MadagascarJSI began working in Madagascar in the late 1980s, partnering with USAID to increase access to family planning through the ENTERPRISE and SEATS projects. In the ensuing decades, JSI has built strong relationships with the people and leadership of Madagascar by scaling innovative programs that serve the community at the lowest level of the health system while enhancing the quality of government health services at all levels.
JSI currently implements large-scale initiatives related to community health and health system strengthening. With support from our partners, JSI-implemented programs are:
- improving integrated maternal, newborn, child, and adolescent health;
- strengthening the “last kilometer” supply chain;
- scaling-up innovations like chlorhexidine and misoprostol;
- increasing access to long-acting reversible contraceptives;
- providing emergency transportation;
- enhancing the relationship between communities and the ecosystems they depend on;
- and introducing new vaccines.
- Emergency preparedness and response
- Epidemic mitigation and prevention
- Family planning and reproductive health
- Health supply chain management
- Health system strengthening
- Implementation research
- Infectious disease
- Maternal, newborn, and child health
- Population, health, & environment
- Routine immunization
- Youth and adolescent health
To ensure the appropriate use and the implementation of health information systems (HIS) plans, guidelines and tools, through MEASURE Evaluation, JSI is training and coaching central, district and regional data managers and supervisors to manage the HMIS and conduct field supervision visits to improve HMIS management and data quality.
PATH and JSI are collaborating with ministries of health and country implementing partners to coordinate DMPA SubQ country introduction and scale-up planning and implementation.
In Madagascar, JSI empowers community health workers to diagnose, treat, and refer malaria cases, and help spread malaria prevention messages in their communities.
The USAID Community Capacity for Health Program strengthens the local public health system’s capacity to manage community health activities and to support community health volunteers (CHVs).
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.
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.
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.
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.
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.
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.