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After nearly 28 years, The Communication Initiative (The CI) Global is entering a new chapter. Following a period of transition, the global website has been transferred to the University of the Witwatersrand (Wits) in South Africa, where it will be administered by the Social and Behaviour Change Communication Division. Wits' commitment to social change and justice makes it a trusted steward for The CI's legacy and future.
 
Co-founder Victoria Martin is pleased to see this work continue under Wits' leadership. Victoria knows that co-founder Warren Feek (1953–2024) would have felt deep pride in The CI Global's Africa-led direction.
 
We honour the team and partners who sustained The CI for decades. Meanwhile, La Iniciativa de Comunicación (CILA) continues independently at cila.comminitcila.com and is linked with The CI Global site.
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Safe Motherhood "Perinatal Programme" - Mali

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The Safe Motherhood "Perinatal Programme" is the product of continuous dialogue and consensus among the Government of Mali, development agencies, health professionals, local authorities and villagers. The programme highlights the importance of access to medical care for women and newborns. On a broader scale, it promotes recognition of the value of a women's life. The programme serves as a model for addressing maternal and neonatal mortality in other low-income countries.
Communication Strategies

Rapid Response system in 6 districts (as of 1/99; expanding to another 13 districts) - district hospitals and local health centres linked by radio communication and transportation. Access to emergency care is guaranteed by a cost-sharing and post-payment scheme. District hospitals provide first-level emergency care and train health centre staff in management and standard treatment guidelines. A community based monitoring system with grassroots participation is augmented by awareness campaigns, conducted with traditional birth attendants as well as with the community as a whole, to improve the decision making process at home and ensure timely referrals.
Development Issues

Family planning, women, rights, health and nutrition.
Key Points

"The Republic of Mali in northwestern Africa has a population of over 10 million with an annual average income of only US$ 250. A Malian woman faces a one-in-ten chance of dying from pregnancy-related causes each time she becomes pregnant." Villagers take part in financing and managing Perinatal Programme health centres. Each health centre is staffed by a nurse and a village midwife. Each district has hospital services including surgery, laboratory and pharmacy, and emergency services.
Partners



UNICEF, World Bank, Government of Mali.

Sources

UNICEF web site.