JSI Presentation; By Lora Shimp; April 2015 This presentation illustrates the Champion Community Initiative- Madagascar program, it’s objective, geographic scope, implementing partners, and current intervention activities. The 6 principles of the CCI approach innovate and engages community members through community activities. CCI focuses on mobilizing communities to take “small, doable, actions” to achieve health indicators.

1. CHAMPION
COMMUNITIES
MADAGASCAR
​Lora Shimp
​April 2015

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Programme title:
Main objective of the
programme:
Geographic scope:
Duration:
Number of target
beneficiaries:
Implementing
partner:
Champion Community Initiative (CCI) - Madagascar
Empower families to improve the health of their
households while also improving the health services and
status of the communitiesand Fokontany collectively
(including MCH/immunization)
1453 Fokontany (Madagascar structure that represents
a commune/collection of villages) in Sava,Diana,Boeny,
Menabe,Melaky,and Sofia regions
Infant population:277,815
JSI Research &Training Institute,Inc.(through the
USAID-funded Community-based Integrated Health
Program,locally called MAHEFA;and drawing upon
years of in-country immunization expertise,currently
working on Gavi,theVaccineAlliance’s funded“New
Vaccine Introduction” contract and USAID’s Maternal
and Child Survival program

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Innovation & Engaging
Community Members
 Champion Community approach started in
1999 and has been adopted by MOHFP
 Communitieschoose specific health goals to
work towards and track their progress.CCI
ensures quality services and incorporates
social marketing concepts.
 “Champion Community” status awarded
after reachingagreed-upon indicators (e.g.
>80% fully immunized coverage),officially
recognized by the government and health
system (also adaptedin Nepal & Ethiopia)
 Self-monitoring process with participatory
evaluation by the communities
 Reintroduction of immunizationcomponent
following return to political stability to link
families with services,improve service
quality & increase immunization coverage
Sample immunization activities:
o Use of health cards and key messages to inform
caregivers and communities on vaccination
schedule and days
o Community dialogues and health board at facilities
to monitor & discuss vaccination coverage
o COSAN (locally elected health committees) to help
identify, plan and monitor immunization activities

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 Originally piloted in 1999-2001 by JSI & AED
with USAID funding & MOH partnership
 Implementation haltedin 2009 but recently
reinstated through MAHEFA Project
 Implementedsince 1999 but no impact
evaluation conducted
 Focus on mobilizing communities to take“small,
doable,actions” to achieve health indicators
 Community representatives meetevery 3
months to reviewprogresstoward targets
 After 3 reviews,communities can be evaluated
by NGOs accordingto specific criteria &
procedures
Champion
Communities
Initiative

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 Leaders mobilize their communities to assess
health conditions,set targets & monitor
achievements toward health goals
 COSAN members support CHWs and
encourage community membersto use CHW
services
 Listeners' Groups organized to promote
community dialogue aroundhealth issues raised
during radio programs
 Exchange visits to promote cross-learning
 Training the CCDS (conseil communal de
developpement sanitaire) members and the
mayor to conduct the CCI activities so they can
continue themselves after the project ends
 Adding "community feedback on CHV's service
quality" as part of the CCI review
Current
Intervention
Activities

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