United Nations Population Fund
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UNFPA Madagascar

With a rapidly growing population putting pressure on a weak health care system, Madagascar contends with a high maternal death rate and a large unmet need for family planning. Thousands of women also suffer from birth injuries like obstetric fistula. UNFPA has provided assistance since 1978. It is currently financing more than 90 per cent of reproductive health commodities, part of a drive to extend quality reproductive health and family planning services, including for vulnerable groups. Programmes also support the reduction of gender-based violence and assist the development of reliable demographic data.

Key results of Madagascar in 2021 View more
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Sexual and reproductive health in emergency preparedness plans

Sexual and reproductive health was integrated into emergency preparedness plans
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Midwifery curricula: inclusion of special needs

Needs of persons with disabilities were included in midwife curricula
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Adolescent health competencies

Adolescent health competencies were included in curricula of health professionals
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Reproductive rights, laws and policies

Strategies were in place to align laws, policies and regulations on reproductive rights
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Population projections

Publically available population projections at national and subnational levels, disaggregated by age, sex, location were generated
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Fistula treatment

1,422
Fistula repair surgeries provided with the support of UNFPA
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Life skills programmes for girls

776
Marginalized girls were reached with health, social and economic asset-building programmes
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Advocacy platforms against harmful social norms

16
Communities developed advocacy platforms to eliminate discriminatory gender and sociocultural norms which affect women and girls
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Child, early and forced marriage

776
Girls received, with support from UNFPA, prevention, protection services, and/or care related to child, early, and forced marriage
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Community declarations on harmful practices

16
Communities made public declarations to eliminate harmful practices, with support from UNFPA, including child, early and forced marriage and female genital mutilation
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Key humanitarian results 2020

UNFPA-assisted safe deliveries

Total people reached with all types of GBV services

Affected population reached with Family Planning services

Number of women of reproductive age (aged 15-49) reached with SRH services

Number of adolescents aged 15-19 reached with SRH services

Number of young people aged 20-24 reached with SRH services

Number of people reached with personal protective equipment (PPE) supplies

Number of mobile clinics

Functional health facilities supported by UNFPA that provide Emergency Obstetric Care (EmOC)

Dignity Kits distributed

Number of safe spaces

Number of adolescent and youth-friendly spaces supported by UNFPA

Number of health facilities that provide specialized GBV services (including Clinical Management of Rape), supported by UNFPA

Personnel trained on clinical management of rape

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Programme Activities

  • All resources
  • Core
  • Non - core

Madagascar 2022 Programme Activities data

Ending gender-based violence and harmful practices
By 2025, the reduction in gender-based violence and harmful practices has accelerated
Total Spending:
$3,743,794
Implemented by:
GOV $361,537 (10%)
UNFPA $2,804,643 (75%)
NGO $577,615 (15%)
Funded by:
Core Resources (46%)
Non-core Resources (54%)
Adolescents and youth
By 2025, strengthened skills and opportunities for adolescents and youth to ensure bodily autonomy, leadership and participation, and to build human capital
Total Spending:
$728,652
Implemented by:
UNFPA $467,664 (64%)
NGO $201,439 (28%)
GOV $59,549 (8%)
Funded by:
Core Resources (41)
Non-core Resources (59)
Gender and social norms
By 2025, strengthened mechanisms and capacities of actors and institutions to address discriminatory gender and social norms to advance gender equality and women’s decision-making
Total Spending:
$1,877,255
Implemented by:
UNFPA $1,468,365 (78%)
NGO $183,679 (10%)
GOV $225,211 (12%)
Funded by:
Core Resources (45)
Non-core Resources (55)
Humanitarian action
By 2025, strengthened the capacity of critical actors and systems in preparedness, early action and in the provision of life-saving interventions that are timely, integrated, conflict- and climate-sensitive, gender-transformative and peace-responsive
Total Spending:
$677,735
Implemented by:
UNFPA $485,239 (72%)
NGO $192,496 (28%)
Funded by:
Core Resources (24)
Non-core Resources (76)
Policy and accountability
By 2025, improved integration of sexual and reproductive health and reproductive rights, as well as the prevention of and response to gender-based violence and harmful practices, into universal health coverage-related policies and plans, and other relevant laws, policies, plans, and accountability frameworks
Total Spending:
$75,856
Implemented by:
UNFPA $75,856 (100%)
Funded by:
Core Resources (100)
Non-core Resources (0)
Population change and data
By 2025, strengthened data systems and evidence that take into account population changes and other megatrends (including ageing and climate change), in development policies and programmes, especially those related to sexual and reproductive health and reproductive rights
Total Spending:
$318,423
Implemented by:
UNFPA $241,646 (76%)
GOV $76,777 (24%)
Funded by:
Core Resources (101)
Non-core Resources (-1)
Quality of care and services
By 2025, strengthened capacity of systems, institutions and communities to provide high-quality, comprehensive sexual and reproductive health information and services, including supplies, as well as essential services to address gender-based violence and harmful practices
Total Spending:
$65,874
Implemented by:
UNFPA $65,874 (100%)
Funded by:
Core Resources (32)
Non-core Resources (68)
Ending preventable maternal deaths
By 2025, the reduction of preventable maternal deaths has accelerated
Total Spending:
$3,823,065
Implemented by:
UNFPA $2,613,629 (68%)
GOV $996,062 (26%)
NGO $213,374 (6%)
Funded by:
Core Resources (55%)
Non-core Resources (45%)
Adolescents and youth
By 2025, strengthened skills and opportunities for adolescents and youth to ensure bodily autonomy, leadership and participation, and to build human capital
Total Spending:
$88,020
Implemented by:
UNFPA $41,736 (47%)
NGO $5,143 (6%)
GOV $41,141 (47%)
Funded by:
Core Resources (74)
Non-core Resources (26)
Gender and social norms
By 2025, strengthened mechanisms and capacities of actors and institutions to address discriminatory gender and social norms to advance gender equality and women’s decision-making
Total Spending:
$6,051
Implemented by:
UNFPA $6,019 (99%)
GOV $32 (1%)
Funded by:
Non-core Resources (100)
Humanitarian action
By 2025, strengthened the capacity of critical actors and systems in preparedness, early action and in the provision of life-saving interventions that are timely, integrated, conflict- and climate-sensitive, gender-transformative and peace-responsive
Total Spending:
$2,191,031
Implemented by:
UNFPA $1,691,518 (77%)
NGO $50,182 (2%)
GOV $449,331 (21%)
Funded by:
Core Resources (34)
Non-core Resources (66)
Policy and accountability
By 2025, improved integration of sexual and reproductive health and reproductive rights, as well as the prevention of and response to gender-based violence and harmful practices, into universal health coverage-related policies and plans, and other relevant laws, policies, plans, and accountability frameworks
Total Spending:
$91,506
Implemented by:
UNFPA $91,506 (100%)
Funded by:
Core Resources (100)
Non-core Resources (0)
Population change and data
By 2025, strengthened data systems and evidence that take into account population changes and other megatrends (including ageing and climate change), in development policies and programmes, especially those related to sexual and reproductive health and reproductive rights
Total Spending:
$304,209
Implemented by:
UNFPA $211,478 (70%)
GOV $92,731 (30%)
Funded by:
Core Resources (101)
Non-core Resources (-1)
Quality of care and services
By 2025, strengthened capacity of systems, institutions and communities to provide high-quality, comprehensive sexual and reproductive health information and services, including supplies, as well as essential services to address gender-based violence and harmful practices
Total Spending:
$1,142,248
Implemented by:
UNFPA $571,372 (50%)
NGO $158,049 (14%)
GOV $412,827 (36%)
Funded by:
Core Resources (77)
Non-core Resources (23)
Ending the unmet need for family planning
By 2025, the reduction in the unmet need for family planning has accelerated
Total Spending:
$2,538,938
Implemented by:
UNFPA $1,402,234 (55%)
GOV $876,231 (35%)
NGO $260,473 (10%)
Funded by:
Core Resources (43%)
Non-core Resources (57%)
Adolescents and youth
By 2025, strengthened skills and opportunities for adolescents and youth to ensure bodily autonomy, leadership and participation, and to build human capital
Total Spending:
$87,506
Implemented by:
UNFPA $-29,045 (-33%)
NGO $4,255 (5%)
GOV $112,296 (128%)
Funded by:
Core Resources (90)
Non-core Resources (10)
Gender and social norms
By 2025, strengthened mechanisms and capacities of actors and institutions to address discriminatory gender and social norms to advance gender equality and women’s decision-making
Total Spending:
$5,006
Implemented by:
UNFPA $4,980 (99%)
GOV $26 (1%)
Funded by:
Non-core Resources (100)
Humanitarian action
By 2025, strengthened the capacity of critical actors and systems in preparedness, early action and in the provision of life-saving interventions that are timely, integrated, conflict- and climate-sensitive, gender-transformative and peace-responsive
Total Spending:
$39,373
Implemented by:
NGO $39,373 (100%)
Funded by:
Non-core Resources (100)
Policy and accountability
By 2025, improved integration of sexual and reproductive health and reproductive rights, as well as the prevention of and response to gender-based violence and harmful practices, into universal health coverage-related policies and plans, and other relevant laws, policies, plans, and accountability frameworks
Total Spending:
$49,770
Implemented by:
UNFPA $49,770 (100%)
Funded by:
Core Resources (99)
Non-core Resources (1)
Population change and data
By 2025, strengthened data systems and evidence that take into account population changes and other megatrends (including ageing and climate change), in development policies and programmes, especially those related to sexual and reproductive health and reproductive rights
Total Spending:
$160,230
Implemented by:
UNFPA $111,242 (69%)
GOV $48,989 (31%)
Funded by:
Core Resources (101)
Non-core Resources (-1)
Quality of care and services
By 2025, strengthened capacity of systems, institutions and communities to provide high-quality, comprehensive sexual and reproductive health information and services, including supplies, as well as essential services to address gender-based violence and harmful practices
Total Spending:
$2,197,053
Implemented by:
UNFPA $1,265,288 (58%)
NGO $216,845 (10%)
GOV $714,920 (33%)
Funded by:
Core Resources (37)
Non-core Resources (63)

Programme Documentation

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CPD Madagascar [2024-2028] (DP/FPA/CPD/MDG/9)
Cycle: 2024-2028
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CPD Madagascar [2021-2023] (DP/FPA/CPD/MDG/8)
Cycle: 2021-2023
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CPD Madagascar [2015-2019] (DP/FPA/CPD/MDG/7)
Cycle: 2015-2019
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UNDAF Madagascar [2008-2011]
Cycle: 2008-2011
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CPAP Madagascar [2008-2011]
Cycle: 2008-2011
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CPD Madagascar [2008-2011] (DP/FPA/CPD/MDG/6)
Cycle: 2008-2011
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Technical notes and sources

The designations employed and the presentation of material on the map do not imply the expression of any opinion whatsoever on the part of UNFPA concerning the legal status of any country, territory, city or area or its authorities, or concerning the delimitation of its frontiers or boundaries. The dotted line represents approximately the Line of Control in Jammu and Kashmir agreed upon by India and Pakistan. The final status of Jammu and Kashmir has not yet been agreed upon by the parties.

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