Prevention and early care system for children in Mali


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ML Mali


About the project Edit

Pesinet's mission is to reduce sustainabily child mortality by facilitating access to existing healthcare systems through the design and deployment of community-based health services for mothers and their children.

Pesinet provides a prevention and early care system for children under 5 in Mali, a country where one child out of five does not reach this age. Once a week Pesinet agents visit children and collect medical data they enter into their mobile phones via a customized Java applet, and which are sent to a central server. Doctors of the local healthcare centers can access these data through a web interface, and when one of them detects a potentially ill child, he can call his mother in for an examination. First necessity medications for the most current pathologies are given to subscribers for half of their normal price.

Pesinet is a paying service designed to be financially viable. It costs 500 CFA francs per child per month. This fee allows to cover a great part of the operational costs (weighing agents wages, monthly fee reimbursed to the partnering centers, operating expenses, 50 % of the cost of the medication provided) when the project reaches 1,500 subscribers. However, this monthly fee does not exceed one day of salary which make it affordable even for the poor families.It costs the equivalent of a kilo of onions or tomatoes.

In what ways is this project unique and creative? Edit

Pesinet is a very creative mHealth experience which provides Malian people an affordable and efficient solution to an unmet need, namely the lack of prevention for benign diseases among children.

But more than a mere weighting program, Pesinet provides its subscribers access to drugs for a very affordable price. Because Pesinet is an inclusive solution involving benign disease detection and early treatment, it is a quite unique experience, even within the field of mHealth.

What is the social value of this project? Edit

In the beginning of the year 2011,more than a thousand children had benefited from the Pesinet service. 94% of subscribers says they are satisfied with the service. 97% consider it affordable when 90% of them say they have unstable revenues.

The service manages to increase significantly resort to care. An independant control-trial evaluation carried out in 2011 showed that Pesinet subscribers seek medical care in case of illness more than twice as much as non-subscribers. This also generate increase in activities and medication sales at the partnering centers.

Doctors involved in the service confirm that Pesinet subscribers tend to come early on to the doctor and that the system manages to avoid complication of diseases.

It is estimated that Pesinet can prevent 80% of mortality causes from benign diseases, hence a reduction of more than half of child mortality in the populations covered by the service. Moreover, because of its focus on prevention, Pesinet contributes to reducing the health spending on benign illnesses.

What is the potential of this project to expand and develop? Edit

Today, a thousand children have benefited from the service launched in Bamako in 2008. The first results in terms of health impact are very promising, hence the ambition of deploying Pesinet on new sites in Mali, in urban and rural areas, and explore opportunities to replicate it in other African countries.

What was the triggering factor of this project? Edit

What is the business model of this project? Edit

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  • Pesinet


    Pesinet est une association de solidarité internationale délivrant un système de prévention et de détection précoce des maladies pour les pays souffrants d’un manque de ressources médicales. Notre objectif est d’engendrer un changement systémique dans la situation sanitaire des pays émergents et de réduire la mortalité infantile.