Table 1

Presentation of the experienced mutualist system and offer in Mali (in italics the innovations)

Cofinancing of contributions (subsidies)State: 50% co-financing
AFD/PADSS2: additional co-financing of 30%
MembershipVoluntary membership
1000 FCFA (€1=FCFA655 957) membership per 15-person membership unit
Annual individual membership fee: FCFA1730 or 20% of the total contribution of FCFA8650.
Package of treatmentsAll generic, antimalarial drugs: generics and specialties,
All public and community health facilities
Third-party payer: 70% of outpatient fees and 80% in hospitalisation
Third-party payer: for 100% of obstetric and neonatal emergencies
ProfessionalisationTeam: coordinator, accountant, manager, development assistant, medical adviser
Management software, computerisation
StructuringMutual Circle/District and Communal Antennas
Mutual offices at the municipal level
Board of Trustees of the Circle-wide Mutual
PartnershipsAgreement with health facilities
  • AFD, French Development Agency; PADSS2, Programme of Support for Socio-Health Development, Phase 2.