DOCSLIB.ORG

(LAM) and Exclusive Breastfeeding (EBF) in the MAHEFA USAID/Madagascar Program, Ambilobe District, DIANA Region

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
(LAM) and Exclusive Breastfeeding (EBF) in the MAHEFA USAID/Madagascar Program, Ambilobe District, DIANA Region FANTA III FOOD AND NUTRITION TECHNICAL A SSISTANCE Formative Research to Improve the Promotion of the Lactational Amenorrhea Method (LAM) and Exclusive Breastfeeding (EBF) in the MAHEFA USAID/Madagascar Program, Ambilobe District, DIANA Region Lisa Dulli, Ph.D., M.H.S. and Bodo Sahondra Randrianasolo, M.D. Food and Nutrition Technical Assistance III Project (FANTA) 1825 Connecticut Avenue, NW Washington, DC 20009 T: 202-884-8000 [email protected] www.fantaproject.org This report is made possible by the generous support Recommended Citation of the American people through the support of the Dulli, Lisa and Randrianasolo, Bodo Sahondra. 2015. Office of Health, Infectious Diseases, and Nutrition, Formative Research to Improve the Promotion of the Bureau for Global Health, U.S. Agency for Lactational Amenorrhea Method (LAM) and Exclusive International Development (USAID) and Breastfeeding (EBF) in the MAHEFA USAID/Madagascar under terms of Cooperative USAID/Madagascar Program, Ambilobe District, Agreement No. AID-OAA-A-12-00005, through the DIANA Region. Washington, DC: FHI 360/FANTA. Food and Nutrition Technical Assistance III Project (FANTA), managed by FHI 360. Contact Information The contents are the responsibility of FHI 360 and do Food and Nutrition Technical Assistance III Project not necessarily reflect the views of USAID or the (FANTA) United States Government. FHI 360 1825 Connecticut Avenue, NW Cover photo: Nathalie Raharilaza, Courtesy of Washington, DC 20009-5721 Photoshare T 202-884-8000 F 202-884-8432 [email protected] www.fantaproject.org Formative Research to Improve the Promotion of the Lactational Amenorrhea Method (LAM) and Exclusive Breastfeeding (EBF) in the MAHEFA USAID/Madagascar Program, Ambilobe District, DIANA Region Acknowledgments The authors of the study wish to thank the staff of the U.S. Agency for International Development (USAID)/Madagascar for their assistance in providing valuable information and support for the study, especially Raharimalala (Hary) Vololontsoa, Jean Claude Randrianarisoa, and Robert Kolesar. The authors also wish to provide special thanks to MAHEFA and Ministry of Health staff and community health workers from Antsiranana and Ambilobe District for the support and information that they shared that greatly enriched the study. In addition, the authors extend their gratitude to the data collection team, Philéas Parfait Jaovelondazafanomezana, Arline Vanonasy, Lucia Justine Hanitraniaina, Hortensia Rasoanandrasana, Gisèle Rasoarivelo, Datsune Harimanantsoa Soavinjara, Diane Lolita Tsialiva, and Oddelvy Vanessa Vlady Ravo for their tireless support and assistance in the data collection process. Finally, the authors also thank FHI 360 staff Megan Deitchler, Kavita Sethuraman, Monica Woldt, Reena Borwankar, Sarah Mercer, and Sam Field for their technical input for the study and Anna Lisi and Pam Sutton for their editorial support for this document. i Formative Research to Improve the Promotion of the Lactational Amenorrhea Method (LAM) and Exclusive Breastfeeding (EBF) in the MAHEFA USAID/Madagascar Program, Ambilobe District, DIANA Region Table of Contents Acknowledgments ........................................................................................................................................ i Abbreviations and Acronyms .................................................................................................................... v Executive Summary .................................................................................................................................... 1 1 Introduction .......................................................................................................................................... 3 1.1 Background ................................................................................................................................... 3 2 Review of the Current Literature ....................................................................................................... 4 2.1 Overview ....................................................................................................................................... 4 2.2 Global Evidence ............................................................................................................................ 4 2.2.1 Background ....................................................................................................................................... 4 2.2.2 LAM Efficacy ................................................................................................................................... 5 2.2.3 LAM Acceptability ........................................................................................................................... 5 2.2.4 LAM Use ......................................................................................................................................... 6 2.2.5 LAM Knowledge .............................................................................................................................. 7 2.2.6 LAM as a Gateway Method .............................................................................................................. 8 2.2.7 LAM Promotion Associated with Improved Breastfeeding Practices ............................................. 10 2.3 Malagasy Context ....................................................................................................................... 10 2.3.1 Breastfeeding .................................................................................................................................. 11 2.3.2 Family Planning .............................................................................................................................. 11 2.3.3 Previous LAM and Breastfeeding Programming in Madagascar .................................................... 12 2.4 Summary ..................................................................................................................................... 12 3 Study Goal and Objectives ................................................................................................................ 14 4 Methods ............................................................................................................................................... 15 4.1 Study Design ............................................................................................................................... 15 4.2 Study Setting and Population ...................................................................................................... 16 4.3 Sampling and Sample Size Calculation ...................................................................................... 17 4.4 Recruitment ................................................................................................................................. 18 4.5 Data Collection and Instruments ................................................................................................. 18 4.5.1 Postpartum Women Questionnaire ................................................................................................. 18 4.5.2 Community Health Worker Questionnaire ..................................................................................... 19 4.5.3 Supervisor Questionnaire ................................................................................................................ 19 4.5.4 Expanded Open Questions on EBF and LAM ................................................................................ 19 4.5.5 Quantitative Data Management and Analysis ................................................................................. 19 4.5.6 Qualitative Data Management and Analyses .................................................................................. 20 4.6 Ethical Considerations ................................................................................................................ 20 5 Results.................................................................................................................................................. 21 5.1 Postpartum Women ..................................................................................................................... 21 5.1.1 Background Characteristics ............................................................................................................ 21 5.1.2 Breastfeeding .................................................................................................................................. 22 ii Formative Research to Improve the Promotion of the Lactational Amenorrhea Method (LAM) and Exclusive Breastfeeding (EBF) in the MAHEFA USAID/Madagascar Program, Ambilobe District, DIANA Region 5.1.3 Exclusive Breastfeeding (In-Depth Interview Data) ....................................................................... 26 5.1.4 Postpartum Family Planning ........................................................................................................... 27 5.1.5 LAM ................................................................................................................................................ 30 5.1.6 Influences on Family Planning Decisions ....................................................................................... 32 5.1.7 Bivariate analyses ........................................................................................................................... 38 5.2 Community Health Workers
Load more

Recommended publications
  • Care Sheet for the Panther Chameleon Furcifer Pardalis By
    Care Sheet for the Panther Chameleon Furcifer pardalis By Petr Necas & Bill Strand Legend Sub-legend Description Taxon Furcifer pardalis Panther Chameleon (English) Common Names Sakorikita (Malagassy) Original name Chamaeleo pardalis Author Cuvier, 1829 Original description Règne, animal, 2nd ed., 2: 60 Type locality Ile de France (= Mauritius, erroneous), restricted to Madagascar Typus HNP 6520 A formally monotypic species with no recognized subspecies, however recent studies reveal many (4 big, up to 11) entities within this species, defined geographically, that show different level of relativeness, some so distant from each other to be possibly con- sidered a separate species and/or subspecies. Taxonomy Historically, many synonyms were introduced, such as Chamaeleo ater, niger, guen- theri, longicauda, axillaris, krempfi. The term “locale” is used in captive management only; it has no taxonomic relevance and refers to the distinct subpopulations named usually after a village within its (often not isolated and well defined) range, differing from each other through unique color- Taxonomy ation and patterns, mainly males. The distinguished “locales” are as follows: Ambanja, Ambilobe, Ampitabe, Androngombe, Ankaramy, Ankarana (E and W), Andapa, Anki- fy, Antalaha, Antsiranana (Diego Suarez), Beramanja, Cap Est, Djangoa, Fenoarivo, Mahavelona, Mangaoka, Manambato, Mananara, Maroantsetra, Marojejy, Nosy Be, Nosy Boraha, Nosy Faly, Nosy Mangabe, Nosy Mitsio, Sambava, Sambirano, Soanier- ana Ivongo, Toamasina (Tamatave), Vohimana. Captive projects include often delib- erate crossbreeding of “locales” that lead to genetically unidentifiable animals and should be omitted. Member of the genus Furcifer. 2 Legend Sub-legend Description Distributed along NE, N, NW and E coast of Madagascar, south reaching the vicinity of Tamatave, including many offshore islands (e.g.
    [Show full text]
  • Unicef Situation Report Madagascar - External 28 June 2007
    UNICEF SITUATION REPORT MADAGASCAR - EXTERNAL 28 JUNE 2007 MAJOR DEVELOPMENTS • Reconstruction activities conducted in Ambanja will be monitored from the Antsohihy base from this point onwards. • The Elaborated Lessons Learned (ELLE) workshop was held internally to monitor and document lessons learned and good practices from the phase I response to the humanitarian crisis. The outcome will be applied to the recovery phase and to improve the Emergency Preparedness Response Plan 2007- 2008. • A United Nations Country Team (UNCT) emergency thematic group was held on 12 June. This represents the kick off of the UN lessons learned exercise: share experiences and improve/reinforce interagency coordination capacity with the National Office for Management of Risks and Disasters (BNGRC) and partners on national and regional level. Each agency is responsible for taking part in an internal evaluation exercise before interagency compilation and sharing. • A Rapid Assessment training with the Think-Tank Stakeholders on Disasters (CRIC) and government members was held from 6 to 8 June. Further to recommendations during this workshop, three decentralized workshops could be held in and for some regional committees in August. UNICEF will propose a plan for agreement to BNGRC/Primature early July. UNICEF RESPONSE WATER, SANITATION AND HYGIENE (WASH) Water quality tests (Antsohihy) Well cleaning in Djangoa (Ambanja) In Sofia, the cleaning and disinfection of 107 community wells is finished. Thirteen wells in three districts of Sofia region have been identified for rehabilitation by the Ministry of Energy (Direction de l’Eau). To date, four wells were rehabilitated and equipped in PMH (Manual Hydraulic Pump) and two are being rehabilitated.
    [Show full text]
  • Ecosystem Profile Madagascar and Indian
    ECOSYSTEM PROFILE MADAGASCAR AND INDIAN OCEAN ISLANDS FINAL VERSION DECEMBER 2014 This version of the Ecosystem Profile, based on the draft approved by the Donor Council of CEPF was finalized in December 2014 to include clearer maps and correct minor errors in Chapter 12 and Annexes Page i Prepared by: Conservation International - Madagascar Under the supervision of: Pierre Carret (CEPF) With technical support from: Moore Center for Science and Oceans - Conservation International Missouri Botanical Garden And support from the Regional Advisory Committee Léon Rajaobelina, Conservation International - Madagascar Richard Hughes, WWF – Western Indian Ocean Edmond Roger, Université d‘Antananarivo, Département de Biologie et Ecologie Végétales Christopher Holmes, WCS – Wildlife Conservation Society Steve Goodman, Vahatra Will Turner, Moore Center for Science and Oceans, Conservation International Ali Mohamed Soilihi, Point focal du FEM, Comores Xavier Luc Duval, Point focal du FEM, Maurice Maurice Loustau-Lalanne, Point focal du FEM, Seychelles Edmée Ralalaharisoa, Point focal du FEM, Madagascar Vikash Tatayah, Mauritian Wildlife Foundation Nirmal Jivan Shah, Nature Seychelles Andry Ralamboson Andriamanga, Alliance Voahary Gasy Idaroussi Hamadi, CNDD- Comores Luc Gigord - Conservatoire botanique du Mascarin, Réunion Claude-Anne Gauthier, Muséum National d‘Histoire Naturelle, Paris Jean-Paul Gaudechoux, Commission de l‘Océan Indien Drafted by the Ecosystem Profiling Team: Pierre Carret (CEPF) Harison Rabarison, Nirhy Rabibisoa, Setra Andriamanaitra,
    [Show full text]
  • Taboo Adherence and Presence of Perrier's Sifaka (Propithecus Perrieri)
    MADAGASCAR CONSERVATION & DEVELOPMENT VOLUME 1 3 | ISSUE 01 — DECEMBER 201 8 PAGE 6 ARTICLE http://dx.doi.org/1 0.431 4/mcd.v1 3i1 .1 Taboo adherence and presence of Perrier’s sifaka (Propithecus perrieri) in Andrafiamena forest Alessio AnaniaI, Jordi SalmonaII, III, Emmanuel Correspondence: RasolondraibeIV, Fabien JanII, Lounès ChikhiII, III, Claudia Alessio Anania Fichtel I, Peter M. KappelerI and Rodin RasoloarisonI Behavioral Ecology and Sociobiology Unit German Primate Center, Kellnerweg 4 37077 Göttingen, Germany Email: [email protected] ABSTRACT jour l'un des principaux refuges pour cette espèce mais la popula- Habitat loss and poaching are among the most serious threats to tion de ce propithèque n'y a pas été évaluée régulièrement the fragile and unique biodiversity of Madagascar. In the past, tra- depuis 201 3. Cette étude apporte une mise à jour de la présence ditional taboos (fady), commonly associated with folk stories, have de P. perrieri dans la forêt d’Andrafiamena et évalue l’importance had a buffering effect on several lemur species. Here, we examine des tabous pour la conservation de cette espèce, sous la forme the status of hunting taboos with reference to the conservation of de résultats émanants d'une brève étude sur le terrain menée à the critically endangered Perrier's sifaka (Propithecus perrieri). We Andrafiamena en 201 6. Les données d’entretiens succincts sur also provide an update on P. perrieri’s presence in the protected l'adhésion aux tabous liés à la chasse de P. perrieri menés en area of Andrafiamena in the face of ongoing habitat fragmentation 201 2 sur l’aire de distribution de l'espèce incluant l’aire protégée and poaching.
    [Show full text]
  • Etude Hydrogeophysique Dans La Region Diana
    UNIVERSITE D’ANTANANARIVO ECOLE SUPERIEURE POLYTECHNIQUE D’ANTANANARIVO ---oOo--- DEPARTEMENT MINES Formation Doctorale Génie Minéral Mémoire de fin d’études en vue de l’obtention du Diplôme d’Etudes Approfondies Option : génie minéral ETUDE HYDROGEOPHYSIQUE D ANS LA PrésentéREGION et soutenu DIANA par : ADINANE Omar Présenté par ADINANE Omar Le 24 janvier 2011 Devant les membres du jury Président Pr. RANDRIANJA Roger Rapporteur Dr. RAKOTO Heritiana Examinateur Pr. RASOLOMANANA Eddy Janvier 2011 UNIVERSITE D’ANTANANARIVO ECOLE SUPERIEURE POLYTECHNIQUE D’ANTANANARIVO ---oOo--- DEPARTEMENT MINES Formation Doctorale Génie Minéral Mémoire de fin d’études en vue de l’obtention du Diplôme d’Etudes Approfondies Option : génie minéral ETUDE HYDROGEOPHYSIQUE D ANS LA PrésentéeREGION et soutenue DIANA par : ADINANE Omar Le 24 janvier 2011 Devant les membres du jury Président Pr. RANDRIANJA Roger, Enseignant-chercheur à l’ESPA Rapporteur Dr. RAKOTO Heritiana, Enseignant-chercheur à la Faculté des Sciences Examinateur Pr. RASOLOMANANA Eddy, Enseignant-chercheur à l’ESPA Janvier 2011 Sommaire SOMMAIRE SOMMAIRE -------------------------------------------------------------------------------------------------------------------------------------- I LISTE DES TABLEAUX ---------------------------------------------------------------------------------------------------------------------- III LISTE DES FIGURES ------------------------------------------------------------------------------------------------------------------------- III LISTE DES ABREVIATIONS
    [Show full text]
  • Tana Lsms Hh
    This PDF generated by katharinakeck, 1/24/2017 10:08:32 AM Sections: 10, Sub-sections: 38, Questionnaire created by opm, 8/4/2016 10:22:56 AM Questions: 366. Last modified by katharinakeck, 1/24/2017 3:00:47 PM Questions with enabling conditions: 206 Questions with validation conditions: 30 Shared with: Rosters: 18 opm (last edited 10/19/2016 10:14:02 AM) Variables: 34 aarau (last edited 10/25/2016 9:18:23 AM) seanoleary (last edited 10/17/2016 4:20:41 PM) arinay (never edited) rharati (never edited) kirsten (never edited) andrianina (never edited) mmihary_r (never edited) sergiy (never edited) janaharb (last edited 10/21/2016 4:55:02 PM) opm (last edited 10/19/2016 10:14:02 AM) gabielte (never edited) TANA_LSMS_HH START Sub-sections: 4, No rosters, Questions: 23, Variables: 5. CONSENT FORM No sub-sections, No rosters, Questions: 1, Static texts: 2. ROSTER No sub-sections, Rosters: 1, Questions: 5, Static texts: 2, Variables: 2. RESPONDENT SELECTION No sub-sections, No rosters, Questions: 7, Variables: 3. MAIN RESPONDENT Sub-sections: 22, Rosters: 10, Questions: 236, Static texts: 4, Variables: 5. CONSUMPTION Sub-sections: 6, Rosters: 5, Questions: 18, Static texts: 4, Variables: 13. HOUSEHOLD HEAD Sub-sections: 2, Rosters: 1, Questions: 18, Static texts: 1, Variables: 3. LABOUR Sub-sections: 4, Rosters: 1, Questions: 42, Variables: 3. OBSERVATIONS No sub-sections, No rosters, Questions: 12. RESULT No sub-sections, No rosters, Questions: 4. APPENDIX A — INSTRUCTIONS APPENDIX B — OPTIONS APPENDIX C — VARIABLES LEGEND 1 / 65 START EA ID NUMERIC: INTEGER ea_id SCOPE: PREFILLED DWELLING ID NUMERIC: INTEGER dwllid SCOPE: PREFILLED TYPE DWELLING ID AGAIN NUMERIC: INTEGER dwllid2 V1 self==dwllid M1 Dwelling ID does not match V2 ea_id*100+1<=self && self <=ea_id*100+30 M2 Dwelling ID and EA ID do not match VARIABLE DOUBLE dwlnum dwllid-100*ea_id THIS IS A REPLACEMENT DWELLING.
    [Show full text]
  • TDR Annexe7 Rapport Analyse 322 Communes OATF
    ETAT DES LIEUX DES 319 COMMUNES POUR LE FINANCEMENT ADDITIONNEL DU PROJET CASEF Février 2019 TABLE DES MATIERES TABLE DES MATIERES .................................................................................................................... i LISTE DES ACRONYMES ................................................................................................................ iii Liste des tableaux ......................................................................................................................... v Listes des Cartes ........................................................................................................................... v Liste des figures ............................................................................................................................vi Liste des photos ...........................................................................................................................vi I INTRODUCTION ....................................................................................................................... 1 II METHODOLOGIES .................................................................................................................... 2 II.1 CHOIX DES 322 COMMUNES OBJETS D’ENQUETE ............................................................... 2 II.2 CHOIX DES CRITERES DE SELECTION DES COMMUNES ........................................................ 5 II.3 METHODOLOGIE DE COLLECTE DE DONNEES ET ACTIVITES ................................................. 6
    [Show full text]
  • Schéma Régional De Développement Economique De La Région Bretagne
    1 2 3 4 5 L’accompagnement de l’élaboration Ce document est décomposé en quatre grandes du Schéma Régional de Développement Sections : Écon omique (SRDE) vise à renforcer les capa cités de maîtrise d’ouvrage de la Région La justification et la présentation de la DIA NA en matière de planification et de démarche d’élaboration du SRDE coordination du développement économique L’Etat des lieux de l’activité du territoire,, en aval de l’élaboration du économique dans la Région DIANA : Schém a Régional d’Aménagement du Terr itoire (SRAT). o Analyse des dimensions clés du développement Cette démarche est liée et synchronisée avec économique (dynamiques démographiques et urbaines, l’élaboration des stratégies de développement distribution des revenus et incidences de la pauvreté ; des territoires des trois associations /fermetures), intercommunales présentes dans la Région état des entreprises (’activité/création 1 2 3 dynamique de l’emploi, nature des services aux Diana (ACA , UNICOSA , ACPU ). entreprises/investisseurs et chercheurs d’emploi, Il s’agissait d’appuyer la Région Diana formation professionnelle et recherche, énergie, foncier, à c onsolider l’information nécessaire à une ressources fiscales et outils de financement , transport/ conn aissance fine des réalités et perspectives communication, sécurité) ; économiques de son territoire, à animer un processus de dialogue avec leos acte urs de la Région, Analyse des grands secteurs du développement économique régional (Agriculture, tourisme, agro- à dé finir une stratégie réaliste et à coordonner sa mise en œuvre, industrie, Mines) ; enfin à définir des outils et de mécanisme s de suiv i, cela en relation avec le développement Analyse des grandes problématiques transversales : environnement et cadre de vie, problématique «jeunes ».
    [Show full text]
  • Communication Au [Comité Compétent]
    MEMORANDUM TO THE DCI COMMITTEE CONCERNING THE 2012 Annual Action Programme for Madagascar under the accompanying measures for former Sugar Protocol countries 1. IDENTIFICATION Budget line 21.060300 Total cost €4 685 000 financed completely from the EU’s general budget Legal basis Regulation (EC) No 1905/2006 of the European Parliament and of the Council of 18 December 2006 establishing a financing instrument for development cooperation, and in particular Article 17 thereof 2. COUNTRY BACKGROUND The Council Decision of 5 December 2011 clearly provides for the European Commission to implement certain programmes that will directly benefit the people of Madagascar. In this context, the present Annual Action Programme (AAP) focuses on the implementation of activities designed to support the population living in sugar producing areas in the framework of the programme of accompanying measures for former Sugar Protocol countries. The trend in gross domestic product (GDP) at constant prices was -3.7% in 2009, 0.6% in 2010 and 0.7% in 20111, while the population growth rate was estimated at 2.8% per year over the period in question2. There was a corresponding automatic increase in the poverty rate, which rose from 65% in 2008 to 76.5% in 20103. The poverty rate is higher in rural than in urban areas, yet Madagascar is a rural and agricultural country. The rate of urbanisation has not increased much over 20 years (from 16 to 20%). The employment structure has changed little over the past 40 years. In 2010, 80% of the population still lived in rural areas where 89% of households work in agriculture.
    [Show full text]
  • Repoblikan'ny Madagasikara
    IOTC-2018-WPDCS14-13 REPOBLIKAN’NY MADAGASIKARA FITIAVANA-TANINDRAZANA-FANDROSOANA ____________________________ MINISTERE DES RESSOURCES HALIEUTIQUES ET DE LA PECHE UNITE STATISTIQUE THONIERE D’ANTSIRANANA (USTA) 14TH WORKING PARTY ON DATA COLLECTION AND STATISTICS Victoria-Seychelles, 29th November to 1st December 2018 Gaillord JAONA Yacinthe RAZAFIMANDIMBY ABSTRACT In the framework to improve the fishery statistics in Madagascar, the Ministry of Fisheries, through the Unité Statistique Thonière d’Antsiranana, initiated in 2015 a monitoring system for small-scale and artisanal fisheries of pelagic fish in northern Madagascar with two pilot villages. Since 2016, Monitoring has been expanded in other villages where network of investigators have been established in the various potential fishing areas. At each catch landings, an investigator collects tuna catch data and other catches, and also performs sampling. The date of landing, the time at sea, fishing zone, the weight and total number of individuals landed are recorded; and measurements of tuna and tuna like species are conducted. According to the catch monitoring since the pilot phase in 2015, it can be seen that the tuna season in the northern waters of Madagascar is from June to October. In 2016, catches from small-scale fisheries in these two pilot villages reached 102 tons, including 59 tons of tuna and 43 tons of other catches. The tuna average catch is estimated at 5.3 tons per month. In 2017, total catches in the North of Madagascar reached 3 704 tons including 80 tons of tuna and 4 tons of swordfish from 192 692 landings. Indeed, tuna represents only 2% of total catch for these villages because small-scale and artisanal fishermen still face a challenge, which is the lack of appropriate equipment for catching tuna and tuna like species.
    [Show full text]
  • UNICEF Madagascar Country Office Humanitarian Situation
    ary Madagascar u Country Office Humanitarian Situation Report No. 1 Rakotomanga © UNICEF Madagascar/Jan © UNICEF 2020/ UNICEF/UN0267547/Raoelison Reporting Period: 01 January to 31 March 2020 Highlights Situation in Numbers Between January 19, 2020 till January 23,2020, there was heavy rains in the northwestern part of Madagascar, more than twice the normal precipitation 1.1 million during the rainy season, resulting in floods in 13 districts. Children in need of humanitarian assistance Emergency response was initially undertaken using prepositioned stocks. Since February 27, the affected districts such as Amparafaravola, Ambatondrazaka, Mampikony, Marovoay. Mitsinjo, Soalalaand Ambato Boeny districts are supplied 2 million by a combination of land, and river transportation. People in need UNICEF Madagascar currently focuses on disaster risk reduction to build resilience, reaching vulnerable people in the drought-prone south suffering from malnutrition and lack of access to safe water in addition to reinforcing 337.200 government systems in preparation for a full-fledged nation-wide response to the Children to be reached COVID_19 Pandemic. From January to March 2020, 3542 children with severe acute malnutrition (SAM) were admitted and treated,22 % percent of the 2020 target of 16 000 SAM 441.000 children accessing therapeutic treatment. of peo People to be reached A total of 60,910 people in the south gained access to safe water through water trucking and rehabilitation of boreholes. In preparation for Covid19 response: WASH Needs assessments have been carried out in Health centres and Airports, items have been pre-positioned at 9 entry points, Infection prevention communication through posters is ongoing, and programming for cash transfers to vulnerable households to support basic consumption and compensation for loss of revenues is underway.
    [Show full text]
  • Rep 2 out Public 2010 S Tlet Sur of Ma Urvey Rvey Adagas Repor Scar Rt
    Evidence for Malaria Medicines Policy Outlet Survey Republic of Madagascar 2010 Survey Report MINSTERE DE LA SANTE PUBLIQUE www. ACTwatch.info Copyright © 2010 Population Services International (PSI). All rights reserved. Acknowledgements ACTwatch is funded by the Bill and Melinda Gates Foundation. This study was implemented by Population Services International (PSI). ACTwatch’s Advisory Committee: Mr. Suprotik Basu Advisor to the UN Secretary General's Special Envoy for Malaria Mr. Rik Bosman Supply Chain Expert, Former Senior Vice President, Unilever Ms. Renia Coghlan Global Access Associate Director, Medicines for Malaria Venture (MMV) Dr. Thom Eisele Assistant Professor, Tulane University Mr. Louis Da Gama Malaria Advocacy & Communications Director, Global Health Advocates Dr. Paul Lavani Executive Director, RaPID Pharmacovigilance Program Dr. Ramanan Senior Fellow, Resources for the Future Dr. Matthew Lynch Project Director, VOICES, Johns Hopkins University Centre for Dr. Bernard Nahlen Deputy Coordinator, President's Malaria Initiative (PMI) Dr. Jayesh M. Pandit Head, Pharmacovigilance Department, Pharmacy and Poisons Board‐Kenya Dr. Melanie Renshaw Advisor to the UN Secretary General's Special Envoy for Malaria Mr. Oliver Sabot Vice‐President, Vaccines Clinton Foundation Ms. Rima Shretta Senior Program Associate, Strengthening Pharmaceutical Systems Dr. Rick Steketee Science Director, Malaria Control and Evaluation Partnership in Africa Dr. Warren Stevens Health Economist Dr. Gladys Tetteh CDC Resident Advisor, President’s Malaria
    [Show full text]