JSI RESOURCES: Publications

Madagascar Technical Brief – Community-Level Interventions Increase Malaria Diagnosis and Treatment Among Children Under Five


Malaria is endemic in Madagascar, especially in the coastal areas and parts of the central highlands. Community health volunteers (CHVs) play an important role in malaria prevention and treatment where health services are far away, transportation means limited, and health centers understaffed. The USAID Community Capacity for Health Program worked with the Government of Madagascar to create a strong and resilient health system, supporting approximately 10,000 CHVs to conduct various malaria activities. 

The Program took a three-pronged approach to the implementation of an effective response to prevent and control malaria outbreaks and sustain an effective response: active partnership and collaboration at all levels; strengthening community health structures; and providing community-level services to fight malaria.

From January 2017 to December 2020, CHVs trained by the Program diagnosed and tested 802,380 children-under-5 (CU5) fever cases for malaria and treated a total of 377,262 malaria cases among CU5 with artemisinin-based combination therapy. The Program significantly affected the National Malaria Control Programme’s (NMCP) annual results over the period of its implementation (2016–2021).

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