This five-year, multi-agency project covers half the country with the overall goal of reducing by 60 percent
the morbidity and mortality rates associate with malaria among children under five years and pregnant women in 47
highly malarial districts. CARE developed the project proposal in coordination with two local NGOs, the Institut
Pasteur, Ministry of Health and WHO. During implementation, CARE works in 21 districts in east and southern
Madagascar, and the project coordinates its community-based activities with other actors involved in Roll Back
Malaria such as UNICEF, PSI, WHO, GTZ, the World Bank and the Ministry of Health. The project's direct
beneficiaries are 1.2 million children under five and 175,000 pregnant women living in Madagascar's lowland and
coastal areas.
The project implements a broad range of activities including: 1) social mobilization to promote the adoption
of preventive and curative measures in the community; 2) social marketing of bednets and chloroquine kits for home
treatment and chemoprophylaxis during pregnancy; 3) training of community health workers and health personnel; 4) provision of technical assistance and training in monitoring and evaluation to Ministry of Health and NGOs; 5)
surveillance of anti-malaria drug resistance; and 6) operations research on the use of the rapid diagnostic test. The expected results within the target population are decreased malaria transmission, improved child survival rates, improved pregnancy outcomes and decreased maternal mortality rates. The expected results in health system are
strengthened capacity within Ministry of Health and NGOs to implement and manage malaria control activities. The
community will be empowered to organize themselves to assess their development problems and identify solutions,
plan and take action for malaria control as well as other development activities.
