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                                                                          IIF's Project in Mali

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                                                                          In collaboration with Santé Diabète Mali (SDM) and the support of the Ministry of Health, the Direction Nationale de la Santé, Dr. A. Nientao and the financial support of the Diabetes Foundation (UK) the IIF carried out the RAPIA in Mali.

                                                                          Mali was chosen as it is a “Highly Indebted Poor Country” (HIPC). The World Bank has defined an HIPC on the basis that the demands on these countries for debt repayment heavily exceed their ability to generate income, and as a consequence, programmes of social investment including health are suffering.

                                                                          Implementing the RAPIA in an HIPC was to see how a sustainable solution can be found to the issues of access to insulin and proper diabetes care under extreme conditions of scarce resources in the health sector.

                                                                          The Project Coordinator in collaboration with SDM carried out the RAPIA in Mali over a period of a 7 weeks. In total 110 interviews and approximately another 40 informal meetings and discussions were held in 4 distinct areas of Mali – District of Bamako (City of Bamako), Sikasso (City of Sikasso and Cercle of Kadiolo), Timbuktu (City of Timbuktu) and Mopti (Cercle of Douentza). These four areas were chosen by local stakeholders due to their geographical distribution and differences in economic situation.

                                                                          Each interview had as its main aim to obtain the person's perspective on the problems faced by people with diabetes in Mali in gaining access to insulin and proper diabetes care, rather than seeking precise statistical information.

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