The Accessible Continuum of Care and Essential Services Sustained (ACCESS) Activity

Project Overview

Through the ACCESS program, the US Government continues its support to the Government of Madagascar in accelerating sustainable health impacts for the nearly 16 million Malagasy people and strengthen the Ministry of Public Health’s stewardship of the health sector.

Launched in April 2019, the ACCESS program is increasing the availability of quality health services, improving health infrastructure, strengthening the capacity of the health system, and promoting healthy behaviors among Malagasy communities. The MSH-led activity is a five-year, $90 million health system strengthening program that builds upon the work of its predecessor program, the USAID Mikolo project.

In close partnership with the Government of Madagascar and its local partners, MSH is conducting activities in 10 regions (Atsinanana, Vatovavy Fitovinany, Atsimo Andrefana, Menabe, Melaky, Boeny, Sofia, Diana, Sava, and Analanjirofo) to achieve three main objectives:

1) Quality health services are sustainably available and accessible to all Malagasy communes in the targeted regions

2) Health systems function effectively to support quality health service delivery

3) The Malagasy people sustainably adopt healthy behaviors and social norms

The ACCESS program provides family planning and reproductive health services in the regions of Vakinakaratra, Amoron’i Mania, and Haute Matsiatra.