The USAID Mikolo Project in Madagascar reduces maternal, infant, and child morbidity and mortality by increasing the use of community-based primary health care services and encouraging women and children to adopt healthy behaviors. The five-year project has expanded coverage to 506 communes in 8 of Madagascar's 22 regions, targeting communities more than five kilometers from a health center.
The project empowers the Malagasy people to improve their health by enhancing access to and demand for integrated services for family planning; reproductive health; maternal, newborn, and child health; and malaria control. Building on successes in integrated community-based service delivery, the Mikolo Project works with community, civil society, and government partners to improve the quality of these primary health care services.
Mikolo has introduced at scale new medicines and technologies to reduce maternal deaths. These include pregnancy test kits to determine eligibility for family planning, Sayana® Press to expand family planning choices, chlorhexidine for umbilical cord infection prevention, and misoprostol to prevent postpartum hemorrhage.
Mikolo enhances local ownership by supporting the country's ministry of public health to implement its national community health policy, building the capacity of local government and implementing partners, and supporting development of sustainable systems for improving health.