USAID Community Capacity for Health Program (Mahefa Miaraka)

Country: Madagascar

Client(s): USAID/South Africa

Services: Technical Assistance, Capacity Development

Technical Expertise: Newborn and Child Health , Social and Behavior Change, Health Service Delivery, Health Systems Strengthening, Maternal Health


The USAID Community Capacity for Health Program, locally known as Mahefa Miaraka, is a five-year (2016-2021) initiative to strengthen the local public health system’s capacity to manage community health activities and to support community health volunteers (CHVs). The Program will work in seven remote regions in north and west Madagascar (Analanjirofo, SAVA, DIANA, Sofia, Boeny Melaky, and Menabe). The program builds on the former USAID-funded Community-Based Integrated Health program (CBIHP), also known as MAHEFA, which worked in six of these regions and was managed by JSI.

The Program will contribute to the Government of Madagascar’s (GOM) plan to reduce maternal, child and newborn mortality and morbidity through improved community health services and the systems that support them.

The USAID Community Capacity for Health Program’s vision is one of thriving families and communities, who access sustained health services at community and facility levels that are high quality, responsive to client needs, and interlinked through excellent health system and community management. To achieve this vision, the Program will increase access to and use of key services, and improve regional, district, and commune management and systems in seven regions.

The Program will be implemented in partnership with FHI 360, Transaid, and Action Socio-sanitaire Organization Secours (ASOS) of Madagascar.

Learn more about JSI’s work in Madagascar under the CBIHP Project