USAID Madagascar

This Community Health Volunteer successfully treated over 1,000 people during a 2015 malaria outbreak
This Community Health Volunteer successfully treated over 1,000 people during a 2015 malaria outbreak

USAID MADAGASCAR COUNTRY PROFILE

For 34 years USAID has been helping the Malagasy people accomplish their development goals in the face of ongoing challenges. In coordination with the Government of Madagascar, the United States delivers assistance in the areas of health, food security, disaster relief, and the environment through non-governmental organizations, community associations, and other private groups. In 2017, the United States provided approximately $83 million in development assistance, as well as $19 million in emergency assistance, making it one of the largest bilateral donors to Madagascar. Critical public health and food security assistance transforms the lives of millions of Malagasy people throughout the country.

OUR WORK

HEALTH
We improve lives by increasing health care access and quality and by furthering the Government of Madagascar’s goal of universal health care. Our activities reduce Madagascar’s maternal and child mortality, provide access to potable water and sanitation, protect communities from malaria, improve access to family planning, and reinforce the national community health policy. Our projects strengthen Madagascar’s health systems at all levels and ensure availability of life-saving medications and quality health services to underserved populations.

AGRICULTURE AND FOOD SECURITY
We help farmers increase productivity with environmentally friendly techniques and innovative agribusiness activities. We also work with communities to rehabilitate drinking water points, farm-to-market roads, and irrigation canals, improving economic opportunities and access to health and other services.

ENVIRONMENT AND BIODIVERSITY
Our newly launched environment project promotes community-based management of biodiversity and natural resources. Furthering conservation of Madagascar’s unique biodiversity, this program creates jobs and opportunities for local communities, provides alternatives to unsustainable environmental practices, and increases local management and ownership of natural resources.

DISASTER ASSISTANCE
As the leading donor of emergency relief to families affected by severe drought in southern Madagascar, the U.S. Government has provided over $40.3 million in food and supplies since 2014. Through extensive collaboration with the Malagasy Government, our partners, and the international donor community, USAID ensures relief efforts are coordinated and efficiently target those most in need.

PRIVATE SECTOR ENGAGEMENT
Working with the private sector, we support opportunities for economic growth across Madagascar. For example, we use a Development Credit Authority (DCA) model to share risk with banks, encouraging small and medium local businesses to invest in the health, water, and sanitation and hygiene sectors. This approach increases access to health care in underserved markets.

ELECTIONS SUPPORT
USAID has provided $1.2 million to support the independent national elections commission for the upcoming elections. USAID focuses on good governance in all of our programs, by empowering local communities and strengthening transparency and accountability.

EDUCATION
USAID worked closely with the Ministry of National Education on an innovative approach to improve early childhood reading. A pilot activity that tested a new methodology and teaching materials was expanded to 60 schools with support from the World Bank. The results will inform the development of the country’s Education Sector Plan.

SELECTED IMPACTS
HEALTH
– 2 million people protected from malaria via indoor residual spraying in 2017
– 14 million water purification tablets distributed in 2017
– 1.3 million children under age 5 reached with nutrition interventions in 2017
– 2 million people provided with clean water in 2017
– Over 13 million people to be protected from malaria with mosquito bed nets in 2018
– 17,000 community health volunteers
– Provided nearly 200,000 pieces of personal protective equipment for health care workers during plague outbreak
AGRICULTURE AND FOOD SECURITY
– 630,000 people benefitting from food and agriculture development
– Over 1.3 million children under five received better nutrition in 2017
ENVIRONMENT
– $45 million project promotes sustainable community development, creates job, and improves local management of resources
PRIVATE SECTOR
– 125 loans to small, private health providers through DCAs
DISASTER ASSISTANCE
– Over 1 million received food and assistance in the South
– 2,492 families received plastic sheeting for damaged homes following Cyclone Enawo in March, 2017
ELECTIONS
– $1.2 million to CENI to support elections prepararation
EDUCATION
– Pilot activity in 60 schools advances early childhood reading