Reduction of Maternal and Neonatal Mortality in Mali
The Reduction of Maternal and Neonatal Mortality Project in Mali builds on the continuity of the QUARITE Research Project which confirmed that ALARM International Program (AIP) training, coupled with the implementation of maternal death audits and supportive supervision, noticeably improved health outcomes for mothers and babies at the intervention health facilities. With funding from the Canadian Department of Foreign Affairs, Trade and Development, the new project expands the scope of the QUARITE intervention to 22 referral or regional hospitals spread throughout the country and at least 10 basic health facilities in Commune V, one of the sub regions of Bamako.
The project includes training in Emergency Obstetric and Newborn Care, support for implementation of maternal death audits, as well as revising and updating related clinical guidelines. Furthermore, a pilot initiative will be conducted in selected primary health care facilities to improve capacities for management of post-partum hemorrhage, treating complications due to eclampsia, and provision of newborn care. As with most of SOGC's international projects, support will be given to the professional associations of ob/gyns and midwives in Mali to strengthen their leadership role as experts, supervisors and trainers in the field of maternal and newborn care.
Maternal and neonatal mortality and morbidity rates remain high in Mali. Based on the last Health Demographic Survey (2006), the maternal mortality rate is estimated at 464 per 100 000 live births and the neonatal mortality rate at 46 per 1,000 births. The main barriers for improving maternal and neonatal health in Mali that have been identified are: insufficient human resources with the necessary qualifications; misdistribution of health professionals between geographic zones; and lack of training for personnel.
The SOGC's main partner for implementation of this project is l'Unité de Recherche et de Formation en Santé de la Mère et de l'Enfant (URFOSAME). Over a period of 3.5 years, the project seeks to contribute to improving the quality of care for more than 3,665,575 women of procreative age in Mali, and more specifically, for 779,910 pregnant women and adolescents in Mali.
Photo credit: Liette Perron