- Social Innovation Fellowship
In Sikoro, one of the poorest slums of Mali’s capital, one in five children are killed by malnutrition and easily treatable disease before their fifth birthday. Sigida Keneyali is grounded on a simple concept: instead of paying high clinic fees for essential health services, participating families will trade three “action fees” for free maternal and child health care in the home. Action fees include voting in municipal elections, working unskilled shifts in Sikoroni’s clinic, and participating in community clean-up days. This summer, I worked closely with 12 community health workers to design our program and prepare for the start of home visits. We enrolled 250 mothers in the program, conducted a baseline health survey, and negotiated contracts with Sikoro’s clinic and the Regional Health Director. By providing high-impact rapid referral and preventative care, Sigida Keneyali will address the preventable roots of 90% of child death in Sikoro.