Madagascar is again a member of the African Union and Southern African Development Community (SADC), following successful national elections that installed a democratically elected president in 2014. Many bilateral donors had suspended all but humanitarian aid after the 2009 coup, but most have resumed development programming in the country. However, inadequate roads to reach dispersed populations in remote areas, recent natural disasters - including locusts and both flooding and drought - and extreme poverty pose significant challenges to the country’s aspirations for development.
The government of Madagascar has named economic recovery, infrastructure, education, energy, and health as areas for focus. MEASURE Evaluation is now active in Madagascar, which is a priority country for the President’s Malaria Initiative (PMI) and Ending Preventable Child and Maternal Deaths (EPCMD). MEASURE Evaluation’s work focuses on health information systems (HIS) strengthening at the national and district levels.
A technical team from MEASURE Evaluation has conducted discussions with stakeholders regarding routine health information systems (RHIS) and infectious disease reporting systems (IDRS). Based on these discussions, MEASURE Evaluation proposes to use the Performance of Routine Information System Management (PRISM) approach and tools to carry out a systematic baseline assessment of current RHIS and IDRS performance in Madagascar. The PRISM assessment will identify factors influencing the performance of the two systems, and findings will be used to inform collaborative recommendations and develop a strategic plan for strengthening data quality and information use to meet the needs of NMCP and other health programs.