Late in 2012, a group of enrolled mothers in Mali Health’s Action for Health formed a women’s association. Earlier this year, they registered in one of our Community Mobilization workshops. The group was guided through a training curriculum that helped them develop their technical capacities to implement needs assessment and participatory research in the community, two techniques designed to identify local assets and challenges. With these learned skills the women identified a community problem (lack of access to clean water), proposed a solution (finish digging a partially-dug well), and organized the process to realize a solution (obtain financial estimates, engage local actors, develop a fundraising plan). Today, this women’s group represents the driving force and the sweat equity towards the community’s improved water access.
In another division of our Community Mobilization efforts, Mali Health’s radio show broadcasts citywide programming that focuses on issues of health and local governance. Last year, our radio show broadcasted a series of minute interactive shows on the Malian Ministry of Health’s Essential Family Practices, including the importance of complimentary feeding for children over the age of 6 months. Several listeners called in to discuss the theme, including representatives from 3 women’s associations. Inspired by the Essential Family Practices broadcast, these 3 associations proposed an educational activity on malnutrition. Mali Health staff responded, implementing a training on how to access nutrient-rich foods in local markets and how to facilitate their own workshops on the topic. Leaders from each group then organized and implemented a training with their own communities, applying their learned capacities and inviting community health workers from local clinics to talk about complimentary feeding for children. The group members also proposed their own monitoring strategy, following up with participating families over time to identify adopted practices. In sum, this activity reached almost 1,000 people.
These two examples exemplify a key element to Mali Health’s work. We don’t stop at providing opportunities for leadership. Rather, we hope individuals will take them. Action for Health, then, is measured for success on multiple levels. Our Community Health Workers labor tirelessly to ensure every child under their watch has the support they need to stay healthy and access care when needed. It is because of them that our program has maintained a mortality rate of less than 1% for the third straight year. But Mali Health, in its current iteration and in its present footprint, won’t exist in perpetuity – our own goals and the many challenges in Mali and in global health deter any making of small plans. Our success then, is measured in the ripple – in diffusion, in collective action, in the internal pull of a community over external push of an organization.
Mali’s many challenges remain exposed as we soon mark one year since a coup d’état toppled a house of cards. Know that, in the midst of this struggle, progress is accessible. Mali Health’s beneficiaries refuse to have it any other way.
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