ABSTRACT
The host country of the rural health project, Projet Santé Rivale (PSR), reviewes in this chapter is a landlocked nation of the West African Sahel. The socialist doctrines of Mali’s first government follows independence placed it in the radical wing of France’s former African colonies. The political consequences of releasing public-sector staff, failing to absorb graduates of secondary level training institutions, or freezing government salaries in the face of inflation, the government chose for several years, to freeze all non-personnel budget allocations. The hierarchy of administrative levels which characterize the Malian government and its public health service. In general, apart from special allocations through projects such as the PSR, Malian district health services, including those of Yélimané and Koro, have no cash resources other than their allocations in the regional budget. The only indicators of health status available for the Malian population as a whole are a few that have extrapolated from sample surveys in scattered areas of the country.
