We document and disseminate various results, trainings, and resources from our research, programs, and projects.
To reduce maternal and neonatal deaths, timely access to skilled care before, during, and after pregnancy is critical. Delays in accessing quality care are a key contributor to maternal and neonatal mortality. Inadequate access to transport is one of the three main delays in accessing health services and can worsen the clinical severity of cases,…
Young people aged 10-24 account for 32 percent of the total population in Madagascar, with 17 percent between the ages of 15 to 24 years. Family planning has been adopted by the Government of Madagascar (GOM) as an important strategy to reduce maternal mortality. Attitudes and behaviors on family planning have changed significantly between 1992…
This document outlines the USAID Strengthening the Care Continuum Project and its goal to increase the accessibility of HIV-care services among target populations, including men who have sex with men, female sex workers, transgender individuals, and their partners. This overview also highlights the project's objectives, activities, and obstacles. JSI, 2016.
MAHEFA’s overall goal was to conduct health promotion activities and ensure delivery of basic health services at the community level through community health volunteers (CHVs) and other health actors. The community health financing scheme or mutuelle, was an activity MAHEFA implemented to ensure that community members can afford to access care beyond services offered by…
In Madagascar, radio programs play an important role in promoting development themes thanks to robust radio coverage and high listening rates Behavior change was an integral part of the MAHEFA program’s strategy to improve health in the most under-served communities of Madagascar’s north and northwest regions. MAHEFA developed radio programs promoting good health practices that…
In Madagascar, data compiled at different levels of the health system is collected and analyzed at the central level and used by various stakeholders. Harmonization of reports of community-level activities and their integration into the central health information system is a recent development initiated in 2015. The MAHEFA Program introduced integrated community health activities in…
Health communication professionals have long struggled to find ways to help people adopt and sustain critical health and hygiene-related behaviors. Early on, information, education, and communication (IEC) efforts often failed to motivate significant uptake of improved practices because they concentrated on informing people of why a new behavior would benefit them instead of addressing what…
Nongovernmental organizations (NGOs) play important roles in communities in which they exist. In Madagascar, local NGOs and other community actors have played a crucial role in promoting sustainable development and improving the lives of disadvantaged populations. Coordination between governments and NGOs allows for great potential to effect sustainable change. MAHEFA’s strategic approach to NGO capacity…
One in 52 women die from complications of pregnancy and childbirth in developing countries, in particular in sub-Saharan Africa. Most these deaths are preventable. w/w releasing chlorhexidine at a concentration of 4 percent (CHX) in the form of gel or liquid in single or multiple applications for the care of the umbilical cord at birth…
In Madagascar, over 35 percent of the population lives more than 10 km away from a health facility. Since the mid-1990’s, the Kaominina Mendrika Salama (KMS) approach addressed a variety of public health challenges. The approach encourages community members to create goals for improved community health, identify activities that contribute to the goals, track progress,…
We strive to build lasting relationships to produce better health outcomes for all.
