iCCM in Mali is currently considered to be in a stage of expansion. There are two types of community workers for child health: the relais communautaire, or community relay, and the CHW, or ASC. The relais communautaire identifies fever, cough or difficult breathing, and red on the mid upper arm circumference (MUAC) strap, and refers these cases to the ASC. The relais treats diarrhea with oral rehydration salts (ORS) and zinc, gives advice and demonstrations on various family planning methods, and advises on newborn care. The ASC is attached to a health facility. In addition to the tasks of the relais, the ASC also confirms malaria using rapid diagnostic tests (RDTs), treats uncomplicated malaria with artemisinin-based combination therapy (ACT), treats pneumonia with amoxicillin, gives nutrition advice for moderate malnutrition and refers cases of severe malnutrition, provides post-natal care for mothers and newborns (cord care, thermal care, special care for low-birth-weight babies), refers cases of severe illness, and maintains registers for surveillance purposes. As of April 2011, 1,651 ASCs have been trained in the full package of iCCM and deployed.
To download the Mali country action plan in French, click here.
1. MCHIP. Review of Integrated Community Case Management Materials: Ten African Countries. Washington, DC: 2013.
2. UNICEF. Review of Systematic Challenges to the Scale-up of Integrated Community Case Management: Emerging Lessons & Recommendations from the Catalytic Initiative (CI/IHSS). New York, NY: 2012.
Year of Introduction
Identification and treatment of diarrhea (with ORS and zinc), pneumonia (with antibiotics), malaria (with mRDTs and ACTs), malnutrition (moderate); provide vaccinations, Vitamin A, deworming (mebendazole), growth monitoring, newborn care, disease prevention
39 of 60 districts
Name for Service Provider
Relais communautaire (English:community relay), and agents de santé communautaire (ASC, English:CHW)