Madagascar

Working to keep women and their children healthy since 2003.

• Community intermittent preventive treatment of malaria in pregnancy (IPTp) is contributing to increases in IPTp coverage, giving pregnant women more opportunities to receive malaria protection and comprehensive care in pregnancy. Over the five-year TIPTOP project, the percentage of pregnant women in three Jhpiego-supported districts who received three doses of IPTp increased from 27.9% to 74.9%. Also, four-antenatal-care-visit coverage increased from 44.8% to 66.2% due to establishment of strong referral systems between communities and facilities and engagement of civil society organizations.
• TIPTOP assisted district health teams to train 108 providers on use of tablets to improve timely collection and use of data. Based on these experiences, the Ministry of Health may expand electronic reporting, ultimately establishing an operational system to capture community-level data beyond the project. Also, TIPTOP supported district heath offices to add community-level IPTp indicators into the national health management information system, and helped them develop dashboards so they can continue to analyze and use community IPTp data for decision-making.
• TIPTOP efforts to support government partners in maintaining the supply of the anti-malarial drug sulfadoxine-pyrimethamine resulted in zero stock-outs of this medicine at supported health facilities.
• TIPTOP supported operationalization of 40 cabinets médicaux communautaires (CMCs) to bring health services closer to communities. TIPTOP provided training on maternal and newborn health care and linked these private facilities to the government health system for data collection and mentorship by experienced health care providers. This helped CMCs to improve the quality of their services and create a complementary structure for improved community health outcomes.