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Since 2002, Mali has been committed to setting up an effective, efficient and profitable social protection system for the entire population. It is one of the first countries in the sub-region to have legislated and set up a national assistance regime according to the following architecture:

  • Compulsory medical insurance to cover civil servants and employees in the formal sector against health risks,

  • A medical assistance scheme for the free medical care of the indigent,

  • Mutual health insurance to cover the Malian population in the agricultural and informal sector.

In addition to this, you need to know more about it.

The operationalization of these three mechanisms constitutes the real challenge for the Malian government. At the same time, there are also existing mechanisms to ensure access to health care for certain parts of the population: exemption from payment for care, social safety nets, and insurance or assistance systems.

Mali's challenges are both to operationalize the new mechanisms of the national assistance regime and to harmonize the already existing ones.

The Sahel Solidarity Health Initiative (I3S) in Mali

The objective of I3S is to support the health and social development support program in the Mopti region (PADSS 2) which aimed " to support the implementation of the health financing policy through a pilot project allowing the authorities to experiment with the institutional, organizational and financial orientations taken, in particular the extension of universal social protection in two circles in the region of Mopti, Bandiagara and Mopti.”


The plan aimed to:

1. Strengthen the availability and quality of the healthcare offer in the Mopti region,

2. Support the establishment of two inter-professional mutual insurances (farmers, artisans / traders in the informal sector),

3. Build the capacities of the ministries involved at the central and decentralized levels.


Unissahel in Mali

The objectives of UNISSAHEL are as follows:

1. Analyze the emergence of interventions (how decisions

were made, what were the strategic choices, and what are the

conditions for the sustainability of interventions?),

2. Analyze the implementation of interventions (how

actors take their place, what are the challenges or opportunities, and

what is the resilience of health facilities?),

3. Evaluate the impacts of the interventions implemented (impact

on the use of care, on populations and on the quality of care)

Current projects

1. The emergence of PADSS2 and I3S interventions : understand what motivated the strategic choices of this program, what debates its formulation gave rise to; and on the basis of what scientific documentation, studies, inventory, and capitalization reports

Project members: Lara GAUTIER (McGill University), Fanny CHABROL (CEPED (IRD)), Laurence TOURE (MISELI), Valéry RIDDE (CEPED (IRD))


2. Sustainability of PADSS2 and I3S interventions: understand how the issue of sustainability has been taken into account and what are the conditions for the sustainability of the global intervention model

Project members: Mathieu SEPPEY (University of Montreal), Laurence TOURE (MISELI), Valéry RIDDE (CEPED (IRD))

3. Study on the technical union of mutuals insurances (UTM): understand how the UTM plays its role of Operator of Development of Mutual Health Insurance

Project members: Pauline BOIVIN (MISELI), Mathieu SEPPEY (University of Montreal), Laurence TOURE (MISELI), Valéry RIDDE (CEPED (IRD))

4. Study on the resilience of community health centers (CSCOMS) : analyze the resilience of CSCOMS in the context of program interventions.


Project members: Laurence TOURE (MISELI), Valéry RIDDE (CEPED (IRD))

5. Study on CSCOMS finances

Project members: Yamba Kafando (Independent consultant), Valéry RIDDE (CEPED (IRD)), Laurence TOURE (MISELI)

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