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The Foundation supports mutual insurance schemes to provide health coverage to rural populations with very low incomes.


To help reduce maternal mortality over the long term, it promotes partnerships between authorities and communities organized as mutual health organizations.

“Safe Motherhood” project

In Forest Guinea and the Mayo Kebbi (Chad), maternal mortality is among the highest rates in the world. Despite free obstetric care established by the health authorities, the population still suffers from a lack of vehicles, high emergency transportation costs, arbitrary sums that have to be paid despite the free service announced by the government, and deeply-ingrained cultural practices that often force women to give birth in the village. A new project called "Safe Motherhood" aims to strengthen partnerships between health authorities and mutual health insurance communities and introduce guarantees that are tailored to the needs of pregnant women, such as training midwives for early referrals, organizing prenatal visits to villages, monitoring high-risk pregnancies, giving a cell phone to a village lead for emergencies, and verifying that care is indeed free. The Foundation’s support makes it possible to create and develop new community health insurance schemes and set up a project that should later be extended to other regions.

Doctor Bruno Galland, Advisor on mutual health schemes for Africa in the CIDR
By ensuring quality care for all at an affordable cost, the community health insurance schemes supported by CIDR have significantly reduced the number of maternal deaths.


Supporting the coordinated mobilization of families, community stakeholders and the local health system to reduce the mortality rate for children under five.

Photo : In remote villages, community workers play a key role in treating childhood diseases.

4,000 rural families targeted and sensitized

In rural townships in the district of Farafangana, the mortality rate of children aged under five has reached very high levels. The causes of these deaths, two-thirds of them related to malaria, diarrheal diseases and respiratory infections are to be found in the very difficult health environment, high illiteracy rates and a manifest geographical isolation of the population in question. To prevent and cure diseases responsible for most of these deaths, these communities must augment their capacity to react. The program targets some 4,000 families or 20,000 people with 6,000 children under five. It provides training for 50 local health workers, and specific training for 4,000 mothers.