Quality Rapid Care at Scale: How Supervision of CHWS Improves Quality of Care in Mali
From July 28 to August 11, Muso conducted a joint supervision mission with Mali’s Health System Strengthening Implementation Unit, with support from Gavi, the Vaccine Alliance, in the regions of Koulikoro and Ségou. The mission aimed to assess supervision practices for community health activities, including vaccination tracking for zero-dose children and family planning services.
The assessment showed progress in dedicated supervisors’ performance, with their average performance score increasing from 61% in 2025 to more than 80% in 2026, out of a maximum possible score of 100%. This score reflects how consistently supervisors meet established performance targets across a set of assessment criteria, looking at factors such as direct observation of CHWs’ work, their presence in the community, use of work tools, and quality of care, as well as supervisors’ knowledge and use of DISC-Mali, the digital tool used to track community health activities.
As an active technical assistance partner in this process, Muso supported government teams in identifying priorities for follow-up. These include: stronger CHW monitoring, better coordination across health system levels, improved use of DISC-Mali to track community health activities, and greater availability of essential medicines. These priorities will inform action plans for health districts and facilities to improve supervision and service delivery.
Dedicated supervision is a core component of Mali's strategy to deliver rapid, high-quality care through its national network of approximately 5,000 CHWs. Strong supervision helps ensure that CHWs receive the coaching, performance monitoring, and support needed to provide consistent, high-quality care. Joint assessments, such as the mission conducted in Koulikoro and Ségou, provide an opportunity to examine how supervision is working on the ground. By assessing 12 dedicated supervisors and 12 CHWs as part of this broader network, the mission offered a snapshot of implementation and helped government teams identify challenges, target improvements, and strengthen service delivery.
Through technical assistance and partnership with government leaders, Muso is helping institutionalize dedicated supervision as a key pillar of Rapid Care scale-up.
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