Publication Date February 1, 2024 Research & Evidence

Evaluation Framework for Heat-stable Carbetocin: Implementation Research Design to Inform the Introduction and Scale of a New Medication to Prevent Postpartum Hemorrhage

This evaluation framework, which includes research questions, measurement suggestions, and interpretation guidance, is meant to produce actionable evidence to guide Madagascar’s nationwide heat-stable carbetocin (HSC) expansion, which is planned for 2024 to 2026 and aims to optimize postpartum hemorrhage prevention. It may also be relevant for other ministries of health, UNFPA implementation leaders, and other entities responsible for the rollout of HSC to support similar efforts and facilitate standardized global learning about HSC.

Publication Date December 1, 2023 Research & Evidence

Integration of Nutrition, Food Security, and Immunization Programs in Madagascar Technical Consultation Report

This is a report from a May 2023 technical consultation supported by MOMENTUM Country and Global Leadership on the integration of nutrition, food security, and immunization services in Madagascar. This report is intended to stimulate discussions and inform future MOMENTUM programming on how to integrate immunization, nutrition, and food security programs and services to reach zero-dose children and malnourished children with potent routine immunization vaccines, food supplements, and treatment in the country.

Publication Date September 1, 2023 Program & Technical Resources

Closing Immunization Equity Gaps Using Human-Centered Design Approaches in Madagascar

In Madagascar, 33% of children aged 12-23 months of age have never received a vaccination and are therefore entirely missed by country's national immunization system and potentially the broader health system. This report outlines a MOMENTUM Country and Global Leadership assessment that explored four areas that, if addressed, can close gaps in immunization equity: zero dose vaccination, birth dose vaccination, missed opportunities for vaccination, and urban vaccination. The report also details the outcomes of a human-centered design workshop held to co-create solutions to barriers or challenges in each of these four areas.

Publication Date September 1, 2023 Program & Technical Resources

Integration of Immunization and Nutrition to Reach Zero-Dose Children

This report from MOMENTUM Country and Global Leadership aims to stimulate further discussions and actions on improving the integration of services to address the twin challenge of zero dose children and malnutrition in Madagascar. The publication presents a detailed assessment of the current status and challenges of integrating immunization and nutrition services in two districts of Madagascar. It also shares co-created solutions from human-centered design workshops to understand the current practices, challenges, and potential tools for reaching zero dose children through the integration of immunization program with nutrition services in Madagascar.

Publication Date August 1, 2023 Research & Evidence

Zero Dose Country Profile: Madagascar

In Madagascar, 34% of children between the ages of 12 and 23 months are ‘zero dose’, meaning they have never received any vaccinations. Reaching zero dose children with immunizations can be a valuable opportunity to connect vulnerable children and communities with the health system. This brief describes the zero dose population in Madagascar, the barriers they face, and the tools that can be leveraged to reach them. 

Publication Date May 1, 2023 Program & Technical Resources

Policy Dialogue for Sustainable Change for Nurses and Midwives

In Ghana, India, Madagascar, and the Caribbean region, MOMENTUM Country and Global Leadership works with country stakeholders to embark on a systematic, results-based policy dialogue process to strengthen and support the nursing and midwifery workforce. The process involves engaging government and other relevant stakeholders to come together and examine the country landscape regarding current policies; discuss needed adaptations to legislation, guidelines, systems, strategies, and plans; and make and implement action plans to better meet the needs of midwives, nurses, and, ultimately, the people they serve. This new multi-country brief further details the process, lessons learned, and impacts thus far from these policy dialogue processes, including the way forward.

Publication Date January 1, 2022 Research & Evidence

Introducing the Hormonal IUD in Madagascar, Nigeria, and Zambia: Results from a Pilot Study

This study, published by BMC Reproductive Health, reflects the results of a USAID-funded pilot study on the introduction of the hormonal Intrauterine Device (IUD) in Nigeria, Madagascar, and Zambia. The study analyzed the introduction of the hormonal IUD from the perspective of the family planning user; it included favorable findings on user satisfaction and continuation rates as well as insightful information on demographic profiles of those who chose the method. Work completed by USAID's SIFPO2 project is also included in the study. MOMENTUM Private Healthcare Delivery is now taking this work forward by leveraging the findings from this study in Nigeria and Madagascar to scale up demand generation and training of private providers.