Projet Espoir

Projet Espoir

Publication info



CARE's Projet Espoir pour la Santé de la Mère et du Nouveau-Né, (PEMN – Projet Espoir, Mali), with funding from the Google Foundation, was implemented from December 2010- September 2013 in collaboration with CARE Mali in two districts of North-Central Mali. The project was designed to measure the added value of social and gender interventions in enhancing maternal and newborn health. It did this by strengthening the quality of maternal and newborn health services in both Bankass and Bandiagara districts, while integrating social and gender interventions in Bankass (the intervention district). Data collection for the final evaluation was completed by December, 2013.

PEMN addressed the quality of maternal health services through the provision of equipment, provider training, reinforced supervision, and data monitoring in both districts. In the intervention district, these interventions were supplemented with dialogue and reflection activities at the couple, extended family, and community level which encouraged reflection on gender roles and decision-making power, including men’s involvement in pregnancy, through increased and open communication around the pregnancy. Specifically this entailed couple counseling, involving the extended family in birth planning, and cultivation of male-friendly services at the health centers to encourage husbands’ participation in antenatal care and delivery. 

Projet Espoir Summary (French)

Projet Espoir Summary (English)



PEMN used an intervention-control design to measure the value added of the social change package (activities focused on social and gender norms related to pregnancy). A baseline and final household survey targeting pregnant women, their husbands, and their mothers-in-law was the core evaluation tool, measuring maternal health behaviors, gender and health attitudes, perceptions of community norms, and women’s empowerment indicators. This was supplemented by a Health Facilities Assessment, and a qualitative evaluation using in-depth interviews to explore the change process of 6 recently delivered women, their husbands, and their mothers-in-law. 

Projet Espoir Baseline Quantitative Report

Projet Espoir Baseline Qualitative Presentation

Projet Espoir Baseline Situational Analysis (FRENCH)

Projet Espoir Midterm Review

Health Services Evaluation Report (FRENCH)

Qualitative Analysis of Social Change related to Pregnancy in Bankass, Mopti (ENGLISH)

Qualitative Analysis of Social Change related to Pregnancy in Bankass, Mopti (FRENCH)


Project Resources

Addressing social and gender norms to improve uptake of maternal health services in Mali: a descriptive study of CARE’s Project Hope for Mothers and Newborns*
Article by: Kuzara et. al.

Social Barriers to Reproductive Health in Mali (FRENCH)
Presentation by: Koman Sissoko, Rob Stephenson, Marcie Rubardt, Ouamar Ouattara

The Influence of Intrafamilial Power on Maternal Health in Mali
Presentation by: Darcy White, Michelle Dynes, Marcie Rubardt, Koman Sissoko, Rob Stephenson

The Influence of Intrafamilial Power on Maternal Health in Mali (FRENCH)
Presentation by: Koman Sissoko, Darcy White, Rob Stephenson, Marcie Rubardt

Women's Autonomy and Gender Equity in Mali: Examining the Influence of Marriage on Perceptions of Women's Value
Hubert Department of Global Health, Rollins School of Public Health
Thesis by: Colleen Laurence 

Stemming the tide: A study of technical and perceived quality of care and their associations with maternal health determinants
Hubert Department of Global Health, Rollins School of Public Health
Thesis by: E. Swedo 

The Influence of Intrafamilial Power on Maternal Health Care in Mali: Perspectives of Women, Men And Mothers-in-Law
Article by: Darcie White, Marcie Rubardt, Koman Sissoko, and Rob Stephenson

* behind paywall


Additional Resources

Senegalese grandmothers promote improved maternal and child nutrition practices: the guardians of tradition are not averse to change
Aubel, Judi, Ibrahima Touré, and Mamadou Diagne

Dimensions of women’s autonomy and the influence on maternal health care utilization in a north Indian city
Bloom, Shelah S., David Wypij, and Monica Das Gupta

Myths to live by? Female solidarity and female autonomy reconsidered
Cornwall, Andrea

Quality of care, risk management, and technology in obstetrics to reduce hospital-based maternal mortality in Senegal and Mali (QUARITE): a cluster-randomised trial
Dumont, A., Fournier, P., Abrahamowicz, M., Traoré, M., Haddad, S., & Fraser, W. D.



For more information, contact: 
Feven Tassew Mekuria
Senior advisor for SRHR global program approaches


Back to SRHR: Family Planning