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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 Download PDF
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

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 2021 Programme Activities data

    Utilization of sexual and reproductive health services
    Every woman, adolescent and youth everywhere, especially those furthest behind, has utilized integrated sexual and reproductive health services and exercised reproductive rights, free of coercion, discrimination and violence
    Total Spending:
    $4,834,241
    Implemented by:
    NGO $329,344 (7%)
    UN $332,733 (7%)
    UNFPA $3,197,999 (66%)
    GOV $974,165 (20%)
    Funded by:
    Core Resources (58%)
    Non-core Resources (42%)
    Integrated sexual and reproductive health services
    Strengthened capacities to provide high-quality, integrated information and services for family planning, comprehensive maternal health, sexually transmitted infections and HIV, as well as information and services that are responsive to emergencies and fragile contexts
    Total Spending:
    $2,073,327
    Implemented by:
    UNFPA $1,038,135 (50%)
    UN $130,502 (6%)
    NGO $305,961 (15%)
    GOV $598,729 (29%)
    Funded by:
    Core Resources (33)
    Non-core Resources (67)
    Delivery of sexual and reproductive health commodities
    Strengthened capacities to effectively forecast, procure, distribute and track the delivery of sexual and reproductive health commodities, ensuring resilient supply chains
    Total Spending:
    $565,972
    Implemented by:
    UNFPA $395,737 (70%)
    NGO $10,309 (2%)
    GOV $159,926 (28%)
    Funded by:
    Core Resources (27)
    Non-core Resources (73)
    Health workforce capacity
    Strengthened capacities of the health workforce, especially those of midwives, in health management and clinical skills for high-quality and integrated sexual and reproductive health services, including in humanitarian settings
    Total Spending:
    $385,834
    Implemented by:
    UNFPA $51,788 (13%)
    UN $202,231 (52%)
    GOV $131,815 (34%)
    Funded by:
    Core Resources (71)
    Non-core Resources (29)
    Sexual and reproductive health polices for those furthest behind
    Enhanced capacities to develop and implement policies, including financial protection mechanisms, that prioritize access to information and services for sexual and reproductive health and reproductive rights for those furthest behind, including in humanitarian settings
    Total Spending:
    $1,753,925
    Implemented by:
    UNFPA $1,709,014 (97%)
    GOV $44,910 (3%)
    Funded by:
    Core Resources (97)
    Non-core Resources (3)
    Accountability for sexual and reproductive health
    Improved domestic accountability mechanisms for sexual and reproductive health and reproductive rights through the involvement of communities and health-system stakeholders at all levels
    Total Spending:
    $55,185
    Implemented by:
    UNFPA $3,325 (6%)
    NGO $13,075 (24%)
    GOV $38,785 (70%)
    Funded by:
    Core Resources (27)
    Non-core Resources (73)
    Empowerment of young people
    Every adolescent and youth, in particular adolescent girls, is empowered to have access to sexual and reproductive health and reproductive rights, in all contexts
    Total Spending:
    $1,041,644
    Implemented by:
    UNFPA $403,880 (39%)
    GOV $212,516 (20%)
    NGO $425,248 (41%)
    Funded by:
    Core Resources (25%)
    Non-core Resources (75%)
    Adolescents and youth policies
    Policies and programmes in relevant sectors tackle the determinants of adolescent and youth sexual and reproductive health, development and well-being
    Total Spending:
    $122,047
    Implemented by:
    UNFPA $113,001 (93%)
    GOV $9,046 (7%)
    Funded by:
    Core Resources (100)
    Adolescents and youth skills and capabilities
    Young people, in particular adolescent girls, have the skills and capabilities to make informed choices about their sexual and reproductive health and rights, and well-being
    Total Spending:
    $414,529
    Implemented by:
    UNFPA $46,477 (11%)
    NGO $198,300 (48%)
    GOV $169,752 (41%)
    Funded by:
    Core Resources (28)
    Non-core Resources (72)
    Youth leadership and participation
    Young people have opportunities to exercise leadership and participate in sustainable development, humanitarian action and in sustaining peace
    Total Spending:
    $505,068
    Implemented by:
    UNFPA $244,402 (48%)
    NGO $226,948 (45%)
    GOV $33,718 (7%)
    Funded by:
    Core Resources (5)
    Non-core Resources (95)
    Gender equality and empowerment of women and girls
    Gender equality, the empowerment of all women and girls, and reproductive rights are advanced in development and humanitarian settings
    Total Spending:
    $1,388,213
    Implemented by:
    UNFPA $888,977 (64%)
    NGO $141,761 (10%)
    GOV $357,475 (26%)
    Funded by:
    Core Resources (26%)
    Non-core Resources (74%)
    Prevention and addressing of gender-based violence
    Increased multisectoral capacity to prevent and address gender-based violence using a continuum approach in all contexts, with a focus on advocacy, data, health and health systems, psychosocial support and coordination
    Total Spending:
    $1,239,174
    Implemented by:
    UNFPA $750,173 (61%)
    NGO $136,947 (11%)
    GOV $352,054 (28%)
    Funded by:
    Core Resources (22)
    Non-core Resources (78)
    Elimination of harmful practices
    Strengthened response to eliminate harmful practices, including child, early and forced marriage, female genital mutilation and son preference
    Total Spending:
    $26,314
    Implemented by:
    UNFPA $21,501 (82%)
    NGO $4,813 (18%)
    Funded by:
    Core Resources (99)
    Non-core Resources (1)
    Gender equality laws and policies
    Strengthened policy, legal and accountability frameworks to advance gender equality and empower women and girls to exercise their reproductive rights and to be protected from violence and harmful practices
    Total Spending:
    $35,890
    Implemented by:
    UNFPA $30,469 (85%)
    GOV $5,421 (15%)
    Funded by:
    Core Resources (50)
    Non-core Resources (50)
    Gender and sociocultural norms
    Strengthened civil society and community mobilization to eliminate discriminatory gender and sociocultural norms affecting women and girls
    Total Spending:
    $86,834
    Implemented by:
    UNFPA $86,834 (100%)
    Funded by:
    Core Resources (50)
    Non-core Resources (50)
    Population and development
    Everyone, everywhere, is counted, and accounted for, in the pursuit of sustainable development equality
    Total Spending:
    $603,754
    Implemented by:
    UNFPA $233,686 (39%)
    GOV $370,068 (61%)
    Funded by:
    Core Resources (90%)
    Non-core Resources (10%)
    Population data systems
    Improved national population data systems to map and address inequalities; to advance the achievement of the Sustainable Development Goals and the commitments of the Programme of Action of the International Conference on Population and Development; and to strengthen interventions in humanitarian crises
    Total Spending:
    $427,102
    Implemented by:
    UNFPA $170,497 (40%)
    GOV $256,605 (60%)
    Funded by:
    Core Resources (86)
    Non-core Resources (14)
    Demographic intelligence
    Mainstreamed demographic intelligence to improve the responsiveness, targeting and impact of development policies, programmes and advocacy
    Total Spending:
    $176,652
    Implemented by:
    UNFPA $63,189 (36%)
    GOV $113,463 (64%)
    Funded by:
    Core Resources (100)

    Programme Documentation

    Doc Icon
    CPD Madagascar [2022-2026] (DP/FPA/CPD/MDG/8)
    Cycle: 2022-2026
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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
    Doc Icon
    CPD Madagascar [2008-2011] (DP/FPA/CPD/MDG/6)
    Cycle: 2008-2011
    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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