Authors: Ari D. Johnson, Dana R. Thomson, Sidney Atwood, Ian Alley, Jessica L. Beckerman, Ichiaka Koné, Djoumé Diakité, Hamed Diallo, Boubacar Traoré, Klenon Traoré, Paul E. Farmer, Megan Murray, Joia Mukherjee
In 2012, 6.6 million children under age five died worldwide, most from diseases with known means of prevention and treatment. A delivery gap persists between well-validated methods for child survival and equitable, timely access to those methods. A health systems strengthening intervention was implemented in peri-urban Mali designed to improve child survival by improving rapid access to prevention and treatment. The intervention focused on removing access barriers through community health worker active case finding, removal of user fees for the poor, strengthened clinical infrastricture, a rapid referral network to link communities to the health systems, and a package of prevention services addressing conditions of poverty.