Evidence map›Paper›PMID 42631785›Full record

ArticleJournal of community health2026

Contribution of Community Health Workers to Strengthening the Health System in Mali: Impact and Challenges, 2010-2024.

Borodjan Diarra, Oumar Sangho, Bakary Diarra, Cheick Abou Coulibaly, Abdoul Salam Diarra, Abou Sogodogo, Nouhoum Telly, Housseni Dolo, Ibrahim Terera, Hamadoun Sangho

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In one paragraph

Article in Journal of community health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Borodjan DiarraDirectorate General of Health and Public Hygiene, DGSHP/SDESR), Sub-Directorate of Health Establishments and Regulations, N' Tomikorobougou District, Postal Box: BP 233, Bamako, Mali. borodjand@gmail.com.ORCID http://orcid.org/0009-0004-4134-8609
Oumar SanghoDepartment of Teaching and Research in Public Health and Specialties (DERSP), Faculty of Medicine and Odontostomatology (USTTB/FMOS), University of Sciences, Techniques and Technologies of Bamako, BP 1805, Point G, Bamako, Mali.ORCID http://orcid.org/0000-0003-2856-0395
Bakary DiarraDepartment of Teaching and Research in Public Health and Specialties (DERSP), Faculty of Medicine and Odontostomatology (USTTB/FMOS), University of Sciences, Techniques and Technologies of Bamako, BP 1805, Point G, Bamako, Mali.ORCID http://orcid.org/0009-0007-3335-3514
Cheick Abou CoulibalyDepartment of Teaching and Research in Public Health and Specialties (DERSP), Faculty of Medicine and Odontostomatology (USTTB/FMOS), University of Sciences, Techniques and Technologies of Bamako, BP 1805, Point G, Bamako, Mali.ORCID http://orcid.org/0009-0004-5737-1993
Abdoul Salam DiarraDepartment of Teaching and Research in Public Health and Specialties (DERSP), Faculty of Medicine and Odontostomatology (USTTB/FMOS), University of Sciences, Techniques and Technologies of Bamako, BP 1805, Point G, Bamako, Mali.ORCID http://orcid.org/0000-0003-3363-7860
Abou SogodogoUniversity Clinical Research Center (UCRC), University of Sciences, Techniques and Technologies of Bamako, Bamako, Mali.ORCID http://orcid.org/0009-0008-2088-193X
Nouhoum TellyDepartment of Teaching and Research in Public Health and Specialties (DERSP), Faculty of Medicine and Odontostomatology (USTTB/FMOS), University of Sciences, Techniques and Technologies of Bamako, BP 1805, Point G, Bamako, Mali.ORCID http://orcid.org/0000-0003-0976-152X
Housseni DoloDepartment of Teaching and Research in Public Health and Specialties (DERSP), Faculty of Medicine and Odontostomatology (USTTB/FMOS), University of Sciences, Techniques and Technologies of Bamako, BP 1805, Point G, Bamako, Mali.ORCID http://orcid.org/0000-0002-4234-3488
Ibrahim TereraNational Institute of Public Health (INSP), Bamako, Mali.ORCID http://orcid.org/0009-0000-4237-7285
Hamadoun SanghoDepartment of Teaching and Research in Public Health and Specialties (DERSP), Faculty of Medicine and Odontostomatology (USTTB/FMOS), University of Sciences, Techniques and Technologies of Bamako, BP 1805, Point G, Bamako, Mali.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Faced with a critical shortage of qualified personnel (6 health workers per 10,000 inhabitants compared to the 23 per 10,000 recommended by the World Health Organization) and limited access to healthcare, Mali institutionalized community-based essential health care in 2009. This study assessed the contribution and impact of community health workers on maternal and child health from 2010 to 2024. A cross-sectional study was conducted from September 2022 to August 2025. It covered the first five regions ( Kayes, Koulikoro, Sikasso, Ségou, and Mopti) to implement community-based essential health care in Mali. Retrospective modeling was performed using the Lives Saved Tool integrated into the Spectrum software, along with qualitative interviews with 385 stakeholders and beneficiaries. High acceptance of community-based essential health care (97.9%) was observed among users. Between 2010 and 2024, infant and child mortality fell by an average of 42.02 per 1,000 live births nationally, with Kayes recording the largest decrease (45.53 points). Maternal mortality also declined (from 121.88 to 101.28 per 100,000 live births). However, the reduction remained marginal for neonatal mortality (2.52 per 1,000 live births), particularly in Koulikoro (0.33 per 1,000 live births). Regarding gender, 75.2% of respondents believe that female community health workers (CHWs) benefit from greater social acceptance. The Community Health Strategy (CHS) in Mali has proven its effectiveness through a major reduction in infant and child mortality, driven by strong social acceptance and access to care.

Indexed as

ASCInfant mortalityMaliSEC

Identifiers

PMID42631785

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.