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Se réengager dans la santé population environnement à
Madagascar: quelles contributions de la planification familiale
Prés...
Presentation Plan
• Context
• Principle Interventions
• Key Results
• Lessons Learned
Context (1/3)
• 80% endemic species
• 80% of the country is rural
• 72% of the population is poor
• 2.7% population growth
Context (2/3)
• Overexploitation and destruction of natural resources.
• Lack of access to family planning in rural areas.
Contexte
(3/3)
• Restoration
• PF
• Alternatives
Program Interventions
10,000 AC in all the
villages
Methodology
• 7/22 regions from 2012 to 2018.
• Analysis of 294,255 AC reports on GESIS.
• Survey evaluations
• Adding It ...
Key Results:
Geographical distribution of environmental zones and
CAs, 7 regions
Sources: MAHEFA / Mahefa Miaraka, databas...
Key Results:
Evolution of coverage in local services by CAs
Sources: CCHP, Activity Report 2012 – 2018
0
20000
40000
60000...
Key Results:
Evolution of coverage in local services by CAs
Sources: CCHP, Activity Reports 2012 – 2018
-
50,000
100,000
1...
Key Results:
Trend in Contraceptive Prevalence and Unmet FP Need
Sources: Penser, 2012 – USAID , OMS, 2014 – USAID, Baseli...
Résultats clés:
Grossesses inattendues évitées
par Couple-Année-Protection
Source: Darroch J. and Singh S., Estimating Uni...
Résultats clés:
Economie estimée (USD) relative à la vaccination
selon Couple-Année-Protection
Source: Darroch J. and Sing...
Program Implications /
Lessons Learned
• Partnership for integration health,
population, environment.
• Coverage in univer...
Thank you for
your attention!
This presentation was made possible thanks to
the financial support of the American people
t...
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USAID Community Capacity for Health Program (Mahefa Miaraka): Re-engaging Population, Health, and Environment in Madagascar - Family Planning Contributions

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This presentation was given by Yvette Ribaira at the International Conference on Family Planning (ICFP) in Kigali, Rwanda in November 2018. (This is the English version of the presentation).
In Madagascar, there are 80% endemic species, 80% of the country is rural, 72% of the population is poor, with only 2.7% population growth. There are over exploitation and destruction of natural resources and lack of access to family planning in rural areas.
Program implications:
1. Partnership for integration health, population, environment
2. Coverage in universal health by delegation of tasks to CAs
3. Increased productivity by women and men

Published in: Government & Nonprofit
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USAID Community Capacity for Health Program (Mahefa Miaraka): Re-engaging Population, Health, and Environment in Madagascar - Family Planning Contributions

  1. 1. Se réengager dans la santé population environnement à Madagascar: quelles contributions de la planification familiale Présentée parYvette Ribaira, MD, MPH Kigali, 13 Novembre 2018 USAID Community Capacity for Health Program (Mahefa Miaraka) Re-engaging Population, Health, and Environment in Madagascar: Family Planning Contributions Presented by Yvette Ribaira, MD, MPH Kigali, November 13, 2018
  2. 2. Presentation Plan • Context • Principle Interventions • Key Results • Lessons Learned
  3. 3. Context (1/3) • 80% endemic species • 80% of the country is rural • 72% of the population is poor • 2.7% population growth
  4. 4. Context (2/3) • Overexploitation and destruction of natural resources. • Lack of access to family planning in rural areas.
  5. 5. Contexte (3/3) • Restoration • PF • Alternatives
  6. 6. Program Interventions 10,000 AC in all the villages
  7. 7. Methodology • 7/22 regions from 2012 to 2018. • Analysis of 294,255 AC reports on GESIS. • Survey evaluations • Adding It Up method.
  8. 8. Key Results: Geographical distribution of environmental zones and CAs, 7 regions Sources: MAHEFA / Mahefa Miaraka, database, 2012-2018 Repartition districts (n=34) Number of ACs (n=9,893) Number of former AC in PF (n=9,207) Number of former AC in PCIMEc (n=9,145) Coastal Areas 22 (65%) 6.093 (62%) 5.588 (61%) 5.604 (61%) Environmental zones 20 (59%) 5,103 (52%) 4.738 (52%) 4.724 (52%)
  9. 9. Key Results: Evolution of coverage in local services by CAs Sources: CCHP, Activity Report 2012 – 2018 0 20000 40000 60000 80000 100000 120000 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 RDT + AC Traités ACT AC n1 = 721.178 ; n2 = 675.320 0 10000 20000 30000 40000 50000 60000 70000 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 RDT + CSB Traités ACT CSB n1 = 391.888 ; n2 = 370.897 Simple cases of malaria in children under 5 years
  10. 10. Key Results: Evolution of coverage in local services by CAs Sources: CCHP, Activity Reports 2012 – 2018 - 50,000 100,000 150,000 200,000 250,000 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 Nouvelles Utilisatrices AC Nouvelles Utilisatrices CSB New Family Planning Users
  11. 11. Key Results: Trend in Contraceptive Prevalence and Unmet FP Need Sources: Penser, 2012 – USAID , OMS, 2014 – USAID, Baseline 2016 30.6% 17.3% 9% 26.9% 41.3% 46.4% 62.0% 0% 10% 20% 30% 40% 50% 60% 70% 2012 2014 2016 2020 % qui ont un besoin non satisfait en planification familiale Prévalence contraceptive
  12. 12. Résultats clés: Grossesses inattendues évitées par Couple-Année-Protection Source: Darroch J. and Singh S., Estimating Unintended Pregnancies Averted from CYP, 2011. - 50,000 100,000 150,000 200,000 250,000 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 CYP Nombre de grossesses inattendues évitées
  13. 13. Résultats clés: Economie estimée (USD) relative à la vaccination selon Couple-Année-Protection Source: Darroch J. and Singh S., Estimating Unintended Pregnancies Averted from CYP, 2011. 1,088,881 4,663,185 - 500,000 1,000,000 1,500,000 2,000,000 2,500,000 3,000,000 3,500,000 4,000,000 4,500,000 5,000,000 - 500,000 1,000,000 1,500,000 2,000,000 2,500,000 3,000,000 3,500,000 4,000,000 4,500,000 5,000,000 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 CYP Economie réalisée relative à la vaccination
  14. 14. Program Implications / Lessons Learned • Partnership for integration health, population, environment. • Coverage in universal health by delegation of tasks to CAs. • Increased productivity by women and men.
  15. 15. Thank you for your attention! This presentation was made possible thanks to the financial support of the American people through the United States Agency for International Development (USAID). JSI Research & Training Institute, Inc. is fully responsible for the content of this presentation, which does not necessarily reflect the views of USAID or the US Government.

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