Health System and EPI Program
Primary health care services, including immunization, are delivered through 59 health districts. There is an EPI Unit in each of the country’s nine health regions.
The need to assure a strong, well financed national immunization program is identified in Mali’s Plan Stratégique National pour le Renforcement du Système de Santé (PSN/RSS) 2009‐2015. In that document, as well as the Programme de Developpement Socio‐Sanitaire 2005‐2011 (PRODESS II), an overriding goal is to make vaccines and essential drugs accessible to the entire population. Mali’s EPI Program is located in the Immunization Section of the Disease Control and Prevention Division, National Health Directorate, Ministry of Health. An Inter‐Agency Coordinating Committee is in charge of overseeing EPI operations.
Over the period 2006-2011, Gross National Income (GNI) in Mali increased from $410 to $610 per capita. According to the WHO/UNICEF-Joint Reporting Form (JRF) Database, Mali spent $127,498 ($0.22 per surviving infant) on the national EPI program in 2006. In 2007, expenditures significantly increased by $1.6 million and slightly decreased in 2008. On the other hand, expenditures decreased in 2009, moving from $2 per infant to $0.10. Mali significantly increased its government expenditures in 2011, resulting in a $9 increase per infant.
Mali has a unicameral parliament (Assemblée Nationale). The Finance Committee (Commission des Finances) and Committee for Health and Social Development (Commission sur la Sante et le Developpement Social) provide health sector and immunization program oversight.
Mali's President is elected separately from Parliament. The President unilaterally names Cabinet ministers. Ministers cannot also be Members of Parliament. The President's power to dismiss ministers is restricted. Mali's Parliament is relatively vulnerable. It can censure Cabinet or the President but doing so empowers the President to dissolve Parliament.
A parliamentary election was planned to be held in Mali on 1 July and 22 July 2012. However, after the military coup, the election was canceled.
Chapter III, Article 17 of Mali’s Constitution (1992)recognizes the citizens’ right to health.
Loi 98‐036 states the government’s responsibility to control epidemic diseases through obligatory immunizations.
- May 2012: SIF sponsored the participation of a Malian MP (Hon Kalifa Doumbia) to take part in a Sabin-sponsored workshop in Douala on immunization legislation.
- September 2012: SIF Senior Program Officer Jonas Mbwangue conducted a successful field visit to Mali.
- November 2012: The National Directorate of Health of Mali organized a 5-day workshop on sustainable immunization financing with the support of the Sabin SIF Program. Attending were over 50 government officials, parliamentarians and partner representatives.
- November 2012: Peers from Mali attended the "Workshop on Legislative and Financial Strategies for Immunization", held in Kinshasa, DRC. The participants presented, discussed and reviewed their legislative projects with peer exchangers from 5 other SIF francophone African countries.