Including those Suffering from Social Exclusion in National Health Coverage

Stepping up access to basic health among street children and adolescents, marginalized families, victims of domestic violence, and adolescents at risk of early pregnancy. Stepping up access to basic health among street children and adolescents, marginalized families, victims of domestic violence, and adolescents at risk of early pregnancy. Copyright Haradane Dicko/ Samusocial Mali

What are the health needs and challenges?

More than a year after the adoption of Recommendation 202 on national social protection floors by the International Labor Conference on June 14, 2012, and the resolution on universal health coverage by the United Nations on December 12, 2012, these two issues have emerged as key agenda items for post-2015 development, currently under discussion.

It therefore seems vital for Samusocial International to highlight the issue of including people without resources, and especially those suffering from social exclusion, in national strategies for universal health coverage.

Description of partnership activities and how they address needs and challenges

The proposed project aims first to implement an integrated and coordinated approach for access to care for people in extremely vulnerable circumstances in Peru and Mali, and second, to identify best practices in this sector on the basis of these two Samusocial organizations as well as other Samusocial organizations and share them across its network so that they can be effectively replicated.

The first thrust of the project is to step up access to basic health care and education health activities, including a sexual and reproductive health component, among street children and adolescents, marginalized families, victims of domestic violence, and adolescents at risk of early pregnancy, in two different national contexts - Mali and Peru. Drawing on these two experiments, the project aims to create a fundamental Samusocial reference framework for medical services that can be shared with other Samusocial partners across the International network.

The second thrust of the project, drawing on the examples of Mali and Peru, is to strengthen the referring of recipients of Samusocial services to health facilities that form part of the local health system, so that there is a seamless health management link between people coming from Samusocial’s basic medical service and national health services that can offer more complex treatment, especially in the field of preventive, and sexual and reproductive healthcare.

The third and final thrust of the project is to identify good practices and ultimately produce recommendations that will factor the issue of destitute people into national discussions about establishing universal health coverage systems. These recommendations will be shared with all Samusocial organizations and enable Samusocial International to position itself in global, regional and national debates about social protection floors and universal health coverage.

Summary of impact and forward looking information

  • 800 street children and young people will be aided annually by Samusocial Mali during the project, including 200 girls and young women.
  • 3,000 people will be aided per year, including 900 girls and young women by Samusocial Perú in the marginalized urban areas of Huaycán and Santa Rosa.
  • 160 health professionals in Mali and Peru will be trained to care for people suffering from social exclusion.
  • 14 Samusocial organizations that are members of the Samusocial International network will benefit from shared knowledge-raising practices and tools developed by this project.

Partnership information

Company(ies) Sanofi

Partner(s) Agence Française de Développement (AFD), Air France, European Commission, European Union, Local government & associations, Local hospitals & health centers & patient groups, Mali Ministry of Health, Peru Ministry of Health, Samusocial International

Type of Partner(s) Academia / Hospitals, Government, NGOs, Other Business

Therapeutic Focus Other, Women and Children's Health, Mental and Neurological Disorders, Non-Communicable Diseases

Disease(s) Addictive Disorders, Adolescent Health, Children's Health, Family Planning, Sexual & Reproductive Health, General Health, Mental Disorders, Mental Health, Women's Health

Program Type(s) Health System Infrastructure - Outreach & Medical Services, Health System Infrastructure - Training, Prevention Programs - Awareness & Outreach

Targeted Population(s) Children, Marginalised / Indigenous People, Patients in needs of treatment, People with low income, Women, Youth

Region(s) Latin America & Caribbean, Sub-Saharan Africa

Number of Countries 2

Country(ies) Mali, Peru

Start Date 2006

More information Sanofi Espoir Foudnation

Completed date 2015

« A distraught mother carrying her 3yo child: little S. was severely wounded in the right eye. As the health center had no ambulance or transportation… the Mobile Help Team transported S to … a neighboring district, where he was finally able to be treated. »

Leonardo Enciso, a Samusocial Perú driver