JSI RESOURCES: Publications

The Champion Communes Approach: Improving communities’ capacity to manage health activities


In Madagascar, over 35 percent of the population lives more than 10 km away from a health facility. Since the mid-1990’s, the Kaominina Mendrika Salama (KMS) approach addressed a variety of public health challenges. The approach encourages community members to create goals for improved community health, identify activities that contribute to the goals, track progress, and support all local actors to work together to achieve the goals.

MAHEFA used the existing KMS approach and modified it to create Kaominina Mendrika miabo Salama (KMSm) or Champion Communes Reaching Higher. This technical brief highlights the MAHEFA approach, results, and lessons learned and recommendations in implementing the approach. JSI / USAID | CBIHP, 2016.

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