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Community Health

For twenty years, we have been working to improve the wellbeing of people living in Fort Dauphin and the wider Anosy region. In this remote part of southeast Madagascar, it is everyday conditions such as childbirth, diarrhoea, coughs and colds that pose the most serious health risks. Today, we are helping mothers to safeguard the health of themselves and their babies, increasing students’ awareness of sexual health and STIs, supporting communities to build clean drinking water wells and safe sanitation, and much more. Our programmes have produced significant positive changes but the current situation in the country is challenging and much work remains to be done.

At only $22 per day, the Malagasy national health system is amongst the worst funded in the world

WHO, 2014

Madagascar’s health system has never been robust but the political crisis in 2009 had a devastating impact on the provision of formal services. Government spending on health has dropped dramatically and as the number of services provided has shrunk and the quality slipped, the impact on those unable to afford private healthcare – almost everyone in Madagascar – has been serious.

Current projects

Project Miatrika thumbnail


Project Miatrika seeks to improve the health status of children aged 6-59 months in the southeast Anosy region through a holistic response to acute malnutrition.

Project Miatrika
Safidy thumbnail


Supporting student peer educators to improve sexual health education for the prevention of HIV, STIs and unplanned pregnancies.

Project Safidy
A mother and young baby


Worked to increase knowledge of sexual, reproductive, maternal and child health among the women of Fort Dauphin.

Project Votsira

Completed projects

Possibly malnourished child awaiting examination, Anosy Region, Madagascar

Food Distribution in Anosy Region

Providing emergency food relief to people facing extreme food shortages due to COVID-19 and drought.

Food distribution in Anosy 2021
A young girl with a moringa plant

Magnampy 2

Supported livelihoods and wellbeing improvements through CLTS, water security, agro-forestry and fuel-efficient stoves.

Project Magnampy 2
Manambaro hospital

Manambaro Hospital Latrines

Improved the sanitation facilities at the Manambaro Hospital by providing hygienic and sustainable latrines

Hospital Latrine Project
Reusable sanitary pad designed and made in Madagascar

Ready for Rights

Working in conjunction with Project Mahampy and MHM, Ready for Rights teaches school children about sexual and reproductive heath

Ready for Rights
A condom is exchanged during a sexual education session


A comprehensive situational analysis of Sexual and Reproductive Health Rights (SRHR) knowledge, provision and capacity in 3 rural communities.

Project Mitao
Face masks distributed to help protect against Coronavirus

COVID-19 Response

Working with the community to prevent and control the spread of Coronavirus in the Anosy region.

COVID-19 Response
Reusable sanitary pad designed and made in Madagascar

MHM Pilot Project

Working in conjunction with Project Mahampy, a pilot Menstrual Hygiene Management project in Sainte Luce, Madagascar.

Project Mahampy: MHM