Advancing Resilience and Inclusive Health Systems for Everyone (ARISE - KENEYA YIRIWALI) in Mali

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The ARISE project is a project designed to tackle critical healthcare challenges in targeted areas. By focusing on improving access to essential health services and strengthening health systems, the project aims to address the specific needs of vulnerable populations, including women, children, and adolescents.At its core, the project seeks to enhance accessibility and utilization of quality health services, particularly in the areas of reproductive, maternal, neonatal, child, and adolescent health, as well as nutrition services. Through targeted interventions and the implementation of performance-based financing (PBF) schemes, the project aims to incentivize health facilities and community health workers (CHWs) to deliver a defined package of services with a focus on both quantity and quality. This approach not only ensures that essential health services reach those who need them most but also promotes accountability and efficiency within the healthcare system.Furthermore, the project places a strong emphasis on strengthening preparedness and surveillance for health emergencies. By investing in robust surveillance systems, enhancing diagnostic capabilities, and providing training and capacity-building for emergency response teams, the project aims to improve the country's ability to detect, respond to, and mitigate the impact of health crises, including epidemics and natural disasters.The financing structure of the project reflects a collaborative effort, with contributions from the International Development Association (IDA), the Global Financing Facility (GFF), and the Netherlands. This financial support enables the implementation of various project components, including the improvement of health service delivery, support for community health and nutrition initiatives, strengthening of health systems for universal health coverage, and project coordination and monitoring.Component 1: Improve the supply and availability of quality health services for the populationThis component aims to enhance the overall quality of essential health services, especially focusing on reproductive, maternal, neonatal, child, adolescent health, and nutrition services.Sub-component 1.1: Climate-adaptive horizontal and vertical expansion of PBFObjective: To expand the successful Performance-Based Financing (PBF) approach both horizontally and vertically.Activities: Providing performance-based payments to health facilities, community health workers (CHWs), and schools based on the delivery of defined services. Implementing facility-based, outreach, and referral system activities.Sub-component 1.2: Support to PBF implementation and institutionalizationObjective: To support the implementation and supervision of PBF activities and facilitate the institutionalization of PBF.Activities: Setting up a Contract Development and Verification Agency (CDVA), recruiting an external counter-verification agency, and supporting the institutionalization of PBF through training and technical assistance.Sub-component 1.3: Enhance healthcare quality and regulationObjective: To improve healthcare quality evaluation and regulation, including private health facilities under PBF.Activities: Providing performance-based payments to regulators for quality evaluation, supporting quality evaluation of national hospitals, and acquiring simulation equipment for training.Component 2: Facilitate access to healthcare and nutrition services by removing barriers and supporting community servicesThis component aims to strengthen healthcare and nutritional services, focusing on community, health facilities, and school interventions. Sub-component 2.1: Support for Community Health and NutritionObjective: To enhance community health and nutrition services, including strengthening CHWs and improving community engagement.Activities: Strengthening CHWs, enhancing community case management, ensuring availability of medical supplies, and conducting communication for development initiatives.Sub-component 2.2: Support for School Health and Adolescent HealthObjective: To reinforce support for school nurseries and improve collaboration between schools and health facilities.Activities: Providing incentives for sexual and reproductive health services, strengthening services at secondary schools, enhancing accessibility of education for female students, and increasing demand for youth health services.Component 3: Strengthening Health Systems for Universal Health CoverageThis component aims to support institutional strengthening and reforms to improve the quality of spending in the healthcare sector. Sub-component 3.1: Support to Health Financial Management ReformsObjective: To enhance health sector financial management and mobilization capabilities.Activities: Supporting adoption and alignment of the Public Financial Management (PFM) system with PBF principles, capacity-building, and compliance activities.Sub-component 3.2: Support to Health Financing ReformsObjective: To improve health financing mechanisms and promote efficient resource utilization.Activities: Delivering strategic support for health financing reforms, improving beneficiary identification, and strengthening governance practices.Sub-component 3.3: Strengthening the Health Management Information SystemObjective: To enhance the capacity and effectiveness of the health information system.Activities: Supporting data collection, analysis, dissemination, capacity-building, technology enhancement, and integration with the national statistical system.Sub-component 3.4: Optimizing Surveillance, Preparedness, and Response to Epidemics and climate-sensitive diseasesObjective: To prevent, detect, and respond to potential health threats.Activities: Strengthening disease surveillance, enhancing diagnostic capabilities, conducting capacity-building activities, promoting public health education, supporting digital health technologies, and facilitating multi-sector coordination.Component 4: Project Coordination, Management, and MonitoringThis component ensures effective technical and fiduciary management and implementation of the project. It includes activities such as local consultancy for project coordination, procurement of office equipment, travel and per diem for facility supervision, operating expenses for project coordination, auditing and evaluation, verification, and counter-verification of results in health facilities.Component 5: Contingent Emergency Response Component (CERC)The Contingent Emergency Response Component serves as a mechanism to swiftly and effectively address unforeseen disasters or health crises such as pandemics. It operates on a contingency basis, ready to be activated upon formal declaration of a national emergency or through a formal request from the respective governments. The objective is to ensure rapid and targeted response to emergencies, providing essential funding to meet urgent needs and mitigate adverse impacts on the project's target populations.