HIV/AIDS remains West Africa’s most pressing health challenge. Mali’s HIV/AIDS prevalence rate of 1.1% is quite high for West Africa and the country is one of the few African nations where new infections are rising. Mali is both one of the 10 poorest countries in the world where they are on a list of 37 very poor and very indebted countries. It relies heavily on foreign aid. Many Malians struggle to access HIV/AIDS testing and treatment due to stigma and discrimination. Other challenges are difficult access to health facilities and scarcity of follow-up at community level. Yet, amid these challenges, a homegrown organization is working to address HIV/AIDS in Mali, one community at a time.

A Crisis of Access and Awareness

Approximately 62% of Malians living with HIV/AIDS know their status. Among those who test positive in Mali, 56% are on antiretroviral therapy (ART), with 48% on ART achieving viral load suppression. It helps people living with HIV/AIDS stay healthy, live longer and reduce the risk of transmitting the virus to others.

On February 28th, the U.S. decided to suspend funding to FHI360, a global nonprofit organization that is based in North Carolina. The Joint United Nations Programme on HIV/AIDS (UNAIDS) Country Office and the Executive Secretary of the High National Council for the Fight against AIDS organized this meeting and made this decision. To this, the Malian government went on to distribute 120 million CFA francs ($212,000) to associations to help them continue their activities and reduce the drawbacks of the suspension.

ARCAD Santé PLUS: A Community-Focused Response

ARCAD Santé PLUS is an NGO founded in 1994 in Bamako. Led by Dr. Aliou Sylla, ARCAD Santé PLUS (formerly ARCAD-SIDA) focuses on community resilience and access to health, providing technical support, community research and advocacy. This is particularly for people living with HIV/AIDS and vulnerable populations.

The services they offer include prevention and care initiatives, including capacity building for community leaders on sexual health and rights. ARCAD Santé PLUS seeks to bring communities together to identify and address their health needs, contributing to a world free of HIV/AIDS.

The organization runs CESAC, otherwise known as the Centre for Listening, Care, Activities and Advice. It originated in 1996 which was Mali’s first dedicated HIV clinic. It receives support from the Global Fund which ARCAD Santé PLUS leads. HIV/AIDS prevention, treatment and care and programs specifically for children, adolescent girls and women are some of the health services they provide.

More specifically, ARCAD Santé PLUS’ clinics provide prevention kits and PrEP, testing for HIV/AIDS, treatment of opportunistic infections, initiation and monitoring of ARVs, community-based ARV distribution, self-support groups, harm reduction, research and advocacy.

A Major Step Forward in 2024

In March 2024, The Global Fund to Fight AIDS, Tuberculosis and Malaria (The Global Fund), the government of Mali, ARCAD Santé PLUS and Plan International Mali signed three new €102 worth of grants. These grants support the fight against AIDS and tuberculosis (TB) and strengthening health systems over the 2024-2026 period. 

About 96,600 people will receive HIV/AIDS and TB treatment through grants by 2026 to prevent significant numbers of new HIV/AIDS infections, including mother-to-child transmission.

The grants will also be used to improve testing coverage and success rates, focused on decentralized care for drug-resistant TB between 2023 to 2025. This will scale up prevention activities for hard-to-reach populations and strengthen the capacity of community-focused organizations.

Progress Is Possible

Naturally, the path to ending HIV/AIDS in Mali is not without obstacles. Funding disruptions, conflict and persistent stigma continue to challenge the national response. However, organizations like ARCAD Santé PLUS reflect that community-focused, patient-centered care can make a meaningful difference despite these difficult circumstances. ARCAD Santé PLUS is proof that continued investment in local solutions can fight against HIV/AIDS in Mali.

– Joy Kohol

Joy is based in Muncie, IN, USA and focuses on Good News and Global Health for The Borgen Project.

Photo: Unsplash