Building Partnerships with Integrity at Muso Health

No One Should Die Waiting for Healthcare 

By: Aisyah Wilda Batin

Muso means Woman in Bambara, a lingua franca of Mali.

Most of the world’s healthcare happens too late. Half of the global population lacks access to essential healthcare, and poor people, particularly women and children, receive care either too late or not at all. The patients Muso works with in Mali have taught the organization that the world’s leading cause of death is not a disease, but a preventable problem. Delayed healthcare access kills more people than any single malady, and this crisis of delay exists by design. Underperforming healthcare has fueled COVID-19’s rapid global spread along pre-existing fault lines of inequity and underlined the urgency of strengthening health systems that reach patients with speed. 


Muso works to cure delay—the world’s leading cause of death—because no one should die waiting for health care. Who gets vaccines, testing, and medicine should not depend on where we live, how much money we have, our race, or our gender. Muso partners with governments to design, test, and scale strategies for rapid, universal health care. Today, Muso serves more than 380,000 people and two governments and is growing with the aim to make their model to cure healthcare delay available to everyone who needs it. Lessons from Mali provide a roadmap for health systems everywhere to deliver the right care, to the right patient, at the right time. 

Muso's Model for Change

Muso is a unique Non-Government-Organization (NGO) due to their theory of change model, which leverages three important strategies to provide the greatest positive impact for their constituents: proactive care, embedded research, and technical assistance. Proactive care means creating rapid and ideally self-sufficient health care systems that meet patients at their doorstep, delivering care rather than waiting for patients, in order to end maternal and child deaths in low-resource and supportless settings. Muso’s doctors and Community Health Workers (CHW's) operate among the community they take care of, actively knocking on community members' doors to search for patients and receive updates from known individuals. 

Another aspect of Muso’s work engages in embedded research, where Muso tests their strategies for minimizing healthcare delay, in partnership with global research institutions to assess the impact of new and adjusted programs, to provide accountability to their patients, and to identify solutions to global injustices and new health threats. Muso’s final strategy to achieve positive change is technical assistance for the communities they support, integrating research findings and new technology strategies into policy and practice through governmental partnerships. This allows more rapid and universal healthcare to become the reality for the communities Muso partners with, allowing the local government to re-integrate into providing healthcare once the three-pronged model of change approach has begun working. Muso then continues to advocate for the communities they are invested in through the implementation of new and ongoing partnerships and research that aims to build coalitions of capable people, who will form the backbone of the revitalized healthcare system. 

Proactive Health Care Approach

Time matters. Early access to essential care is of utmost importance, so Muso created a different kind of healthcare system – one that removes barriers to access and brings care to patients proactively -  taking control of a situation rather than responding to it. Doorstep care is where Community Health Workers operate and the largest part of Muso’s engagement work takes place. CHWs search for patients through door-to-door home visits and connect them to life saving healthcare. CHWs also provide some healthcare services in patients' homes, which allows for more rapid diagnosing and treatment for many common illnesses. Muso's approach to healthcare is unique because the CHWs providing care understand and even come from, the same communities they are helping. As an anthropologist, I particularly appreciate that Muso Health works actively to represent the communities they heal in the organization itself. This sort of cultural insulation of knowledge is important because it allows social and cultural ideologies, bonds of trust, and ways of sharing knowledge to be protected during the interaction between Muso's novel healthcare system and the vulnerable populations it serves. 

Muso also develops rapid-access clinics where CHWs identify patients who need more complicated care. There, the sickest patients are evacuated by off-road ambulance to safety at the clinic, without fees being passed down to them. This enables health emergencies to be addressed promptly using the full extent of support available, without added burden for patients. Muso believes receiving adequate healthcare should not come with a price, so Muso provides - free of charge - fast and universal access to healthcare. The areas in Mali where Muso has worked over the past decade have since achieved the lowest rates of child mortality in sub-Saharan Africa. This is a redemption story of success that may be shared with more countries around the world, as Muso continues to grow its reach and refine its model for achieving change. 


Muso serves alongside the communities they steward, in order to bring health care closer and earlier to their constituents. Muso expects that the changes they have created in Mali are possible elsewhere, through the sharing of strategies and widespread advocacy to regional and global partners for support in developing health policy and funding change rooted in the best practices for healthcare at the community level. Muso’s model is quite graft-able and I hope that in a similar fashion to how Muso operates in Mali and Cote d’Ivoire, my home communities in the Bay Area can benefit from redress of the healthcare system which aims to make healthcare more accessible and proactive. I believe that the Community Health Worker’s approach taken up by Muso is radical and achievable change that can benefit the healthcare system in the long run, and I would love to find avenues to expand and adapt Muso’s model to other communities struggling with adequate healthcare. 

My Role

This past year I interned at Muso Health as a Partnerships Fellow.  I am grateful for the opportunity I had to work with an amazing team of women doing important work to benefit public health. Women fittingly represent 80% of Muso’s organization and lead at the front lines of Muso’s proactive community care model. One of my important tasks was to both develop and maintain ongoing relationships with other NGOs and foundations across the globe, reviewing donations, mission statements, and the impact of important individuals to ensure that Muso’s partnerships are sustained with integrity and do not compromise the values of the organization. My role as a partnerships fellow supported the development team’s prospect research and grant proposal and reporting processes, which are all key components for building and maintaining successful funding partnerships. My primary responsibilities included researching and analyzing donor prospects to produce concise ‘potential partner’ profiles, as well as meeting with our team members and stakeholders to discuss what each member needs to create a successful partnership outcome. My participation also included supporting the development team to write proposals and finalize report materials to share with decision makers regarding prospective partnerships. I provided critical information needed to secure funding by our partner organizations in support of Muso’s objectives. 


When I engage in community work it is important to me that the mission of the organization I am acting on behalf of is always healthily weaved into every decision made. I was able to successfully spread Muso’s values and adhere to their justice-driven mission because it is simple, to say the least: No one should die waiting for healthcare. Even though transforming healthcare is not an easy task, Muso’s highly empathetic and aware perspective was something I wanted to strongly support. So I spent my fellowship developing solid partnerships using integrity and authenticity, which continue to be crucial in supporting Muso to build more proactive, empathetic, and accessible healthcare systems using a global approach. 

About Myself

Nice to meet you! My name is Aisyah Wilda Batin and I am studying Cultural and Medical Anthropology with a concentration in Community and Global Health at Macalester. I was born and raised during the technology boom in San Francisco, California. I am excited by opportunities in the social impact sector. I am a first-generation American, the daughter of an African American and an Indonesian immigrant. I am the first in my family to graduate from college. 

I strive for individual and community liberation and healing. Throughout my work and life experiences, I offer a unique perspective on topics such as, finding a balance between technology and the environment, securing lasting criminal justice reform, and networking to maintain communities through digital media. I have witnessed my friends and family commit themselves to finding communal solutions for such issues, sometimes to their own detriment. I have continued to take up this work by applying my skills toward creating a positive impact in the fields that matter most.  My goals are to increase access to quality education about essential narratives, ensure data and partnerships are utilized with integrity, and design content that bridges gaps between stories so that more voices may be heard in ongoing discussions about critical humanitarian issues. 

Upon graduation, I am proud to say that I will be working at a technology startup in the Bay Area that partners with state criminal justice agencies to advance their archaic use of data and reduce incarceration. 

I will continue finding avenues to secure healthy futures for the generations yet to come.

I will show people from the Fillmore that they too can travel the world and create the change they need for the future! 

Bibliography

Gugelev, A., Stern, A., & Kelly, B. (2015). What's Your Endgame? Stanford Social Innovation Review, 40–47. Retrieved April 17, 2023. 

Johnson, A., Goss, A., Beckerman, J., & Castro, A. (2012). Hidden costs: The direct and indirect impact of user fees on access to malaria treatment and primary care in Mali. Social Science & Medicine, 75(10), 1786–1792. https://doi.org/10.1016/j.socscimed.2012.07.015 

Johnson, A. D., Thiero, O., Whidden, C., Poudiougou, B., Diakité, D., Traoré, F., Samaké, S., Koné, D., Cissé, I., & Kayentao, K. (2018). Proactive community case management and child survival in Periurban mali. BMJ Global Health, 3(2). https://doi.org/10.1136/bmjgh-2017-000634 

Rapp, Stephanie, "Beyond the Three Delays: A Case Study of Haiti's Maternal Health Sector" (2016). Capstone Collection. 2880. https://digitalcollections.sit.edu/capstones/2880

Muso Graphics from Yeelen Fresneau and a special acknowledgment to my mentor during this fellowship Emma Baker.