A day in the life of a vaccinator in Mali

Going the distance to reach every child, no matter where they live.

By Fatou Diagne
Adama Traoré, 40, has been a vaccinator at Sadiola community health center for more than 10 years.
UNICEF/Keïta
21 April 2020

Adama Traoré lives in the village of Sadiola, in the Kayes region of Mali in the west of the country. He has been working as a vaccinator in the community health centre of Sadiola for more than 10 years.

"When I was young, we had poor neighbours. One day, one of their kids suddenly started to get pimples on his body, red eyes and a high fever. He had measles and his parents didn't have money to bring him to the hospital and buy him medicine. After a week of suffering, a kind man living in our neighbourhood decided to take him to hospital. He was so lucky to totally recover, but his older brother, who was in the same situation two years before wasn’t as lucky, and unfortunately died. This was the main motivation for me to become a vaccinator."

 

Adama Traoré, 40, a vaccinator, leaves the Sadiola community health center to head to Massakama, a gold mining site which is 50 km, to vaccinate children.
UNICEF/UN0293883/Keïta

Today, Adama is going to meet children living in Massakama gold mines.

He decided to become a vaccinator because he wants to improve the health of the children in his community. "We are in a gold mine area, and many families work and live here, with their children completely isolated and deprived of any care."

 

Adama Traoré, 40, a vaccinator at Sadiola community health center counts vaccines as he prepares his vaccine box for the day.
UNICEF/UN0293874/Keïta

At 7:30 a.m., Adama leaves his house to go on his first stop at the Sadiola community health centre. Once there, he picks up his motorcycle and continues his way to his second stop: getting vaccines at the Kobokotossou community health centre, which is the closest health centre to his final stop, Massakama. Thanks to Canada's support, UNICEF has equipped this centre with a solar fridge to keep vaccines at a consistent temperature.

 

The use of mobile vaccinators to reach vulnerable populations living in hard-to-reach areas such as gold mine sites are among the approaches that UNICEF and its partners have put in place to reach every child.
UNICEF/UN0293870/Keïta

By now, Adama has already gone 60 kilometers, but Massakama is still another 50 kilometers away. On his motorcycle, Adama carries his carefully-secured vaccine box, vaccination register and a pack of gloves. "Before I leave, I make sure that everything is well attached and I check one last time that I’ve packed all of the basic vaccines — pertussis, childhood tuberculosis, tetanus, polio, measles and diphtheria, hepatitis, diarrhea, pneumonia, yellow fever and meningitis — which I might need, because each vaccine can save a child's life.”

 

Adama travels by motorcycle to villages that are up to 50 kilometers away from the nearest health center to vaccinate children whose families live directly on informal gold mining sites.
UNICEF/UN0293866/Keïta

It's 8:30 a.m. and under the high sun, the thermometer is already creeping towards 40 degrees Celsius. Adama starts his race against the clock to get to the gold mines in Massakama, vaccinate as many children as possible and return home before the sun goes down. The road he must travel is difficult, isolated and devoid of any infrastructure. It is a dangerous journey.

 

After two hours of driving, Adama finally arrives at Massakama gold mines site, exhausted but determined.
UNICEF/UN0293915/Keïta

After two hours of driving, Adama finally arrives at Massakama gold mines site, exhausted but determined.

 

A girl working on the gold mine site of Massakama pans for gold with a calabash.
UNICEF/UN0293787/Keïta

The gold mines of Massakama are near the border with Senegal. More than 2,000 people, including families with children, live at this site every day. There is no school here and no health centre anywhere nearby. With no other options, many of the children here work on the site, deprived of all their rights to protection, education, survival and development. Mariam*, 14, has been working on the gold fields for five years now and has never been to school. "I want to leave here, because I’m tired. My dream is to go to school like my friends.''

 

Aerial view of the gold mine site of Massakama in Kayes region. Around 2000 people, including children, live directly on the site.
UNICEF/UN0293865/Keïta

As soon as Adama gets off his motorcycle, mothers and children rush towards him.

"I just started working on the site and my child was never vaccinated,” says a mother of a 6-month-old child. “I heard that there have been cases of measles among three teenagers from Senegal, and that if I don’t vaccinate my child, he might catch the disease and can die.”

 

The vaccinator Adama Traore vaccinating Hachime Diallo, 11 months, with his first dose of vaccine.
UNICEF/UN0293785/Keïta

For each child vaccinated, Adama records information in his register. Once his vaccine box is empty, he takes notes on which children will need vaccinations during his next visit.

At 2:00 p.m., Adama lets the parents know that he will return the next week. He puts his equipment back on his motorcycle to return to Sadiola before dark.

"Adama is doing a great job,” says the village chief of Massakama. "Here, parents spend their days looking for gold and do not finish until very late. Without this mobile vaccination activity, most of them will never be able to vaccinate their children."

 


UNICEF and partners such as Gavi are supporting the Ministry of Health to bring vaccines directly towards the most isolated and vulnerable children. In the Kayes region, only 41 per cent of children receive all the vaccines they require to stay healthy.

 

*Name and age changed

 

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