International Development Grant
Continuing Support for Maternal Newborn and Child Health - II
Project Number: CA-3-A034908001
Status: Closed
Country/Region:
Maximum Contribution: $14,500,000.00
Start Date: March 28, 2011
End Date: June 29, 2012
Duration: 1.3 years
Project Description
The project aims to improve maternal newborn and child health in Mali. It supports the Ministry of Health of Mali in implementing the National Health and Social Development Program especially making health services geographically and financially accessible meeting demand improving the quality of services and building institutional capacity. As with all budget support initiatives Canada is working in close cooperation with other donors and the Government of Mali to strengthen its aid effectiveness by focussing on effective transparent and accountable country systems; increasing donor coordination and harmonization; and strengthening mutual accountability. Sector-wide budgetary support also fosters greater policy dialogue among CIDA government and partners thus helping to strengthen efforts for effective focussed aid as well as long-term development results. This initiative is continuously monitored and evaluated in coordination with other donors. The initiative’s expected results include a stronger health care system that better meets the needs of women men and children; improved prevention and treatment of HIV/AIDS malaria diarrhoea respiratory diseases and other infectious diseases targeted by an expanded program on immunization; and better nutrition for children under five and pregnant women. This project is part of Canada's Maternal Newborn and Child Health commitment. This project is one of two parts of a $64 million contribution.
Progress & Results Achieved
The first component of this $14 500 000 initiative was completed in 2012. The Canadian contribution through the Maternal Newborn and Child Health Budget Support Initiative helped the Malian government’s efforts to improve the indicators. During the same period although not all the Millennium Development Goals mortality targets were met there was a significant improvement in all mortality indicators. Infant mortality indicators exceeded the MDG targets. Between 2006 and 2012 the maternal mortality rate fell from 464/100000 to 368/100000 the neonatal mortality rate fell from 46/1000 to 34/1000 the infant mortality rate from 96/1000 to 56/1000 and the infant and child mortality rate from 191/1000 to 95/1000. With respect to strengthening the health system at the regional level Canada advocated for a better distribution of resources by negotiating an HBS allocation plan to ensure that resources go more to the recipient regions at a ratio of 60% to the regions 30% to the central level and 10% to hospitals and other specialized structures. Canada provided ongoing support for holding PRODESS meetings at all levels in order to improve the management and governance of the health system. A good example of how the system has been strengthened is the system’s resistance in the face of two major crises: the crisis in the North and a population influx to the South. While the health system was completely destroyed in northern Mali the South was able to deal with the population influx and to continue to provide essential services. However the PMF reports that the nutritional situation remains below targets. Noteworthy out of the three nutrition indicators: the percentage of pregnant women who received iron increased from 61% to 67% between 2006 and 2011.
Key Information
Executing Agency:
Government of Mali - Ministry of the Economy and Finances
Reporting Organization:
Global Affairs Canada
Program:
WGM Africa
Last Modified:
September 19, 2025
Development Classifications
DAC Sector:
Aid Type: Sector budget support
Collaboration: Bilateral
Finance Type: Aid grant excluding debt reorganisation
Selection Mechanism:
Pre-APP