Mali case management

Health system
Central:
- 5 public hospitals, research institutes, mother-child hospital: research
Region:
- 8 public hospitals: treat severe cases with complications
Operational:
- 65 First referral health centers (RHCs): treat severe cases of malaria
Villages and hamlets:
- 2,437 community sites: integrated essential community health care
- 2015: 1,204 functional community health centers (Centres de Santé Communautaire [CSCOM])
- Community health volunteers: IEC/BCC activities
- Parastatal, faith-based, military, and other private health centers also found in community
Stock:
Mali is currently transitioning from quinine to injectable artesunate. 2017 and 2018: Mali has a large supply of injectable artesunate at the central medical warehouse, and there will be concurrent use of injectable quinine until supplies are used up.
- Health centers typically use whatever severe malaria medication is available in a severe malaria emergency.
Access:
- 43% of the population has access to health care services within a 5km radius of the health care facilities
- Special kits are supplied to health establishments for the free treatment of severe malaria among children under 5 and pregnant women. This free service does not include the consultation and treatment fees.
Challenges to treatment
- Accessibility to health center
- Management of medical products (supply, filling out of data formats)
- Management of data (promptness, completeness, quality control);
- Quality assurance system;
- Human resources, especially at the operational level;
- Classification of malaria cases into uncomplicated and severe cases;
- Apparent use of injectable drugs to treat certain uncomplicated cases;
- Training and supervision of health workers
- Incentives to health workers
- Working conditions
Funding:
- The state is contributing up to 50% of requirements for the treatment of severe malaria cases (health care facility level)
- PMI is providing the remainder