JSI began working in Madagascar in the late 1980s through the ENTERPRISE Project, a USAID-funded program that increased access to family planning services through the private sector. Implementation of activities through the SEATS Family Planning Project, Resources for Child Health (REACH), Family Planning and Logistics Management (FPLM), Basic Support for Institutionalizing Child Survival (BASICS) and IMMUNIZATIONbasics projects followed thereafter.

In 1999, the Jereo Salama Isika ("Look, We Are Healthy") Project was implemented in Madagascar to assist the Ministry of Health and its NGO partners with decentralizing health care, improving the quality of services, and encouraging local communities to be responsible for their own health. JSI also worked in two endangered forest corridors and the dry forest, developing an integrated health and environment approach which supported local communities to decide on a menu of actions in health/food security, sustainable livelihoods and conservation. JSI has also provided post-cyclone mitigation and improved community-based disaster preparedness.Today, JSI is implementing large-scale initiatives to improve maternal, child, and adolescent health, environmental health, logistics and supply chain, and HIV prevention and treatment.

JSI began implementation of the Madagascar Community-Based Integrated Health Project (CBIHP), known locally as MAHEFA, in 2011. The project provided basic, quality health care to isolated populations in six regions north and northwest Madagascar. The program is known for innovative solutions to reaching remote communities, documented improvements in community health, and collaborative work with local NGOs, the MOH, civil society organizations and community leaders. In 2013, the project introduced chlorhexidine, a low cost, high impact intervention proven to drastically reduce newborn sepsis and mortality.

In 2013 and 2014, new work in support of GAVI objectives was launched. One project, supporting the introduction of new vaccines—including HPV—expands JSI's earlier work in routine immunization systems throughout the island. In addition, JSI brings its quantitative research experience and immunization/epidemiological perspective to the GAVI Health Systems Strengthening evaluation, working closely with local research partners.


View details: New Vaccine Introduction for Gavi (Gavi-NVI)

New Vaccine Introduction for Gavi (Gavi-NVI)

The New Vaccine Introduction (NVI) for GAVI supports the introduction of the HPV vaccine, pentavalent vaccine, pneumococcal conjugate vaccine (PCV), and rotavirus vaccine in three countries.

View details: Managing Malaria in Madagascar

Managing Malaria in Madagascar

In Madagascar, JSI empowers community health workers to diagnose, treat, and refer malaria cases, and help spread malaria prevention messages in their communities.

View details: Advancing Partners & Communities (APC)

Advancing Partners & Communities (APC)

JSI is supporting and advancing community programs in more than 30 countries that seek to improve local health services, especially those related to family planning.

View details: Changing the definition of accessible: ensuring health supplies are available during the rainy aeason in Madagascar

Changing the definition of accessible: ensuring health supplies are available during the rainy aeason in Madagascar

The MAHEFA projects helps deploy hover crafts to maintain the supply chain of essential health commodities to remote villages in Madagascar during the rainy season.

View details: Madagascar Community-Based Integrated Health Program (CBIHP -also called MAHEFA)

Madagascar Community-Based Integrated Health Program (CBIHP -also called MAHEFA)

Madagascar is one of the world's poorest countries, with 80% of the population living in remote, poverty-stricken areas. JSI implements this program to improve access to and use of health services and safe water, hygiene, and sanitation.

View details: Fostering leadership to improve health in a rural Madagascar community

Fostering leadership to improve health in a rural Madagascar community

A community-based outreach and training implemented through the MAHEFA project helps convince rural Malagasy villagers to adopt healthy practices, such as hand washing and using pit latrines.

View details: Madagascar Green Healthy Communities

Madagascar Green Healthy Communities

JSI was a partner on the Population-Environment Consortium (Voahary Salama) which designed programs for healthy and well-nourished populations, living in healthy environments based on rational management of natural resources at the community level.

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