Madagascar experienced three epidemics from 2018-2021: plague, measles, and COVID-19. The Medical Inspector of Morondava district in the Menabe region, Dr. Rasolonjatovo Fanomezantsoa Liva, talks about the success of the community's response to the epidemics. For example, the community-led measles response in the village of Avaradrova resulted in no loss of life. Likewise, the Inspector recognizes the strong contribution of community health volunteers in raising awareness of prevention measures against COVID-19.
The USAID Community Capacity for Health Program—known in Madagascar as Mahefa Miaraka—was a five-year (2016–2021) community-based integrated health program funded by the United States Agency for International Development (USAID). The program was a collaborative
effort among the Ministry of Public Health, USAID, and JSI Research & Training Institute, Inc. Mahefa Miaraka provided tools and capacity-building training to approximately 10,000 community health volunteers who provided basic maternal health, child health, and family planning services to their local communities. The Program also worked with national and local government stakeholders to strengthen the health sector and health policies. Mahefa Miaraka operated in seven regions of Madagascar, covering 4,708 villages with a total population of 6.6 million people, or 28 percent of the country’s population.
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John Snow, Inc., and our nonprofit JSI Research & Training Institute, Inc., are public health management consulting and research organizations dedicated to improving the health of individuals and communities throughout the world. Learn more at www.jsi.com
