A national commitment to scaling up AMTSL – Mali’s experience
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A national commitment to scaling up AMTSL – Mali’s experience Dr Binta Keita Director for Reproductive Health
description
A national commitment to scaling up AMTSL – Mali’s experience. Dr Binta Keita Director for Reproductive Health. MALI. Population : 12,5 millions. ALGERIA. TOMBOUCTOU. TOMBOUCTOU. TESSALIT. ABEIBARA. GOUNDAM. TIN. -. ESSAKO. KIDAL. BOUREM. NIGER. MAURITANIA. MENAKA. GAO. DIRE. - PowerPoint PPT Presentation
Transcript of A national commitment to scaling up AMTSL – Mali’s experience
A national commitment to scaling up AMTSL – Mali’s
experience
Dr Binta KeitaDirector for Reproductive Health
Population : 12,5 millions MALI
KADIOLO
BAFOULABE
BOUGOUNI YANFOLILA
KITA KENIEBA
KANGABA KATI
KOUTIALA
KOLONDIEBA
DIOILA
SIKASSO
BARAOUELI KOULIKORO BLA
KOLOKANI
DIEMA KAYES NARA YELIMANE NIORO
BANAMBA SEGOU
NIONO
TOMBOUCTOU TOMBOUCTOU
GOUNDAM
DOUENTZA
YOROSSO
SAN
MACINA TENENKOU
BANKASS TOMINIAN
MOPTI
DJENNE KORO BANDIAGARA
BOUREM
NIAFUNKE YOUVAROU
GOURMA-RHAROUS DIRE
TESSALIT
GAO
ANSONGO
MENAKA
KIDAL TIN-ESSAKO
ABEIBARA
distances en km
600 400 200 0
ALGERIA
SENEGAL
GUINEA
BURKINA FASO
NIGER MAURITANIA
Introduction• Introduction of AMTSL in Mali:
– Pilot project in Bamako in 2002/2003 demonstrated the feasibility and acceptability of introducing AMTSL in Mali
– A national commitment was made to scale-up AMTSL to all facilities
– At that time, only skilled birth attendants (doctors, midwives, and obstetric nurses) were included in scale-up activities
• The DHS (IV – 2001) showed that auxiliary midwives (matrones) attend 45.3% of vaginal births
• Up to 2009, matrones were not authorized to apply AMTSL
Operational Research: Feasibility and safety to train matrones to apply
AMTSL
X
Intervention
September 06 -
December 07
O1
Baseline
August-October / 2006
O2
Evaluation
November 07
/ January 08
Follow-up of matrone study
• Results of the study showed that:– Matrones could apply AMTSL competently
and safely.– When matrones apply AMTSL, coverage of
AMTSL can reach 100%.
• Results were first presented at the national level and then to the Minister of Health and his staff
Change in policy
The Minister of Health:• Authorized matrones to apply AMTSL on April
02, 2009 • Made a decision (No 09-1066/MS-SG du 22 mai
2009) to put in place a national commission to promote AMSTL
• Requested that the commission:– Develop a national action plan for training
matrones to apply AMTSL – Meet quarterly to follow progress made
towards achieving the national plan
Interview des prestataires
• Interview matrones et des médecins
Thank you!!!
Merci!!!!
