5 Ways USAID’s ACCESS Program is Helping End Malaria in Madagascar

 {Photo credit: Samy Rakotoniaina/MSH}A mother and her child sit under their bednet in Vohipeno, Madagascar.Photo credit: Samy Rakotoniaina/MSH

{The ACCESS team conducts a technical training for MoPH staff during the establishment of regional health training centers in March, 2020. Photo credit: Misa Rahantason/MSH}The ACCESS team conducts a technical training for MoPH staff during the establishment of regional health training centers in March, 2020. Photo credit: Misa Rahantason/MSH

ACCESS builds the capacity of the National Malaria Control Program (NMCP) to manage the country’s malaria activities. Through innovative and proven approaches, ACCESS is supporting the MoPH in its ability to use health data to drive decision making that is responsive to the diverse needs of each district and community. This groundwork will help Madagascar establish and maintain surveillance systems that can detect and respond to localized outbreaks. Thanks to a collaboration with USAID’s IMPACT program — strengthening supply chain systems for maternal and child health, malaria, and family planning activities — there is also a better management of the complex public-sector supply chain, which ensures that malaria commodities are reliable and equitably distributed.

2. Ensuring the provision of high-quality malaria services

{A nurse prepares a rapid diagnostic test for a child with fever at a health center in Sakaraha, Madagascar. Photo credit: Samy Rakotoniaina/MSH}A nurse prepares a rapid diagnostic test for a child with fever at a health center in Sakaraha, Madagascar. Photo credit: Samy Rakotoniaina/MSH

In ACCESS regions, nearly 90% of children who present with a fever are tested for malaria, and 90% of positive cases receive proper treatment. To achieve such results, ACCESS works alongside the MoPH to train community health volunteers (CHVs) and health workers across the continuum of care to deliver high-quality malaria services. At the community level, CHVs are trained to diagnose and treat uncomplicated cases of malaria in children under five, as well as to refer severe cases to a health center or referral hospital. At the health facility level, health workers diagnose and treat both uncomplicated and severe or complicated cases of malaria. ACCESS facilitates sustainable impacts with on-site coaching and supportive supervision. New approaches are implemented in target regions to improve malaria case management, such as the introduction of rectal artesunate for managing the most severe cases, or home-based care to ensure every household is reached.