Tiomprosso Takes on Maternal And Newborn Health

Speeches Shim

Thursday, March 24, 2022
Awa Ballo
Kènèya Nièta

“My name is Awa Ballo and I am a community health worker (CHW) from Tiomprosso village in the Djéli health area of San health district. I have been working in this community for 10 years to provide care and promote healthy behaviors that improve maternal, newborn, and child health. With a population of 1,359 and eight pregnant women at the health center every month, ensuring good primary care and safe deliveries remains a major challenge in the village.”

One maternal death and three neonatal deaths were recorded in Tiomprosso in just the past year. They were caused by limited access to care and a preference for home births. All four of these deaths were avoidable.

According to Awa, “All pregnant women in my community go to the health center for their first antenatal care (ANC) visit but rarely complete all four ANC visits. It is also a common practice for them to give birth at home rather than at the health facility.”

USAID Keneya Nieta is supporting Mali’s Ministry of Health and Social Development to reduce maternal, newborn and child mortality by strengthening community health systems in the Mopti, Ségou, and Sikasso regions. In June 2021, Keneya Nieta helped the community health platform in Tiomprosso, comprised of several village committees, to identify priority health issues and to identify effective local solutions.

Keneya Nieta worked with key members of the community health platform to identify the main barrier keeping villagers from seeking primary care; community members could not afford to access facility-based maternal and newborn health services.

To address this barrier, the community health platform worked through its village health solidarity committee to create a solidarity fund with a monthly contribution of 100 FCFA ($0.15) for women and 200 FCFA ($0.30) for men. This fund covers the costs of ANC visits, transportation services, and delivery at the health center. 

Village community health workers are now keeping a register of all pregnant women receiving antenatal care and delivery services in the health center. At the end of each month, the village health solidarity committee pays the health center for all services provided to these women.

Since its establishment in August 2021, the village solidarity fund has covered the costs of ANC visits for 26 pregnant women and paid for 10 women to deliver their babies at the health center with no new cases of maternal and neonatal deaths recorded.

USAID Keneya Nieta, implemented by University Research Co., strengthens Mali’s community health system and improves maternal, newborn, and child health in the regions of Mopti, Sikasso, and Ségou by working with village health committees like the one in Tiomprosso.

Last updated: August 01, 2022

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