Updated Feb 23, 2021

Gnima Diop

Send Message

Proactive Community Case Management to Improve Child Survival

To save lives in the world’s poorest communities, early access to care is crucial to survival. Muso, in partnership with the Malian government, built a different kind of health system — one that removes barriers and brings care to patients proactively. Muso’s Proactive Care model brings together three core strategies to shrink the time from symptom onset to treatment: proactive search (Communit...
SEE ALL
To save lives in the world’s poorest communities, early access to care is crucial to survival. Muso, in partnership with the Malian government, built a different kind of health system — one that removes barriers and brings care to patients proactively. Muso’s Proactive Care model brings together three core strategies to shrink the time from symptom onset to treatment: proactive search (Community Health Workers search for patients through door-to-door home visits), doorstep care (provide life-saving health care services in the home), and rapid-access clinics (high-quality primary care clinics when patients need more intensive care). Muso’s Proactive Care model is designed to be simple and adaptable--designed from the start for government implementation at scale. Through direct health care delivery, research to test our strategies at scale in partnership with academics and government actors, and technical assistance and advocacy, Muso supports government partners to integrate Proactive Care strategies, finance them, and implement them. Muso's continued direct service and research generate evidence that enables us to support the Malian government and global partners to improve national Community Health Worker programs. We will put these critical findings into the hands of global policymakers, implementers, funders, and norm-setting bodies, toward a goal of improving CHW-led health care delivery for tens of millions of patients.
SEE LESS

Stage 4: Transition to Scale

Muso designed its Proactive Care model with the Malian government, reaching 332,000 patients in 2020. With Muso’s support, the governments of Mali and Côte d’Ivoire committed to scaling Proactive Care strategies to their combined 40M citizens.
Registered in United States and Mali as Non-Profitin United States and Mali as Non-Profit

Focus Areas:

Maternal Newborn and Child Health, Health Systems, Health and 4 MoreSEE ALL

Maternal Newborn and Child Health, Health Systems, Health, Nutrition, Infectious & Vector Diseases, Prevention & Vaccination and Social and Behavior ChangeSEE LESS

Implemented In:

Mali and Cote d'Ivoire

Mali and Cote d'IvoireSEE LESS

2
Key Partners
2
Countries Implemented In
332,000
Customers
500
Employees
$33,875,178
Funds Raised to Date
Verified Funding
?

Problem

Late access to care is a leading driver of maternal, child, and newborn death globally. As the epicenter of the child mortality crisis, Mali has one of the world’s highest under-five mortality rates. As with most of the world, Mali's current health care delivery model is passive, with providers waiting for patients to come to them. Families often cannot access care for sick children; and the health system often fails to deliver evidence-based treatment in time to the children who do access care.

}

Solution

Muso collaborates with governments to design community-based health systems that deliver care with speed to all patients who need it, when they need it. Muso, in partnership with the Malian government, has developed a Proactive Care model focused on ultra-rapid, doorstep health care delivery to save lives: Community Health Workers (CHWs) working within strengthened public health care systems actively search for patients and connect them to life-saving services early, without point-of-care fees.

Target Beneficiaries

Muso delivers proactive, life-saving health care to over 332,000 patients in Mali: 192,000 patients in one peri-urban site and approximately 140,000 across eight rural sites in eastern Mali. To drive policy and practice change, Muso bridges locally-led care delivery with rigorous research and technical assistance, informing Mali’s national health program to improve care for the country's 19 million people, and accompanying the government of Côte d’Ivoire health system to reach 24 million people.

Mission and Vision

Muso’s mission is to eliminate preventable deaths rooted in poverty. We envision a world in which no one dies waiting for health care.

Competitive Advantage

Muso’s Proactive Care model and rigorous evaluation redefine the mandate of a health system by measuring success not only by the improvement of health outcomes for individual patients, but also by the improvement of health outcomes across entire populations. Muso has documented rapid health improvements across the populations connected with Proactive Care: a 2013 study found that in the peri-urban area of Muso’s intervention with the Malian government, the under-five mortality rate was 155/1000 at baseline and 7/1000 at year seven, a more than 20-fold difference. These results demonstrated the immense potential of the Proactive Care health system and the importance of expanding its reach: if these results can be replicated and scaled, we could save the lives of millions of children annually.

Planned Goals and Milestones

1. Provide technical assistance to the governments of Mali and Cote d’Ivoire to support the delivery of Proactive Care strategies to over 40 million patients across both countries, beginning with the implementation of Muso’s research-based dedicated CHW supervision model. 2. Complete and share findings from the ProCCM Trial, our embedded Randomized Controlled Trial, collecting critical evidence on the impact of proactive CHW case detection on child mortality.
Funding Goal12,900,000
New Implemented CountriesCote d'Ivoire
Recruitwww.musohealth.org/careers
New FeatureExpanded technical assistance partnerships and research findings will bring new insights into the effectiveness of Muso’s model and our approaches to scale.

The Team Behind the Innovation

Our leadership team supports a cadre of experienced researchers, program managers, and health workers, including 424 Community Health Workers who provide life-saving care within their communities. The leadership team has decades of experience in global health research, policy, and practice. More than half of the executive team holds a MD, and 31% are women. Several Muso founders, both Malian and American, have been supporting the provision of care to Muso patients for over a decade.

EXECUTIVE TEAM INCLUDES WOMEN

Milestone

Jan 2021
New Country Implemented In
Cote d'Ivoire
Jun 2005
Created
Date Unknown
Funds RaisedPENDING
Unknown Amount
Date Unknown
Recognition ReceivedVERIFIED
Profiled Innovation - Gold