HI - Madagascar - FP 2020
Country card Madagascar 2020
Contact: [email protected] HI - Madagascar - FP 2020
General country data
a. General data
Country Madagascar South Africa France Population 26,969,307 58,558,270 67,059,887 Inequality - 0.521 0.705 0.891 Adjusted Human Development Index (IAHDI) IHDI 0.386 0.463 0.809 Maternal 480 200 10 mortality Gender 0.946 0.98 0.98 development index Refugee 44 89,285 368,352 population INFORM index 5.2 4.7 2.2 Fragile States 79.5 70.1 30.5 Index 58/178 countries GINI index 42.6 63 31.6 Social Support 0.684 128/155 countries Development 690.57 914.81 0 assistance (in millions USD)
b. Humanitarian law instruments ratified by the country
Humanitarian law instruments Status Mine Ban Treaty Ratified on 16/09/1999 Convention on Cluster Munitions Ratified on 03/12/2008 Convention on the Rights of Ratified on 12/05/2015 Persons with Disabilities
Contact: [email protected] HI - Madagascar - FP 2020
c. Geopolitical analysis
1. Social, cultural and demographic context Madagascar has an annual population growth rate of 3.01%. 80.5% of the population lives in rural areas where 85% of people live below the poverty line. The population is young (median age: 19.6 years old; 20% 15 to 24 years old).
2. Political situation After a turbulent election, Andry Rajoelina assumed the presidency in 2018. He had already been president from 2009 to 2014.
His policy agenda is to strengthen the economy by creating the right conditions for business, international trade and direct foreign investment. He has also promised to invest in education and, to a lesser extent, in public safety.
3. Economic situation According to the World Bank, Madagascar is the fourth poorest country in the world in terms of per capita wealth, but GDP grew 4.8% in 2019 compared to 3.9% in 2017. According to the IMF, public and publicly guaranteed external debt (PPG) remains sustainable, with “moderate” external debt overhang. Inflation stabilised below 6% in 2019. However, in 2020, the Covid-19 crisis will have a serious economic, social and budgetary impact: it will disrupt international trade and travel, and lockdown measures are expected to cause a sharp decline in business activity, with GDP expected to drop to 1.2, according to the World Bank. Vulnerable people will be particularly exposed to economic hardship and poverty traps. The collapse in tax revenues and expenditure related to the health crisis will increase the budget deficit, causing a sudden increase in financing needs.
Contact: [email protected] HI - Madagascar - FP 2020
Summary of HI’s work in the country
In 2017, HI celebrated 30 years of involvement in Madagascar, a period that can be divided into five activity phases: o 1987 to 1996: rehabilitation actions only o 1996 to 2005: Action Nord Sud period and work on structuring the non-profit sector. o 2006 to 2014: renewed focus on disability. o 2015-2019: MYOP 1(Multi-Year Operational Framework): extending our work to cover new fields and people who take part in our projects. o 2020: new country strategy 2020-2024
1 MYOP assessment: https://hinside.hi.org/intranet/jcms/pl1_2482964/fr/evaluation-cop-madagascar-2015- 2019
Contact: [email protected] HI - Madagascar - FP 2020
HI’s team and where we work
HI’s team in Madagascar has 128 staff members.
Contact: [email protected] HI - Madagascar - FP 2020
Current projects
Sectors where HI implements projects, focusing on beneficiaries and partners
Main sectors Project goals in the Main activities Beneficiaries Beneficiaries at Partners Location Project start and end sector the end of the date and funding project bodies RISK AND DISASTER Mahalomba • Hazard identification 167,274 people 412,864 people BNGC Boeny region July 2018 - June 2020 MANAGEMENT analysis. Care (project Build disaster • Improve IEC tools for 23 organisations 23 organisations manager) Funding body (bodies): preparedness and disaster risk management SAF-FJKM ECHO response capacities and make them inclusive. based on an inclusive • Set up DRM committees. approach on the west • Adapt early warning coast of Madagascar. systems. • Training and awareness HI’s role is to ensure raising for local rescue people with disabilities teams. and their needs are • Development of district taken into account. contingency plans and support to implement them. • Adapting the national cash transfer mechanism
Contact: [email protected] HI - Madagascar - FP 2020
at district level. • Setting up and supporting village savings and credit organisations. • Assessing school capacities and vulnerabilities and development of emergency preparedness plans, implementation of DRR clubs and pre- positioning of stocks. Implementing a collaborative mechanism between the PFPH and the BNGRC. Miaro • Provide support to RDM • 300 vulnerable Care Regions: July 2019 - June 2021 (risk and disaster households BNGRC Boeny Funding body (bodies): Help improve the management) • 900 children MEN Diana ECHO resilience of people committees. • 600 members of and institutions in the • Build the capacities of Savings and regions where we the most vulnerable Loans Village work. households to better Organisations Build the preparedness cope with disasters (AVECs) and response through early warning • 400 members of capacities of systems. the education institutions and • Build the inclusive community populations. disaster risk reduction (IDRR) capacities of students and the
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education community. • Rapid responses to the immediate and vital needs of the disaster- affected population.
Parirac • Participatory • 50 committee ACF (lead) Atsimo May 2020 - June 2022 community-based members + Andrefana Build climate hazards vulnerability analysis in • 3,075 for 116 Welt Region Funding body (bodies): preparedness and 133 Fokontany where local rescue Hunger Hilfe ECHO response capacities we work teams (WHH) based on an integrated • Implementation and • Teachers in Secours and inclusive multi- operationalisation of 124 schools, Islamique sector approach in the the RDM Committees or 2,640 France (SIF) coastal zone of the and Early Warning people Atsimo Andrefana System • 22 people in region. • Support beneficiary institutional IRDM Inclusion communities to roles Technical Assistance develop contingency • 750 adults Project plans & simulation from parent exercises associations • Regional contingency • 20,000 stock prepositioning disaster- • Training of teachers affected and parents people (CM • Rehabilitation and framework) strengthening of water, sanitation and hygiene (WASH) facilities in schools and reception facilities
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• Development of an operational manual for emergency humanitarian response (cyclone or flood response) based on cash transfers • Activation of the Crisis Modifier in case of emergency
EDUCATION Manonga • Assessing access by N/A 28 primary Min. National Region: January 2018 - young people with schools education Atsinanana December 2021 Inclusive Education (IE) disabilities to Fanarenana secondary education 6 colleges Funding body (bodies): and Social and and vocational training. AFD Economic Inclusion : • Assessing growth 3 vocational Develop and sectors. training centres implement IE along the • Developing inclusive 16 DPDs "education-training" education provision for 3,900 people continuum to promote secondary education benefiting from equal opportunities for and vocational training. awareness raising • Facilities adjustment 60 vocational young people with and building training actors disabilities to succeed accessibility support. benefiting from throughout their • Personalised social awareness-raising educational and support mechanism for learning careers. young people with
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disabilities. Model a system that • Synergies between contributes to the actors and advocacy general education and adaptation of continuum and public policies. vocational training. • Raising company awareness of the capacities of people with disabilities.
HEALTH Anjaratasara Phase II • Build the skills of health 400 people with Ministry of Regions: January 2020 - Mental health: workers. epilepsy Public Health Analanjirofo December 2021 • Integrated Strengthen the 20 doctors and Boeny management of people community referral N/A 20 paramedical Funding body (bodies): with epilepsy system. staff UCB • guaranteed in the Create or revitalise community and at national organisations each level of the health for people with pyramid, improving the epilepsy. • social involvement of Psychosocial support men and women, and for people with health the inclusion of problems and their children with epilepsy families. • in schools. Include and detect epilepsy during school medical visits and support the inclusion of epileptic children in schools. • Raise awareness of the public and various
Contact: [email protected] HI - Madagascar - FP 2020
actors on epilepsy and the rights of people with epilepsy. • Raise awareness of mutual health insurance and other financial mechanisms for vulnerable people in the management of epilepsy.
Hifali • Socio -anthropological January 2018 - study on mental health N/A 810 people with Ministry of Region: December 2021 Mental health: (MH) community health problems Public Health Boeny Funding body (bodies): representations, AFD Develop and perceptions and 12 Min health implement a practices. technical community-based • Helping the Ministry of managers prevention and Health develop a MH 62 MH response strategy to strategic plan. professionals improve the mental • Rehabilitation of health health of people in facilities. 164 community psychosocial distress • Coordination of MH officers and/or suffering from and advocacy actors to mental health advance the rights of 8 traditional disorders. people with MH healers disorders. • Capacity-building for 190 MH health staff. facilities/actors • Awareness-raising for “tobys" and traditional 100 members of
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practitioners on the DPD referrals to health facilities. • Strengthening the MH component of basic social-work training. • Implementing a community mutual- support network and establishing an organisation of MH users.
Miarina HI’s activities: N/A 3 prisons Ministry of Project -based October 2019 - • Set up a reception > 80% of Public Health work: September 2022 Mental health: workshop. detainees Ministry of Tana • assessed Justice Mahajanga Funding body (bodies): Improve the overall Set up a complaints management system. Ministry of Tamatave Expertise France medical care of • Train prison actors in Population Manakanra Initiative 5% prisoners with psychosocial support. IPM tuberculosis and/or • Support/help actors to EKAR HI’s work: HIV in prison and on provide psychosocial PPI Tana release. support and life plans. Mahajanga • Organise sports and Tamatave HI will take charge of socio-educational the psychosocial activities. component with the following objectives: A comprehensive psychosocial support
Contact: [email protected] HI - Madagascar - FP 2020
mechanism is being developed and tested in prisons. Casimir • KAP study and N/A 154 health Ministry of Regions: January 2018 - mapping of health professionals Public Health Atsimo December 2021 Mother and child actors and services. trained Ministry of Andrefana Funding body (bodies): • Review of training 20 social workers Population, Region MAE Lux / Fondation health: curricula and training of 1,620 users of Social Roi Baudoin Improve access to health and local rehabilitation Welfare and mother and child rehabilitation services the health and the MCH- professionals. 2,580 Advancemen rehabilitation services • Training of social beneficiaries of a t of Women care continuum. workers to prevent risk minimum package factors, detect of mother and impairments and refer child health people to health activities facilities. 600 women • Community-based and/or children rehabilitation training. with access to • Implement the funding systems minimum package of 19,200 young mother and child health people made activities. aware of health • Design and implement issues a financial access support mechanism. • Community and DPO awareness. Pari • Analyse obstacles to N/A 500 people with Ministry of Regions of No vember 2017 to service access. disabilities in rural Public Health Atsimo March 2021 • Economic assessment areas Toamasina Andrefana Funding body (bodies):
Contact: [email protected] HI - Madagascar - FP 2020
Rehabilitation: of the sector. 47% of child with and Diana Ensure access to • Refurbishment and disabilities ≥15 Mahajanga Atsiananana AFD / Lux MoFA quality rehabilitation equipping of 51% women University and health services orthopaedic-fitting and 5,000 people from Hospital that meet their needs rehabilitation services. the communities PFPH including the use of • Capacity-building for GNTP ICTs. rehabilitation professionals by developing education, continuous education and networking. • Improving the funding of health care provision. • Monitoring the implementation of the National Rehabilitation Plan.
WISH2Action • Development and N/A Marie Stopes National level March to August 2021 implementation of an Madagascar SRH: impact strategy for (leader) Funding body (bodies): public policies and Options Foreign, Improve access of support to the Ministry DMI Commonwealth & vulnerable women to of Public Health to Development sexual and achieve its goals. Department (FCDO) reproductive health. • Development and Formerly DFID implementation of a HI’s specific role is to public communication ensure people with
Contact: [email protected] HI - Madagascar - FP 2020
disabilities and their and information needs are taken into strategy on sexual and account. reproductive health services and changing beliefs and practices. • Deploying paramedical staff for at-home services. • Strengthening of local follow-up care and rehabilitation services via Marie Stopes Madagascar centres. • Setting up mobile teams to offer services in the most isolated areas. 3D • Propose solutions for 10 patients 10 patients Diana Diana region January 2019 - Rehabilitation: perform flexible prosthetic University ongoing a technological study sockets Hospital Funding body (bodies): to reduce the costs of • Test on 10 patients Proteor HI a 3D-printed Comany prosthesis. ProsFit Technologies Company RIGHTS & SUPPORT Mahatsangy • Organisational self - 7 partner 7 partner UNAHM Tananarive January 2019 - TO DPOs Support to the assessment for two organisations organisations Orchidées Antsirabe December 2021 disability movement: organisations. blanches Fianarantsoa Strengthening • Implementation of a co- Fanarenana Diego Suàrez Funding body (bodies):
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organisations working funding mechanism and FAAM DCI Monaco with and for people advisory support for Ephata with disabilities to partner organisation AJFACE empower them. projects. • Inter-organisational meetings, practices lesson-learning. • Mapping of organisation network coordination spaces and an impact plan. FOOD SAFETY Maharo Providing essential inputs N/A 20,000 CRS (lead) Androy region October 2019 - Mainstreaming and technical support to households or September 2024 disability in farmers and fishermen. 80,000 people development and civil Promoting adaptation and society action. mitigation for sustainable food security and resilience. Improved food security for vulnerable households and continued crop production for drought-affected households.
HI’s role is to ensure people with disabilities and their needs are taken into account. EMERGENCY Mitehafa • Information and NA 200,000 people Covid -19 Analamanga May 2020 to April Covid_19 awareness-raising to covered by Operations Analanjirofo 2021
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Help adapt behaviour change behaviour in awareness - Coordination Atsinanana in response to the response to the raising, targeting Centre Funding body (bodies): pandemic while pandemic, mitigate people with European Union building the response stress factors, and special needs in Douleurs and preparedness reduce the stigma and particular Sans capacities and discrimination Frontières economic and experienced by target Some 900 pre- psychological audiences targeted people SOS Villages resilience of affected including intra- d’enfants • people, especially Building the capacity of hospital medical those with special actors to care manage and non-medical Ordre des needs the psychological staff, as well as Psychologue distress caused by the Covid-19 patients s pandemic for target and their families audiences Disabled • Strengthening the Some 3,000 people’s resilience of vulnerable vulnerable organisation households by households or s supporting the 12,600 people "Loharano" response provided with Civil society and taking into account social and organisation people with special economic support s needs • Anticipating and Actors in Covid- preparing for a second 19 response COVID-19 crisis
Contact: [email protected] HI - Madagascar - FP 2020
Funding bodies
Expertise France DCI Monaco AFD Initiative 5%
MAE Luxembourg EU USAID
ECHO FCDO Fondation Roi Baudoin / UCB Foreign, Commonwealth & Development Department
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