers and children receive all their essential primary care, we have a team of highly trained community health workers (CHWs) who visit enrolled families regularly to monitor health, growth and development. When needed, they will ensure that children and mothers will go to their health center, and will follow up with them after the visit. Finally, our CHWs also provide preventive health education to mothers about how to avoid common illnesses through good health behaviors. For over three years, we have reversed Mali's high maternal and child mortality rates – we have not lost a single mother or child.

The Savings for Health program strengthens the ability of women to absorb the costs of seeking care in Mali's decentralized, fee-based health system. It is a savings and lending program based on Oxfam's successful Savings for Change and the tradition of the tontine. A team of community-based facilitators helps mothers save for unexpected health expenses and access health loans in times of need, while also delivering preventive health education. Women can also access funds for small business activities, and we offer financial training to help women manage their finances. We have a special savings program for pregnant women, in which we help subsidize the cost of facility-based delivery and ensure women receive all essential pregnancy care, called Savings for Health and Reproductive Empowerment, or SHARE.

Our Quality Improvement program arose after we learned from our program participants that access is not the only barrier that keeps families from seeking care at community health centers; issues of quality -- including patient reception, provider communication, and respect for privacy and dignity -- are equally important to community members. We work with health center staff and patients to improve management and operations in order to improve the clinical and experiential delivery of maternal and child healthcare. Each health center is governed by an Association de Santé Communautaire (ASACO) made up of community members, and we strengthen their ability to manage their health centers effectively and efficiently, resulting in more maternal and child care services being available, and of a higher quality.

Mali Health has a strong team on two continents working to improve the lives of those we reach while demonstrating to other actors our model and the positive implications for health programs that support the poor and vulnerable. Our staff is composed of experts in medicine, community development, communications, and many other fields. All but two of our full-time staff reside in Mali, and the majority of those are lifelong or long-term residents of Bamako and the surrounding area.

Along with our strong local staff, we have built solid bonds with the local and national governments to carry out our projects, and we have partnered with over 25 international organizations to support our work. Our results – including the elimination of maternal and child mortality for over three years – speak for themselves.

Mali Health, with the help of our incredible local and international partners, has accomplished a great deal. We have built a health clinic and a maternity ward, we've expanded our Savings for Health program from an initial 150 women to over 5,000. We've enrolled nearly 3,000 children in our Action for Health program. The innovative ideas generated by our partner health centers in the Quality Improvement program have dramatically increased the percentage of women and children who receive life-saving primary care, which has the benefit not only of improving women and children's health, but also contributes to making the community health system more sustainable, ensuring that it can continue to serve families for years to come.

But amidst all of the statistics and accomplishments, we are most proud of this: as of 2015, 1 in 27 women in Mali face a lifetime risk of dying due to complications arising from pregnancy, and 1 in 8 children will not survive to see their fifth birthday. Since the founding of Mali Health, mortality rates in our programs have plummeted to zero, where they have remained for the past three and a half years. Hundreds of lives have been saved by ensuring early access to high quality care. We could not be more proud of the incredible work our team has done to make this a reality, and we are committed to building on this success to reach more families in more communities in the years to come.

Financials

MALI HEALTH
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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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  • Analyze a variety of pre-calculated financial metrics
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  • Compare nonprofit financials to similar organizations

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MALI HEALTH

Board of directors
as of 6/27/2019
SOURCE: Self-reported by organization
Board chair

Dr. Joseph Camardo

No affiliation

Term: 2013 -

Maureen Caulfield

No affiliation

Nathan Duckles

No Affiliation

Kris Ansin

No Affiliation

Bruce Close

No Affiliation

Jason Lee

No Affiliation

George Lehner

No Affiliation

Mamadou Niang

No Affiliation

Lisa Nichols

No Affiliation

Joel Wierenga

No Affiliation

Greg Mann

No Affiliation

Christine Sow

No Affiliation

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
  • Ethics and transparency
    Have the board and senior staff reviewed the conflict-of-interest policy and completed and signed disclosure statements in 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