In Madagascar, FHI is working to improve women's access to contraception and other reproductive health services, train community-based outreach workers, and update family planning guidelines to align them with international standards. FHI has worked with the Government of Madagascar and NGOs since 2002 to implement programs ranging from operational research to peer education. And we are providing technical assistance to the government to design and implement a national behavioral surveillance survey (BSS).

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Community-based distribution (CBD) programs for family planning take contraception to the community where women live, rather than requiring women to visit clinics or other locations for services. Including injectable contraceptives among the methods provided by CBD agents has proven to be safe and feasible in other countries.  The MOHFP, with FHI's assistance, is currently testing the feasibility of this model in Madagascar.

FHI is managing a clinical trial, supported by National Institutes of Health STI Clinical Trials Group, that is comparing the rates at which azithromycin and penicillin successfully cure early syphilis. Previous research has shown that patients prefer azithromycin because it is offered in a single, oral dose, whereas penicillin is provided by injection. Additionally, azithromycin might prove to be a good option for patients who are allergic to penicillin. The current recommended treatment is doxycycline twice daily for 14 days, a regimen that can prove difficult for some patients to comply with.

Female Condoms Improve Public Health in Madagascar (2007)

The availability of female condoms is associated with more condom use, and thus better protection against sexually transmitted infections (STIs), according to results of a USAID-supported study in Madagascar.

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FHI's strong partnerships with U.S. and host-country governmental agencies, international NGOs, universities, and local and faith-based organizations play a vital role in our high-quality research and programs.

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FHI does not maintain an office in Madagascar. To contact another FHI office in the region, please visit the Contact Web page.