1. MADAGASCAR FAMILY PLANNING PROGRAM WHAT IS UNIQUE? Presentation during USAID Family Planning Meeting Kigali, Rwanda March 21 – 26, 2010 Benjamin Andriamitantsoa

2. Madagascar Action Plan (MAP): Family Planning is a national priority The Ministry of Health becomes Ministry of health and Family Planning. Directorate of Family Planning under the Social Welfare Vice-Prime Minister High commitment of the President of the Republic – Patron of the FP activities Remarkable partnership Community ownership and partnership National budget for health family planning, donors funds What is unique?

3. USAID/Madagascar supports the 2007-2012 Madagascar Action Plan Commitment Five Health, Family Planning, and the fight against HIV/AIDS “We will work to ensure that all of our people are healthy and can contribute productively to the development of the nation and lead long fruitful lives. The problems of malnutrition and malaria will be brought to a halt. HIV and AIDS will not advance any further; safe drinking water will become accessible; and, through education and the provision of health services the average size of the Malagasy Family will be reduced.” -President of the Republic of Madagascar Marc Ravalomanana

4. Population growth rate: 2.5% CPR increase from 18% in 2003-4 to 29% in 2008-9 TFR: from 5.2% to 4.8% Average Yearly increase in CPR: 2.18 Contraceptive Stock out decreased Some Key Data

5. Provision of FP services by non medical and non paramedical staff Community based distribution of FP services (including Depo-Provera) Working with faith-based organizations Working with Social Development Committees (SDCs) Creating synergy, promoting integration and enhancing ownership and partnership Donor coordination Rapid result initiative and coaching system What has worked well in Madagascar FP Program?

6. The national political situation: Will the same high level engagement and commitment continue? Will institutional support continue? Budget availability Community health actors motivation Supply chain Sustainable coaching system for community-based family planning program The Challenges

8. THANK YOU! MISAOTRA!