In 2009, Madagascar was designated one of U.S. Agency for International Development’s (USAID) 30 priority maternal and child health countries for increased investment. Although it has achieved remarkable advances in child survival over the last decade, the country retains a high maternal mortality rate (469 per 100,000 live births) and only about half of all births are attended by a skilled health provider. In addition, 60,000 children under five years of age continue to die from preventable causes each year and, at 123 per 1,000 live births, Madagascar’s under-five mortality rate is still among the highest in the African region.
In close collaboration with the relevant partners, The Maternal and Child Health Integrated Program (MCHIP) is taking a leading role in providing technical assistance for the USAID Mission’s maternal, neonatal and child health (MNCH) activities and contributing to a reduction of maternal and neonatal mortality—and continued declines in infant and child morbidity and mortality. In these efforts, the Program is ensuring use of evidence-based interventions to prevent and treat the most common causes of maternal and newborn complications and death.
MCHIP is leading the design and implementation of an assessment of the demographics and qualitative characteristics of the country’s MNCH services. Program activities will develop in accordance with the results of the assessment—including initiating pilot maternal and newborn health activities in sites of geographic and strategic importance—to address gaps in public and private sector MNCH policies, practices, services and support systems.
The Maternal and Child Health Integrated Program (MCHIP) is the USAID Bureau for Global Health’s maternal, neonatal and child health (MNCH) program. MCHIP supports global programming in MNCH, immunization, family planning, malaria and HIV/AIDS, and strongly encourages opportunities for integration. Cross-cutting technical areas include water, sanitation, hygiene, urban health and health systems strengthening.
MCHIP brings together a partnership of organizations with demonstrated success in reducing maternal, newborn and child mortality rates and malnutrition. Each partner is taking the lead in developing programs around specific technical areas. Jhpiego is the Prime on MCHIP, leading a coalition of the following partners: JSI, Save the Children, PATH, JHU/IIP, Broad Branch, PSI and Macro International.
For more information about MCHIP, see full MCHIP description on this Web site or visit www.mchip.net.
For nearly 40 years, Jhpiego, (pronounced "ja-pie-go"), has empowered front-line health workers by designing and implementing simple, low-cost, hands-on solutions that strengthen the delivery of health care services, following the household-to-hospital continuum of care. We partner with community- to national-level organizations to build sustainable, local capacity through advocacy, policy and guidelines development, and quality and performance improvement approaches.
For more information about Jhpiego, visit www.jhpiego.org.