Photo: Jhpiego

Madagascar

Since 2003, we have worked in these technical areas:

Family Planning and Reproductive Health

Malaria Prevention and Treatment

Maternal, Newborn and Child Health

Gender

Infection Prevention and Control

Digital Health

Our impact

  • 815 (of 822) health care facilities supported by the Maternal and Child Survival Program (MCSP) have facilitated 130,593 deliveries, provided antenatal care to 679,346 pregnant women and successfully resuscitated 11,951 newborns.
  • The maternal mortality ratio at basic health centers supported by MCSP decreased dramatically—from 242 maternal deaths per 100,000 deliveries in 2015 to 20 maternal deaths per 100,000 deliveries in 2018.
  • The proportion of women who received at least three doses of intermittent preventive treatment for malaria at 160 MCSP-supported health care facilities doubled from a baseline of 14% in 2015 to 28% by 2018, thereby protecting them from potential malaria-related complications in pregnancy.
  • MCSP supported access to postpartum family planning (PPFP) services by building the capacity of 1,030 health care providers across 576 facilities, contributing to more than 14,000 women receiving PPFP counseling and leading to an increase of PPFP uptake from 8% to 24% at 230 facilities in a single year.

Current programs


  • Maternal and Child Survival Program

    The U.S. Agency for International Development’s Bureau for Global Health’s flagship Maternal and Child Survival Program (MCSP) focuses on 25 high-priority countries with the ultimate goal of preventing child and maternal deaths. MCSP is introducing and supporting high-impact, sustainable reproductive, maternal, newborn and child health (RMNCH) interventions in partnership with ministries of health and other partners. In addition to contributing to high-level technical and policy dialogue at the global level, MCSP provides tailored technical assistance to help countries meet specific priorities and contextual needs of local, sustainable RMNCH programs. For information on what MCSP is doing in this country, visit here: http://www.mcsprogram.org/where-we-work/madagascar/.

  • Transforming Intermittent Preventive Treatment for Optimal Pregnancy

    Under this Unitaid-funded, five-year grant, Jhpiego is partnering with ISGlobal to reduce maternal and neonatal mortality in the Democratic Republic of Congo, Nigeria, Madagascar and Mozambique by: 1) introducing and setting the stage for scale-up of community intermittent preventive treatment of malaria in pregnancy (IPTp); 2) introducing and increasing demand for quality-assured sulfadoxine-pyrimethamine (SP) for IPTp; and 3) generating evidence for World Health Organization policy change. To achieve desired results, Jhpiego is also collaborating with Medicines for Malaria Venture (to bring quality-assured SP to market) and the World Health Organization (to ensure SP resistance monitoring and foster collaboration between national reproductive health programs and national malaria control programs). For more information, visit here: www.tiptopmalaria.org.

  • Improving Quality of Obstetric Services to Reduce Maternal and Neonatal Deaths in the Atsinanana

    This project aims to contribute to the reduction of the maternal death rate related to cesarean section surgery, thereby improving the quality of emergency obstetric care to treat complications during pregnancy and childbirth in a timely manner. With financial support from Sanofi, a French pharmaceutical company, Jhpiego is strengthening the capacity of three district hospitals by updating provider skills in safe cesarean section care, providing essential equipment for care, renovating infrastructure and supporting the organization of surgical services. The project targets the district hospitals of Mahanoro, Vatomandry and Brickaville in Atsinanana, a region in eastern Madagascar.

  • Modernizing the Training of Health Agents in Basic Health Centers and Community Health and Nutrition Agents

    Jhpiego was hired by the National Community Nutrition Program Unit with World Bank funding to modernize the training of frontline primary health workers—specifically health agents (agents de santé) and community health workers—through innovative training approaches and tools. The objective of this initiative is to strengthen the capacity of these health workers to provide a minimum package of services in reproductive, maternal, newborn and child health, including integrated nutrition.

Current programs

Maternal and Child Survival Program

The U.S. Agency for International Development’s Bureau for Global Health’s flagship Maternal and Child Survival Program (MCSP) focuses on 25 high-priority countries with the ultimate goal of preventing child and maternal deaths. MCSP is introducing and supporting high-impact, sustainable reproductive, maternal, newborn and child health (RMNCH) interventions in partnership with ministries of health and other partners. In addition to contributing to high-level technical and policy dialogue at the global level, MCSP provides tailored technical assistance to help countries meet specific priorities and contextual needs of local, sustainable RMNCH programs. For information on what MCSP is doing in this country, visit here: http://www.mcsprogram.org/where-we-work/madagascar/.

Transforming Intermittent Preventive Treatment for Optimal Pregnancy

Under this Unitaid-funded, five-year grant, Jhpiego is partnering with ISGlobal to reduce maternal and neonatal mortality in the Democratic Republic of Congo, Nigeria, Madagascar and Mozambique by: 1) introducing and setting the stage for scale-up of community intermittent preventive treatment of malaria in pregnancy (IPTp); 2) introducing and increasing demand for quality-assured sulfadoxine-pyrimethamine (SP) for IPTp; and 3) generating evidence for World Health Organization policy change. To achieve desired results, Jhpiego is also collaborating with Medicines for Malaria Venture (to bring quality-assured SP to market) and the World Health Organization (to ensure SP resistance monitoring and foster collaboration between national reproductive health programs and national malaria control programs). For more information, visit here: www.tiptopmalaria.org.

Improving Quality of Obstetric Services to Reduce Maternal and Neonatal Deaths in the Atsinanana

This project aims to contribute to the reduction of the maternal death rate related to cesarean section surgery, thereby improving the quality of emergency obstetric care to treat complications during pregnancy and childbirth in a timely manner. With financial support from Sanofi, a French pharmaceutical company, Jhpiego is strengthening the capacity of three district hospitals by updating provider skills in safe cesarean section care, providing essential equipment for care, renovating infrastructure and supporting the organization of surgical services. The project targets the district hospitals of Mahanoro, Vatomandry and Brickaville in Atsinanana, a region in eastern Madagascar.

Modernizing the Training of Health Agents in Basic Health Centers and Community Health and Nutrition Agents

Jhpiego was hired by the National Community Nutrition Program Unit with World Bank funding to modernize the training of frontline primary health workers—specifically health agents (agents de santé) and community health workers—through innovative training approaches and tools. The objective of this initiative is to strengthen the capacity of these health workers to provide a minimum package of services in reproductive, maternal, newborn and child health, including integrated nutrition.

Current and recent donors


Sanofi
Unitaid
USAID
World Bank/Unité de Programme National de Nutrition Communautaire

Madagascar-related technical and programmatic resources

Our resources

Country contact

Eliane Razafimandimby, MCSP Chief of Party/Jhpiego Country Director
Tel. 261 2022 31 220
Immeuble Santa Lot II, 3rd Floor Antanimena
Antananarivo, Madagascar