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MALI

Population (2018): 18.54 M

Income per Capita (2018): 762.20 US

Percentage of GDP on Healthcare (2015): 5.80%


training

Year of family medicine established: 2010

Type of Training: Residency Program

Length of Training: 6 years of Medical School, followed by 2 years of a Residency Program

Number of institutions that offer family medicine: 1 (University of Bamako; cooperation with the Université de Sherbrooke, Cépeg de St-Jérome and CCISD)

Number of family medicine residents graduating each year: unknown


practice

Number of family doctors: 150 general doctors

Physician to population ratio: 30 per 100,000 people.

DALY: 62,726 per 100,000 individuals (Due to all Causes).

Life Expectancy:

  • Females 2017: 59.2 years

  • Males 2017: 57.7 years

Mortality rate 2017:

  • 2017 Males: 267 per 1,000 male adults.

  • 2017 Females: 249 per 1,000 female adults.

Infant Immunization-HepB3: % of 1-year-old children received: 71%

College of Family Physicians (Y or N):

  • NO


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Healthcare system

Mali has a mixed healthcare system; community-based general practice with private doctors lined to the state by a public service partnership agreement. Community-based general practitioners are paid exclusively from community financial contributions, directly (independent practice) or indirectly (community practice). The Community Health Care Associations recruits’ staff of their choice and are sponsored by Santé Sud under private contract, 10% chose to set up as independents.

training

Mali’s training program has 6 years of Medical School and 2 years of a Residency Program

A specialized medical program in family medicine was developed for medical graduates with a Diploma of Specialized Studies in family medicine/community medicine. Currently only one institution offers family medicine training: the University of Bamako; cooperation with the Université de Sherbrooke, Cépeg de St-Jérome and CCISD). It is unknown how many residents graduate each year.


Practice

Family physicians in Mali primarily work in clinics and provide curative treatments, using a qualitative approach. They also have obstetrics and gynaecologists

In Mali, the model used is a community-based private medical practice, as part of the reform of the country’s health system. Specifically, in family medicine they focus on the individual, clinical practice, curative treatment, response to a demand and qualitative approaches.

It is currently unknown if there is a gatekeeping system in place in Mali.


References

  1. Jouini, Mohamed, MD, interview by Jenna Lazarou, November 14th, 2018

  2. “Current Health Expenditure (% of GDP) | Data.” n.d. Accessed December 16, 2018. https://data.worldbank.org/indicator/SH.XPD.CHEX.GD.ZS.

  3. Institut Veolia Environnement., Dominique, and Dominique. 2008. Field Actions Science Reports. Http://Journals.Openedition.Org/Factsreports. Institut Veolia Environnement. https://journals.openedition.org/factsreports/1798.

  4. “Population, Total | Data.” n.d. Accessed December 16, 2018. https://data.worldbank.org/indicator/SP.POP.TOTL.

  5. “TRADING ECONOMICS | 20 Million INDICATORS FROM 196 COUNTRIES.” n.d. Accessed December 16, 2018. https://tradingeconomics.com/.