Increasing the population’s access to lifesaving health care since the late 1980s.
- The Services de Santé à Grand Impact project recorded over 1 million new family planning users over the past four years, with more than 373,000 adopting long-acting methods. To reach this many clients, Jhpiego trained more than 750 providers and 500 community health workers across the four project regions on family planning technical skills, including how to insert contraceptive implants, IUDs and postpartum IUDs.
- As a result of Jhpiego’s capacity building, the number of health centers offering basic emergency obstetric and newborn care increased from less than 80 to 607, with over 1,000 providers having been trained, and another 225 health centers improved their management of normal labor and delivery using evidence-based best practices.
Our Work in Mali
High-Impact Health Services Program (Services de Santé à Grand Impact)
As a partner to Save the Children on this U.S. Agency for International Development-funded program, Jhpiego provides technical leadership on maternal and newborn health, malaria in pregnancy, family planning (FP) and quality improvement of health care services. Working in four regions and 36 districts, the program is building the capacity of providers to improve antenatal care (including intermittent preventive treatment of malaria) and maternity services (including management of obstetric and newborn complications) at designated health care facilities. To expand access to FP services, Jhpiego is helping to improve service delivery and FP method mix in public health care facilities by increasing the availability of long-acting reversible contraception; these efforts include task shifting by training matrones (or trained birth attendants) to insert contraceptive implants. Capacity building for FP also includes integration of FP services with maternity care to reach women with information about postpartum FP options during antenatal care visits and immediately following delivery. Given comparatively high rates of antenatal care attendance and delivery in health care facilities (as compared to FP consultations), this is a key opportunity to reach women with FP information and methods for healthy timing and spacing of pregnancies. In addition, the program has trained selected providers on management of postabortion care, along with FP counseling and provision of long-acting reversible contraception services, and supports annual national FP campaigns to generate awareness and interest in FP.
Impact Malaria is a global project of the U.S. President’s Malaria Initiative to reduce mortality and morbidity caused by malaria. Implemented by a consortium of organizations led by PSI, the project is funded by the U.S. Agency for International Development. In close collaboration with the country’s National Malaria Control Program, other sections of the Ministry of Health and various implementing partners, Impact Malaria is designed to improve malaria service delivery via the following objectives: 1) improve the quality of and access to malaria case management and prevention of malaria in pregnancy; 2) improve the quality of and access to other malaria drug-based approaches and provide support to pilot/scale up newer malaria drug-based approaches; and 3) provide global technical leadership, support operational research and advance program learning.
Accelerating Uptake of Expanded Method Mix
Funded by the Bill & Melinda Gates Foundation, this program promotes access to family planning choices in West African countries by supporting the introduction and scale-up of subcutaneous depot-medroxyprogesterone acetate (DMPA-SC). DMPA-SC is an innovative injectable contraceptive—also known as Sayana® Press—that can dramatically expand access and choice for women. Jhpiego is working closely with the Access Collaborative to strengthen health systems to accelerate introduction and scale-up of DMPA-SC in eight West African countries, including Mali.