The Accessible Continuum of Care and Essential Services Sustained Program
The Accessible Continuum of Care and Essential Services Sustained Program
Highlights
Across 14 regions, ACCESS helped reach more than 4 million people with COVID-19 messages and vaccination information through social and mass media dissemination.
Since 2018, we have reached more than 1.5 million regular users of family planning and helped more than 450,000 women complete antenatal care.
ACCESS helped empower community health volunteers to test more than 1.3 million children for malaria and treat more than 400,000 children with first-line malaria treatment.
Overview
Through the Accessible Continuum of Care and Essential Services Sustained (ACCESS) program, we continue our support to the Government of Madagascar in accelerating sustainable health impact and strengthening the Ministry of Public Health’s stewardship of the health sector. The ACCESS program works to ensure person-centered, quality primary health care services are sustainably available and accessible to all Malagasy communities in the program’s target regions, that local health systems function effectively to support quality service delivery, and that the Malagasy people sustainably adopt healthy behaviors and social norms. ACCESS supports the Ministry in improving the quality of care provided by community health volunteers, health centers, and district hospitals through approaches that include low-dose high frequency training and supportive supervision, continuous quality assurance cycles, e-learning, improved data use for decision making, and enhanced supply chain systems.
In close partnership with the Government of Madagascar and its local partners, MSH is conducting activities in 78 districts across 14 regions, home to more than 16 million people. The program is also providing comprehensive support to the country’s COVID-19 response plan.
Meet the Community Health Volunteers Who Are Improving Access to Care in Madagascar
Community health volunteers (CHVs) play a critical role in bringing primary health care services closer to people, particularly women and children under the age of five. The USAID-funded ACCESS program supports more than 20,000 CHVs across 14 of Madagascar’s 23 regions. Meet five of them in this photo/video essay.
Improving MNCH Supply Chain Performance in Malagasy District Pharmaceutical Warehouses through the SPARS Approach
Join MSH at the American Society of Tropical Medicine & Hygiene (ASTMH) Annual Meeting 2023
Focusing on the theme From Evidence to Action, our malaria experts will be at the American Society of Tropical Medicine and Hygiene’s (ASTMH) Annual Meeting—#TropMed2023—in Chicago, IL, from October 18–22, to present our approaches to improving quality of care for malaria in Madagascar and Nigeria.
Dr. Serge Raharison
Project Director
Project Contact
Dr. Serge Raharison, MSc, has 28 years of experience in public health program implementation, design and management. He graduated from the Medical School of Antananarivo and earned his Master’s Degree from the London School of Hygiene and Tropical Medicine. He started his career as a frontline care provider in humanitarian crises, then gradually led the implementation of health and development initiatives with MSF, CARE, JSI, Chemonics, FHI360, and others. In the late 2000s, Dr. Raharison was appointed by the Government of Madagascar as Secretary General of the Ministry of Public Health in his native country, before moving to the US to join the USAID Maternal and Child Survival Program (MCSP) team in Washington DC, from where he supported country programs in the DRC, Guinea, Rwanda, Mali, Liberia, and Haiti. In March 2019, Serge returned home to Madagascar to work with MSH.
Donors & Partners
Donors
The United States Agency for International Development
Partners
American Academy of Pediatrics
American College of Nurse-Midwives
Action Socio-sanitaire Organisation Secours
Catholic Relief Services
Dimagi
Johns Hopkins Bloomberg School of Public Health Center for Communication Programs
Population Services International