In Mali, the majority of deaths among children under the age of 5 are linked to benign infectious diseases, which are entirely avoidable and can be treated with locally available medicines: pneumonia, malaria and diarrheal diseases represent 60% of infant mortality cases. In addition, 38% of children suffer from chronic malnutrition, which increases their vulnerability to such diseases. Infant-juvenile mortality rates remain very high in urban areas due to a lack of care, despite the presence of numerous care facilities and skilled personnel. This is mainly due to lack of financial accessibility, families' lack of knowledge and mistrust of primary care facilities. The partnership with the Djantoli association, revolving around two axes, is based on the "Djantoli service" aimed at facilitating and accelerating families' use of care in the event of a multi-faceted illness:

- Preventive monitoring of young children at home, based on regular home visits by tracing agents who collect simple data on the child (weight, brachial perimeter, stools, symptoms) and transmit them via a mobile application to the local health center staff in order to rapidly identify and refer cases at risk;

- Micro-health insurance to facilitate financial access to care when children get sick;

- A program of educational talks for mothers to improve their knowledge of childhood illnesses.

This service has already benefited more than 5,000 children since 2010 (of which 8 deaths were recorded) and had 1,734 active beneficiaires as of December 31, 2015. The most impoverished families in the intervention areas often lack the means, despite the Djantoli service having been designed to be very affordable, and are thus often obliged to renounce their access to care even though their living conditions make them even more vulnerable to the disease. Moreover, most of them are ignorant to the existence of the Malian medical assistance system, which could give them the right to free treatment, thus depriving them of their rights. It is therefore a question of developing solutions to support these families and offer them local subsidised health support.

While the health education program has proved successful in improving maternal health literacy, it has not sufficiently translated into a real change in behavior. Yet, the sustainable improvement of the population's health will inevitably occur through the mass adoption of preventive practices within homes. Having a unique bond of trust with mothers and a regular presence in families, follow-up agents are a tremendous lever to better reach mothers, personalising the approach towards making each of them aware of the issues and helping them to organize themselves in order to implement the necessary practices.

The aim is to strenghten this aspect by systematizing the time the Djantoli agents spend educating during the home visit and by continuously monitoring progress.