Madagascar Community-Based Integrated Health Program (CBIHP)

Country: Madagascar

Client(s): USAID

Services: Assessment, Monitoring, Evaluation, and Research, Program Development, Quality Assurance and Improvement, Technical Assistance, Training

Technical Expertise: Child and Newborn Health, Environmental Health, Family Planning/Reproductive Health, Health Care Waste Management, Health Communication, Health Service Delivery, Health Supply Chain Management, Health Systems Strengthening, Immunization, Infectious Diseases, Maternal Health, Monitoring and Evaluation, Nutrition

Madagascar, the fourth largest island in the world, is also one of the world's poorest countries. 80 percent of the population lives in rural areas with difficult access to most services. In Madagascar, as in many other countries, the remote communities living in poverty are the most vulnerable segment of society. The availability of health services is extremely limited, leading to high rates of infant, child, and maternal mortality. In addition, 65 percent of the population does not have access to safe drinking water and sanitation throughout the island.

The USAID-funded Madagascar Community-Based Integrated Health Project (CBIHP), known locally as MAHEFA, is a five-year health program that is providing basic, quality health care to isolated populations in north and northwest Madagascar. Program goals are focused on improving access to and use of an integrated package of maternal, newborn, and child health services, family planning, and improving safe water, hygiene, and sanitation. Innovative approaches to community logistics, emergency transport, improved sanitation and other areas will be tested.

CBIHP/MAHEFA promotes access to quality community health services and related activities in 250 communes in Sofia, Menabe, Melaky, Betsiboke, Bongolava, Alaotra Mangoro, Sava, Boeny, and Diana regions. The project aims to decrease morbidity and mortality from treatable illnesses such as malaria, diarrhea, and respiratory infections especially among women and children under five, and will improve maternal and child health through increased healthy timing and spacing of pregnancy.

JSI is the lead implementing organization working with two main partners: The Manoff Group and Transaid. In addition, JSI is working with and through a network of talented partners including small and large NGOs, private sector groups, social marketing organizations, and community partners.


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