Mali is pursuing financial sustainability for its immunization services through budget advocacy and expenditure tracking. The Sabin Sustainable Immunization Financing (SIF) Program began its efforts in Mali in December 2008.

Immunization Program Structure

Mali’s Expanded Program on Immunization (EPI) is located in the Immunization Section, Disease Control & Prevention Division, National Health Directorate, Ministry of Health (MOH).

Mali’s Progress to Date

Government Spending on Immunization

Legislation for Sustainability

Budget Advocacy

SIF Program Inputs

Government Spending on Immunization

Over the period 2006-2014, Mali’s Gross National Income rose from US$470 to 720 per capita, a 53% increase. 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 rose to $8, an eight-fold increase. In addition, the government share of total routine immunization expenditures rose from 7% to 17% over the period. Since 2010, Mali has reported inconsistently on JRF financial indicators. The data suggest that Mali has progressed towards country ownership of its immunization program. Among SIF countries, Mali ranked twelfth in terms of routine immunization spending per surviving infant in 2014.

Mali’s JRF Financial Feedback Report, 2006-2014.

Legislation for Sustainability

Chapter III, Article 17 of Mali’s Constitution (1992) recognizes the citizens’ right to health.

In August 2012, government and parliament finalized a draft immunization bill. African counterparts proposed amendments to the bill the following November. These amendments were incorporated into the bill.

The draft bill was sent to the Health Minister in July 2014.

Budget Advocacy

The National Assembly established the Parliamentary Network for Immunization in January 2013.

In August 2015, sixty MPs joined the Parliamentary Immunization Network.

In July 2015, the EPI Manager presented corrected expenditure figures to the Inter-Agency Coordinating Committee and secured an approved budget increase for FY2016.

SIF Program Inputs

  • June 2015: Malian EPI officials join Senegalese and Cameroonian peers in Sabin-sponsored resource tracking peer exchange
  • December 2014: Malian counterparts join DRC, Congo, Malgache, Senegalese, and Cameroonian delegates in Sabin-sponsored peer review workshop
  • November 2014: Senior Program Officer organizes MP briefing
  • December 2013: Senior Program Officer and WHO co-organize cMYP workshop
  • August 2013: Malian counterparts attend Sabin-sponsored colloquium
  • February 2013: Senior Program Officer organizes MP briefing
  • January 2013: Senior Program Officer and parliament co-organize MP briefing
  • November 2012: Malian counterparts join Cameroonian, Senegalese, DRC, Malgache, and Malgache delegates in legislative peer review workshop
  • May 2012: Senior Program Officers from Cameroon and DRC, WHO, UNICEF, and AMP co-organize cMYP workshop
  • October 2011: Senior Program Officer organizes MP briefing
  • March 2011: Malian counterparts attend Sabin-sponsored colloquium
  • December 2009: Malian counterparts join Senegalese legislators in MP briefing
  • August 2009: Senior Program Officer organizes MP briefing
  • December 2008: Senior Program Officer and Program Director introduce SIF program to Malian government