ASAP - Child survival

Ankohonana Salama Project


ADRA Madagascar’s Ankohonona Salama Project (ASAP) was supported through a USAID grant program called Child Survival.The project worked in 2 districts, Tamatave II and Vavatenina and had a beneficiary target population of 163,000 people.The overall project goal was to “Improve health for children under five and women of reproductive age in Toamasina II and Vavatenina Districts, Toamasina Province, eastern Madagascar.” ASAP worked in several health areas including the prevention and treatment of malaria, immunization coverage, nutrition, diarrhea, respiratory illness, family planning, maternal health care and HIV/AIDS.

Project's activities

The project also sought to build capacity for Toamasina II and Vavatenina SSD/CSBs. Goals were met that strove to improve management capacity and quality of service provided at all levels of the health system.

ASAP Integrated community-based capacity-building approach was used to train Community Health Agents and Traditional Birth Attendants. Management and technical training for CSB agents was also a major strategy. A key to the success of the project was the approach that sought to strengthen linkages between traditional and formal health care systems.

The project area included two important reserves: The 2228 hectare (ha) Betampona Nature Reserve, one of the last tracts of lowland rainforest in the country, and the 46,162 ha Zahamena National Park (in VVT and adjacent districts), considered a priority conservation area by USAID.

Highlights from the project results include:

- 60,000 mosquito nets distributed accounting for the incredible rate of 97% of children less than 2 years old reporting they slept the previous night under an ITN.

- An innovative reporting mechanism was created by the ASAP team to accommodate illiterate TBA’s and could be scaled up for national use.

- The tireless work of community organizations (COSAN, CASC) as well as the Community Health Workers and TBA’s have made for a sustainability plan developed with the help of ADRA, local officials and MOH workers for the next 5 years.

Integrated Management of Child Illnesses (IMCI):
- Improved prevention and treatment of malaria among children <24 months and pregnant women.
- Increased complete immunization coverage for children < 1 year of age.
- Improved nutritional status of children <5 years of age.
- Improved home management and care seeking for children with diarrhea.
- Improved treatment of respiratory illnesses among children <24 months.

Community-based Maternal and Newborn Care/Child Spacing:
- Maternal and Newborn Care, which deals with the improvement of maternal health care during pregnancy and delivery.
- Child Spacing and STI/HIV/AIDS prevention by increasing the use of modern methods of contraception.

Theme provided by Danetsoft under GPL license from Danang Probo Sayekti