On January 17, 2017, the communities of Kadiolo formally committed to taking full responsibility for the incentives of their community health workers. This is the result of a long process of advocacy from Save the Children, who were initially supporting the communities of Kadiolo with the compensation of these incentives.
This outcome comes after a long process that began in 2014. We began with training on budget analysis, monitoring of health expenditures, follow-up visits to community health workers, radio programs, implementation of a Monitoring Committee chaired by the Prefect of Kadiolo and finally the creation of a roundtable for the mobilization of funds at local level. By 2015, we had already secured 50% of the incentives for CHWs in the Kadiolo and in 2016 75%, although in some specific municipalities, we reached 100%.
Save the Children supports the government in implementing the community level essential care approach. It aims to bring health care closer to communities, with the community health workers as the main provider of care for children under 5 and women. In Kadiolo, Save the Children undertook a pilot phase of advocacy work to support the incentive of community health workers. This management, in addition to the appropriation of community health workers by the local communities, is the assurance of the perpetuation of the process.
Safoura Ouattara is a community health worker. The community of Niéouani has built a place to improve its working and living conditions. "When I arrived, I had nothing but malaria cases, between 20 and 25 children a month. Today, the maximum number of cases monthly is 8. I'm really more comfortable. Before, I had a room that served as my bedroom and a place for consultation and storage of medicines. Today, I have a place to sleep, another for consultations, and in addition I have my own bathrooms."
Daouda Sylla is the community health worker in the village of Ziangolodougou in the commune of Zégoua (one of the 09 communes of the Cercle de Kadiolo). "My participation in the radio programs through an interview gave visibility to our work. As an agent, it is very rewarding to know that our work is recognized. Today, women and men who did not have all the information about our work come with their children for consultations."
We work with communities in Mali to ensure that Every Last Child survives and has access to basic health care during their first years of life. Save the Children, in the context of the sustainability of essential health care in the community, initiates awareness campaigns and delivers information on the issue of essential care in the community, on the importance of community health workers and the need for parents to bring their children in for consultations.