- Parliamentary Network established, Network president inaugurated
- Draft legislation under ministerial review
- Immunization financing mechanism being conceptualized
- Annual Budget Process Tool completed three straight years
- GVAP strategic objectives featured in country Multi-Year Plan (cMYP)
Expanded Program on Immunization (EPI)
The Malian EPI is in the Immunization Section of the Disease Control and Prevention Division, National Health Directorate, Ministry of Health (MOH).
Government Spending on Immunization
Over the period 2006-2013, Mali’s Gross National Income increased from US$470 to US$670 per capita, increasing 43 percent in eight years. According to the WHO/UNICEF Joint Reporting Form (JRF), the Malian government spent less than $1 on routine immunization per surviving infant in 2006. In 2013, this figure remained less than $1. In addition, the government share of total routine immunization expenditures decreased from 7 percent to 0 percent from 2006-2013. Caveats: Reporting for JRF Indicator 6500 is incomplete and there are inconsistencies across the JRF financial indicators. The data suggest that Mali has not progressed towards country ownership of its immunization program.
Vaccination Financing Mechanism
By December 2014, the Malian government began conceptualizing a national immunization fund.
Legislation for Sustainability
Chapter III, Article 17 of Mali’s Constitution (1992)recognizes the citizens’ right to health.
In August 2012, the MOH, Ministry of Economy, Finance & Budget (MOEFB), parliament, civil society representatives, and various health departments finalized the draft immunization law. The following November, government officials from Cameroon, Senegal, DRC, Congo, and Madagascar all recommended amendments to the draft law, which the Malian officials incorporated.
In December 2013, the Malian law drafters finalized a law proposal written to the Health Minister. They sent both the proposal and the draft law to the Minister in January 2014.
Domestic Advocacy Network
In October 2011, eighty national parliamentarians and the MOH chairman signed an official declaration to achieve sustainable immunization financing in Mali.
In October 2012, the EPI team and parliamentarians finalized and issued a motion to the National Assembly floor to establish a parliamentary advocacy network for immunization. The National Assembly president approved the motion and inaugurated the Network president. The Malian Parliamentary Network for Health Financing, which included immunization, was established in January 2013.
In December 2014, Malian government officials attributed the increase in the allocated immunization budget to the Malian Parliamentary Network’s advocacy efforts.
Tracking Expenditure Flows
Government officials first filled out the SIF Budget Process Tool in November 2012 for 2012, and again in July 2013 for 2013. The EPI completed the Tool a third time in 2014.
Global Vaccine Action Plan (GVAP) Implementation
Mali is the first SIF program country to streamline relevant GVAP strategic objectives into its country Multi-Year Plan (cMYP), having done so in January 2014. The International Coordinating Committee (ICC) approved it.
Major SIF Program Efforts
- December 2014: Senior Program Officers from Cameroon and DRC co-organize the Francophone Africa Peer Review Workshop on Sustainable Immunization Financing. Government peers from DRC, Congo-Brazzaville, Madagascar, Cameroon, Mali and Senegal participate.
- November 2014: Senior Program Officer holds parliamentary briefing to advance draft immunization law and reactivate the MP Immunization Network.
- March 2014: Senior Program Officer and Malian EPI manager shared experience of streamlining GVAP into the cMYP at the West African EPI Managers meeting.
- December 2013: Senior Program Officer and WHO co-organized a cMYP workshop to streamline GVAP principles into the document.
- August 2013: Senior Program Officer participated in MOH/WHO/UNICEF/USAID measles & HPV elimination workshop.
- April 2013: Senior Program Officer participated in USAID-sponsored CSO briefing.
- February 2013: Senior Program Officer, MP Immunization Network, and MOH Cabinet and Directorate of Health participated in a SIF parliamentary briefing which included twenty-three participants.
- January 2013: Senior Program Officer and two MPs co-organized a parliamentary briefing where the MP Immunization Network was established.
- November 2012: Senior Program Officers from Cameroon and DRC co-organize the SIF francophone Africa legislative peer review. Government officials from Cameroon, Mali, Senegal, DRC, Congo-Brazzaville, and Madagascar participate.
- May 2012: Senior Program Officers from Cameroon and DRC, WHO, UNICEF, and AMP co-organize a cMYP workshop for Central African Countries in Cameroon, in which a Malian MP peer exchanger participates.
- October 2011: Senior Program Officer organizes the third SIF parliamentary briefing in Mali.
- December 2009: Eight counterparts from Malian parliament and Ministries of Health and Finance attend a SIF parliamentary briefing in Senegal.
- November 2009: Senior Program Officer participate in a cMYP workshop and a financial workshop.
- August 2009: Senior Program Officer holds the first SIF parliamentary briefing in Mali.
- December 2008: Senior Program Officer and Program Director conduct introductory briefings with the MOH.