From policy to practice: facilitating the notification of perinatal deaths and births by community health workers using electronic platform in four health districts in Mali
1
Etudes et Recherche, Institut National de Santé Publique, Bamako, Mali
2
CDC Foundation, Vital Stratégies, New York City, United States
3
Sous Direction Santé Communautaire et Réglémentation, Direction Générale de la Santé et de l'Hygiène Publique, Bamako, Mali
Popul. Med. 2026;8(Supplement Supplement 1):
ABSTRACT
ABSTRACT:
Context According to the 2018 Mali Demographic and Health Survey (DSH), the perinatal mortality rate in Mali was 38 per 1,000 live births. Death surveillance and birth registration exist in Mali, but are not very operational at community level. The National Institute of Public Health (INSP) and Vital Strategies therefore initiated this project to strengthen perinatal mortality monitoring and birth registration in 4 health districts.
METHODS:
The project was based on quantitative approaches that explored the reporting perinatal deaths and live births in selected sites of Community Health Workers in the health districts of Diéma, Kita, Sikasso and Kignan. Data were collected by Community Health Workers, through the smartphones and analyzed on DHIS2. The protocol was submitted and validated by the Ethics Committee of INSP.
RESULTS:
After 8 months of implementation, we recorded 729 live births and 35 perinatal deaths. The majority of births took place at home (around 52 percent) and 52 percent were male. Around 61 percent of perinatal deaths were male. Project Community Health Workers accounted for 43.8 percent of notified births in the health zones of the 4 health districts. This experience was an opportunity for the Ministry of Health and its Partners to initiate a process of digitization of the work of the CHWs whose birth and death registration functionalities were developed in the tool. In addition to this, the electronic data collection form has been set up for all Community Health Workers sites.
CONCLUSIONS:
The project helped to understand the importance of Community Health Workers in registering births and perinatal deaths through the smartphones. The project accelerated the process of digitalizing Community Health Workers' data through a tool called DISK-Mali, which is itself integrated into the DHIS2 platform.
Context According to the 2018 Mali Demographic and Health Survey (DSH), the perinatal mortality rate in Mali was 38 per 1,000 live births. Death surveillance and birth registration exist in Mali, but are not very operational at community level. The National Institute of Public Health (INSP) and Vital Strategies therefore initiated this project to strengthen perinatal mortality monitoring and birth registration in 4 health districts.
METHODS:
The project was based on quantitative approaches that explored the reporting perinatal deaths and live births in selected sites of Community Health Workers in the health districts of Diéma, Kita, Sikasso and Kignan. Data were collected by Community Health Workers, through the smartphones and analyzed on DHIS2. The protocol was submitted and validated by the Ethics Committee of INSP.
RESULTS:
After 8 months of implementation, we recorded 729 live births and 35 perinatal deaths. The majority of births took place at home (around 52 percent) and 52 percent were male. Around 61 percent of perinatal deaths were male. Project Community Health Workers accounted for 43.8 percent of notified births in the health zones of the 4 health districts. This experience was an opportunity for the Ministry of Health and its Partners to initiate a process of digitization of the work of the CHWs whose birth and death registration functionalities were developed in the tool. In addition to this, the electronic data collection form has been set up for all Community Health Workers sites.
CONCLUSIONS:
The project helped to understand the importance of Community Health Workers in registering births and perinatal deaths through the smartphones. The project accelerated the process of digitalizing Community Health Workers' data through a tool called DISK-Mali, which is itself integrated into the DHIS2 platform.
| eISSN: | 2654-1459 |
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