Working in 15 priority districts, the project focuses on the most unreached and marginalized populations, including hard‑to‑reach rural communities, urban informal settlements, and mobile populations to strengthen community engagement, demand for immunization, and linkages between communities and health facilities.

This project contributes to more equitable immunization coverage and helps ensure that every child is reached with lifesaving vaccines by addressing barriers related to access, trust, and service delivery.

We support the government in modernizing and harmonizing in‑service training approaches by integrating e‑learning platforms with practical, competency‑based learning to ensure continuous professional development for health workers at scale.

We support the expansion of safe surgery services, working closely with hospital teams to strengthen surgical, anesthetic, and infection‑prevention practices. Current efforts include expanding safe surgery activities in Toliara and Sambava hospitals, building local capacity through on‑the‑job training, mentorship, and quality improvement.