Communities and patients are the core of the local health system, so our approach to quality improvement puts them at the heart of the process.

Improving access to basic healthcare is a good first step, but it is not enough. Ensuring the high quality of maternal and child healthcare, especially at the local level where most families seek and receive care, is just as important.

To support partners in improving the quality of health services, we adapt traditional quality improvement methods based on the Kaizen approach for use by local teams based at community health centers.

Our approach is unique because users and providers work together to address quality issues. Women play an important role in the change teams and by joining and leading the health center management associations – so their voices are truly heard. We call our approach participatory quality improvement.

Using data and feedback collected from patients (usually mothers) and internal health center sources, change teams make improvements based on needs and evidence, while measuring the impact of the changes continuously.

Due to the structure of Mali’s community health system, improving quality also means improving governance, accountability, and transparency. We also help raise sanitation and infrastructure standards in health centers when possible. 

We help quality improvement teams address challenges in four core areas:

  Clinical quality of healthcare delivery
The patient’s experience

Health center management and governance

Revenue and cost recovery

“One of our greatest accomplishments has been the increase in the number of women who complete all four prenatal consultations. In the very first consultation, we talk to mothers about why it’s important to come for all four visits. It helps them prepare psychologically for their pregnancy and eventual delivery. Through the QI program, this information has become an important part of our medical personnel’s training to ensure the best quality service for our patients.”

— Chief Midwife at CSCom Boulkassoumbougou

                      OUR RESULTS                     


partner health centers across Mali

serving populations of over



staff and ASACO members trained


PDSA cycles in 2021




In Mali’s decentralized health system, ASACOs (community health associations) are instrumental to not only the delivery of primary health care services – particularly maternal and child healthcare – but they are also the primary structure that ensures community...

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Contact Us:
P.O. Box 51632
Durham, NC 27717

Hamdallaye ACI 2000
Rue 100 Porte 200
Commune IV du District de Bamako, Mali

+1 617 475 0995

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