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General

REACH Mali begins national azithromycin distribution in Ségou

The REACH project to distribute azithromycin for child survival took a major step forward this week as Mali began rolling out its national scale-up of the life-saving intervention.

On Friday, 2 August 2024, the REACH Mali team began mass drug administration (MDA) in Baroueli, in the Ségou region, some 200km east of the capital, Bamako.

After a widespread outreach and sensitisation campaign, and with the full support of the Malian Ministry of Health and Social Development, REACH Mali teams have now begun the long and challenging task of delivering azithromycin throughout the country, as part of a major public health intervention.

REACH Mali is targeting its azithromycin distribution at children aged 1 to 59 months. To ensure that doses of the antibiotic get into as many young mouths as possible, the intervention is being integrated.

Professor Samba Sow was in Baroueli to supervise and take part in the REACH Mali azithromycin distribution, under the leadership of the Ministry of Health and Social Development

A combined package for better child health

SIAN stands for “Semaines d’Intensification des Activités de Nutrition” and is a nationwide platform which distributes Vitamin A and Albendazole supplements while also conducting community engagement and providing advice and support to ensure children receive the nutrition services they need to develop in good health.

REACH Mali will integrate its distribution of azithromycin to eligible populations as part of these child nutrition weeks, offering a comprehensive and integrated healthcare package to support the  health and wellbeing of young infants and toddlers.

Making hard-to-reach populations a priority

The REACH Mali azithromycin distribution has also been specifically conceived to target areas and populations which have traditionally struggled to access healthcare and public health interventions.

The team will be working closely with government and local partners to ensure that what is often referred to as “the last mile” is actually covered towards the beginning of the intervention.

REACH azithromycin is likely to be of the greatest benefit to precisely those populations where intermittent – even inexistent – access to healthcare has led to unacceptably high levels of child mortality.

The REACH team – and extended family – in Baroeuli

Partnerships and good will

Reaching these children will require a great deal of meticulous planning and coordination, as well as strong partnerships and political will at the local, regional and national levels. 

Fortunately, the REACH Mali intervention has the backing of partners ideally placed to help get azithromycin into the communities where it stands to have the greatest impact.

Preparation and planning

A long-awaited intervention

Speaking in Baroueli, Ségou, as REACH Mali roll-out got underway, Professor Samba Sow, former Minister of Health for Mali and Director of the Center for Vaccine Development (CVD-Mali), said:

“I am delighted that REACH Mali is now underway. This is a child health intervention that has been a long time in the making. It comes about as a result of extensive and significant clinical trials – both the LAKANA trial, conducted in western Mali, and the SANTÉ trial in the south-east of the country.

“This first day of azithromycin distribution in Baroueli is a major milestone as the potential of azithromycin to save young lives becomes available, at last, to all eligible children as a public health intervention.”

Professor Samba Sow

“It is a source of great joy that the REACH azithromycin intervention will now be rolled out to children across Mali. We are beginning in the Ségou region, but we aim to progressively cover the whole of the country in the coming months and years”, Professor Sow said during the launch.

“High child mortality has been a blight on our communities for far too long and too many children have suffered from poor access to essential care and medicines. I am particularly proud that this intervention will live up to its name: it will reach children across the country, including in areas to the east and north where instability has led to persistently poor health outcomes.”

Professor Sow will lead the REACH Mali scale-up, working closely with Mali’s Ministry of Health and Social Development.

Bucking the trend

“We are extremely proud that the REACH intervention in Mali is being implemented in partnership with the SIAN network. Nutrition and vitamin A supplementation are critical for children’s health, and the REACH program for azithromycin aligns seamlessly with this goal.

“The SIAN platform is well-established, extensive, and operates effectively. It boasts outstanding community engagement and a high level of acceptance. The network and its partners have developed strong working relationships both with communities and with the health system across Mali.”

A Network of local solutions

Adoption of the REACH azithromycin intervention in Mali is part of the wider REACH Network slate of similar interventions across sub-Saharan West Africa. Niger and Côte d’Ivoire are also in the process of preparing for the roll-out of azithromycin MDA and Nigeria too is expected to follow suit soon.

Each intervention is tailored to the specific national context and to the demands and rigours of each sub-national region.

Across all countries and regions, however, the ultimate goal remains simple: to reduce child mortality.

The entire REACH Network of partners, researchers and stakeholders congratulates the Mali team on its accomplishments and wishes them all the best as their implementation gathers pace and their intervention goes from strength to strength.

Categories
General Vaccines

Back to the future – vaccines show us the way !

This year, like every year, CVD-Mali is immensely proud to add its voice and experience to the global celebration that is WHO’s World Immunization Week.

This year’s theme, ‘The Big Catch-Up’, is particularly relevant to us in Mali – and, I suspect, to a great many countries like ours, for whom routine immunization and the extended programme of immunization (EPI) are staples of public health provision and a crucial element in ensuring that our communities are able to build up resistance to a number of common, dangerous but preventable diseases which continue to wreak havoc throughout entire communities and regions.

This is particularly true this year, of course.

Restoring the balance

The COVID-19 crisis caused untold damage to communities in Mali, as it did throughout the world. That damage – to millions of lives – was both direct, as a result of infection with SARS-CoV-2, and also indirect: so many routine health interventions, on which the fragile balance of people’s health is based, particularly in low-income and remote or isolated communities, were upended.

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General

CVD-Mali is recruiting!

CVD-Mali, the Center for Vaccine Development, is expanding its laboratory services division to meet increasing demand resulting from a number of high-profile international trials.

Seeking to build its capacity and expertise base, CVD-Mali is looking for dynamic and experienced laboratory technicians and scientists, to work at its central laboratory facility in Bamako, Mali.

This new expansion phase is an exciting opportunity to join a vibrant team in an organisation dedicated to scientific excellence and the promotion of equitable and accessible healthcare innovations for the West African region and beyond.

If you think you have what it takes to make a difference to our team, please email jobs@cvd-mali.org for more information.

We look forward to hearing from you!

Categories
COVID-19 General Vaccines

Solidarity Trial Vaccines enters major new phase, recruiting now

Solidarity Trial Vaccines, an international clinical study of candidate COVID-19 vaccines coordinated by the World Health Organization (WHO) and administered in Mali by CVD-Mali, is now recruiting for its exciting new phase.

COVID-19 has had a devastating impact on our lives in ways many of us have never experienced before. Millions of people across the world have died from the disease, and although remarkable scientific work has led to the development of a number of successful vaccines, many countries, including Mali, still do not have access to them. This is why it is still so important to find vaccines that can protect people from existing and emerging variants of COVID-19 which, two and a half years after the start of the pandemic, is still a major global problem.

Recruiting 150,000 new participants

Almost 9 000 participants have already taken part in the trial in Mali. Now, a new candidate vaccine has been introduced. Developed by Codagenix and the Serum Institute of India, the vaccine is conveniently delivered as a single-dose nasal spray. We are now recruiting a further 150,000 participants in districts around Kita, Djoliba and Siby to help us evaluate the effectiveness of this new vaccine.

All candidate vaccines in the trial have been carefully selected by leading international experts, after first trial phases showed their potential to be safe and effective.

CVD-Mali Director General, Professor Samba Sow, said:

Every participant and community in the trial has made a contribution to finding new, safe and effective vaccines for Mali and for the world, and we are grateful for your support.

Prof. Samba O Sow

To find out more, and to take part in this important trial, please email STV@cvd-mali.org, or phone CVD-Mali on +223 20 23 60 31.

What are the Solidarity Trial Vaccines?
Categories
General Lakana

Updates from the field!

CVD-Mali’s Lakana trial is going from strength to strength.

Having started in Kita and expanded to Sagabari and Sefeto, the trial is now entering Koulikoro region and health districts around Kati and Oulessebougou.

We are immensely proud of the work our Lakana teams have done so far – and of the excellent relationships they have built in communities everywhere they have been.

The following video is a brief document of some of the challenges and triumphs they have encountered so far.

It is also a heartfelt thank you to every single member of our teams for their tirelessness and dedication.

Categories
COVID-19 General

Prof Sow joins Bill Gates to promote a truly global pandemic response taskforce

As COVID-19 has slipped down the news agenda in recent months, it may be tempting to think that the worst is now behind us and that we can all put our feet up and relax again.

As an important new book amply demonstrates, however, doing so would be a huge mistake.

On 6 May 2022, CVD-Mali Director-general, Professor Samba Sow, was delighted to join Bill Gates at the Paris launch of his latest book, How to Prevent the Next Pandemic.

L to R: Prof Samba Sow, Bill Gates, Dr Sylvie Briand, Dr Ilona Kickbusch. Photo by Krystal Kenney (MissParisPhoto.com).

The book is a call for a robust and fully functional global health management initiative, to ensure that we are not caught unawares when the next pandemic hits us.

Gather strength in peace time

Mr Gates proposes that a new “Global Epidemic Response and Mobilization” initiative be set up, to ensure that we do all that we can to start those preparations now.

Now is absolutely the time to ensure that we have proper surveillance systems, to cover the entire globe and capture the early signals not only of new COVID-19 variants but also of the next potentially even more deadly pandemic.

Categories
General

Prof Sow features in BMGF’s Working Dinner video series

This starts with communities. It doesn’t start in front of a computer sitting here in Seattle or sitting in Geneva. You have to be inside the community. You have to be where the problems are.

Samba Sow, Director General, Center for Vaccine Development (Mali)
Categories
COVID-19 General Vaccines

CVD-Mali celebrates World Immunization Week 2022

Here at CVD-Mali, vaccine development is our bread and butter and we welcome every opportunity, and World Immunization Week in particular, to shine a light on the amazing, life-changing power and potential of vaccines and vaccination.

In all our work, over the course of 20 years trialling, developing, and introducing vaccines into public policy for the Malian population, we keep coming back to a few core principles in relation to vaccines.

The first, and by far the most important, is that vaccines work. As the WHO says,

Vaccines have been indiscriminately saving lives since 1796. The first Smallpox immunization was a fight back against disease. For the first time, it gave everyone a chance. And hundreds of vaccines later,​ across two and a quarter centuries, billions of people have lived longer lives.​

Closely related to that point, however, is the fact that vaccines can only work if they are administered to people and, as we have seen with COVID-19 vaccines, getting doses into people’s arms can be a complicated process.

Some complications arise from people’s reticence to receive vaccines. They may think that a vaccine contains “live virus”, and that there is a chance of them being infected with the very disease it is meant to protect them from. Or they may simply be reluctant to be administered with something that sounds threatening or, more simply, unknown.

Communities and trust

The truth is, of course, that vaccines administered to the public have undergone the most rigorous testing possible, and that has always been a core element of CVD-Mali’s work. We want to be absolutely sure that treatments are as safe as they are effective.

And that introduces another core aspect of our mission – to communicate effectively with communities and encourage them to see for themselves the benefits of vaccination.

I am proud to say that our relationships with communities across Mali have led to exceptional take-up of vaccines, particularly in the case of mothers with young children, who know that routine vaccines help protect their loved ones against a whole host of diseases which may well have led to severe disability or even death just a few generations ago.

We must fulfil vaccine commitments

But administering vaccines is not only a question of trust. It is also a question of logistics and infrastructure – and this is, to my mind, is a far more pressing issue than vaccine hesitancy.

In the specific case of COVID-19 vaccines, and with the pandemic no longer dominating headlines and front pages as it once did, it may be tempting to think that the worst is behind us, even that the need for vaccines has lessened.

My firm belief, which I reiterate here during World Immunization Week 2022, is that we still have solemn commitments, as a world community, that we are yet to fulfil.

When the pandemic was at its height, we heard repeatedly that vaccination would only have the desired effect if stocks were distributed equitably across the world, including to the poorest countries and communities.

Now it seems highly likely that the world will fail to keep its promise to vaccinate 70% of the global population by June 2022.

And vaccination rates in African countries are among the most disappointing of all.

Vaccination for all

Underlying problems related to inadequate health infrastructure in low-income countries remain, of course, but increasingly it seems that the wider world has simply forgotten that commitments made are also commitments that need to be honoured.

For one simple truth about vaccines remains: they are most effective when enough of the target population receive their benefits.

Today, in pandemic terms, that target population is very easy to define: it is everybody, every human being on the planet, wherever they live.

The benefits of invention, of the ingenious human technology that is vaccination, ought to be felt by all.

Categories
General

Happy International Women’s Day from CVD-Mali!

Categories
COVID-19 General

Mali takes part in global launch of Solidarity Trial Vaccines

Today, Mali joins the nations of Colombia and The Philippines in celebrating the official global launch of the Solidarity Trial Vaccines (STV), a large international randomised clinical study coordinated by the World Health Organization (WHO), together with national ministries of health, to rapidly test new promising COVID-19 vaccine candidates.

COVID-19 is one of the biggest health and economic threats the world has seen in decades. The rapid development of safe and effective COVID-19 vaccines is a remarkable scientific achievement, but many countries do not have access to these vaccines or do not have enough doses to protect their populations: the world needs more vaccines to protect everyone, wherever the live, from the virus and all its variants. The STV trial has a critical role to play in testing new vaccines for COVID-19.

All candidate vaccines in the trial have been carefully selected by leading international experts, after first trial phases showed their potential to be safe and effective. Initial results from the trial could be ready by early 2022, but the study will be ongoing as potential new vaccines are added as and when they pass the WHO’s strict entry criteria.

This trial will help shape history. The people of Mali will make a real difference in finding more safe and effective vaccines to help protect the whole world from COVID-19.

Prof. Samba Sow

In Mali, the STV trial is being coordinated by CVD-Mali in association with the Ministry of Health, and aims to include 40,000 participants throughout the country. Recruitment began in October at a number of trial sites in the Bamako region, and to date over 4,200 volunteers have enrolled.

“This is a very important trial for Mali, and for Africa” said Prof. Samba Sow, Director General of CVD-Mali, and the trial’s Principal Investigator. “We are extremely proud to take part, as this trial will help shape history. The people of Mali will make a real difference in finding more safe and effective vaccines to help protect the whole world from COVID-19.”