Mali’s fertility rate is the third highest in the world. With limited access to quality maternal health care, the need for fistula treatment remains high.

Why We Work in Mali

Landlocked and arid, Mali is one of the largest countries on the African continent. Ethnic uprisings and a jihadist insurgency in the north continue to undermine the country’s stability despite a 2015 peace accord and the presence of UN peacekeepers.

Mali’s high fertility rate–the third highest in the world–has been virtually unchanged for decades, due to its young population, early marriage practices and lack of female empowerment. Less than one quarter of all women can read or write. 

Widespread poverty—combined with the country’s political unrest—exacerbate the challenges that women face in accessing maternal health care. Most women give birth without a medical professional present, placing them at greater risk of developing obstetric fistula. With poor road conditions slowing patient transport, access to fistula treatment also remains a challenge. Security concerns continue to destabilize the center and north of the country, further compromising the delivery of fistula care in these regions.

What You Help Us Do

We are investing in the following areas to build Mali’s in-country medical services and provide life-transforming surgery to as many women as possible:

Meet Our Partners

We are currently partnering with Women and Health Alliance International (WAHA) to deliver fistula treatment to women in Mali. Mali’s national referral hospital for fistula care, Point G à Bamako, has been equipped to provide repair surgery since the 1990s. Demand for treatment, however, has continued to outstrip the hospital’s capacity, meaning many women in need of fistula repair surgery go without. WAHA’s aim is to work with medical teams on the ground to expand the hospital’s fistula treatment services.

What projects are we currently funding?

In addition to funding surgeries for more women, WAHA is working to strengthen treatment services, even for the most advanced cases, through surgeon and staff training.

In collaboration with the Ministry of Health and its national health infrastructure, WAHA is also establishing outreach networks and new strategies for reaching and treating women in the northern regions of the country, where most cases with fistula occur.

How much funding have we provided?

Women and Health Alliance International

  • Grant pending for FY 2019

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