Monitoring of nutrition activities in Mali Salutary innovation in the circle of Kayes

Abstract

Introduction: In the Kayes region, the prevalence of malnutrition in the health district of Kayes has been fluctuating over the past five years (from 2017 to 2021). From 14.2% of global acute malnutrition in 2017, it has decreased to 5.6% in 2020 and will reach 11.5% in 2021[1]. Given that it is impossible to monitor the execution of the commitments of the various actors and the implementation of activities and the achievement of objectives in 54 health areas due to the lack of adequate resources, it is essential to implement local monitoring by involving local authorities. It is within this framework that in 2021, the Nutrition Officer of the Kayes Health District (RND) requested the involvement of the sub-prefect of the Ambidedi district to organize local monitoring by inviting the mayors of the district's communes, the DTC (Technical Director of the Center) of the CS Com (Community Health Center) to review the achievements of the nutrition activities and the mobilization of financial resources by the ASACOs and mayors. General objective: To share the experience of the Kayes health district in terms of local monitoring of nutrition activities. Methodology: To report the process to nutrition actors around the world. Results: Four local monitoring meetings were organized in two districts. Nearly two million CFA francs were mobilized to finance the holding of the meetings, the motivation of the GSANs and CHWs. The lessons learned show that local meetings help boost local leadership, resource mobilization, program effectiveness, efficient resource management, etc. Conclusion: The initiative of local monitoring of nutrition activities is a salutary innovation that strengthens the community anchorage of financing and monitoring of nutrition activities. We should think about improving the initiative by extending it to the monitoring of other health center activities.