Type of intervention
- Nutrition, health, mental health and Care practices
- Food security and livelihoods
- Water, Sanitation & Hygiene
Places of interventions
- Betioky District, Atsimo Andrefana Region
Madagascar is facing a situation of extreme structural poverty aggravated by the negative impact of the world financial crisis and the stalemate in the political upheaval experienced by the country since 2009. Between 2005 and 2010, the proportion of Madagascans living below the poverty line rose from 69% to 77% - with a poverty line set at less than 0.5 euro per person per day in 2010. As a result a decline in social indicators has been observed for several years, a combination of factors unfavourable to human capital development, and growing inequalities.
However, the political situation is beginning to stabilise following the investiture, in February 2014, of the first President of the 4th Republic of Madagascar. Almost a year after the presidential election, the results of which were unanimously recognised by the international community, financial assistance and external funding are gradually returning.
In 2008, 3.2 million people in urban environments in Madagascar had no access to basic sanitation facilities. From 2004 to 2009, a steady decline was even noted in the rate of access to sanitation in urban environments. Difficulties encountered in this sector are linked to population density, to a significant demographic growth without much control over urban development, to the lack of an organised system to collect and treat solid waste and sludge, and also to the question of land.
In addition, chronic undernourishment affects over 50% of Madagascan children from 6 to 59 months old; and in its severest form, 26% of them. Characterised by a delayed growth rate (small size for a given age), chronic undernourishment has long term consequences on a child’s physical and mental development and increases the risk of mortality for the child in comparison with a well-nourished child. This is an obstacle to human and economic development (learning difficulties, poor physical ability and productivity…) and perpetuates the intergenerational transmission of poverty.
- Région Midi-Pyrénées
Key figures of the country
- Number of beneficiaries: 40 876
- Population: 20,7 million (2010)
- Life Expectancy: 66 years old (2011)
- Human Development Index: 151/187 (2011)
- PIB/inhabitant: 824 $USD (2011)
Il n'y a pas de résultat
Since November 2012, ACF has been running a centre for social and nutritional support (CASAN) in a poor district of the capital. This centre accepts pregnant and nursing mothers with a child under 6 months as well as children from 6 to 59 months. Each one of them must meet the criteria of moderately acute malnutrition (MAM) defined by the Ministry of Health. CASAN takes responsibility for disadvantaged people who come from districts containing all the urban ills: flooding during the rainy season, overcrowding (promiscuity), insufficient or non-existent access to water and sanitation facilities, problems of drug or alcohol addiction, violence, etc.
In 2014, ACF launched a project to improve maternal, infant and reproductive health in the Bongolave and Itasy regions jointly with Médecins du Monde, GRET, Handicap International (HI), the French movement for family planning (Mouvement Français pour le Planning Familial - MFPF) and Santé Sud. The overall objective of this support programme for maternal and infant health (Programme d’Appui à la Santé Maternelle et Infantile - PASMI) was to help reduce maternal and infant morbidity and mortality by increasing access to, improving the quality of, and promoting the use of materno-infantile health and reproductive services in the Itasy and Bongolava regions.
In the south of the country, in the district of Betioky Atsimo, ACF is setting up a three-component programme to prevent undernutrition in children under five years of age, pregnant or nursing mothers: one component aims to strengthen the capacity of households to produce or mobilise the necessary resources for a balanced diet including hunger gaps or shocks; another aims to improve sustainable access to drinking water and improve water management; and the third aims to reinforce positive care practices and to support changes in practice where necessary.
Following a nutritional survey in our area of activity in March 2014 which showed a significant increase in severe acute malnutrition in the area, ACF carried out a support intervention for the nutritional care of children identified as suffering from severe acute malnutrition.
ACF took over the creation and support of the SUN civil society platform (HINA platform); ACF mobilised the local civil society around malnutrition and the HINA platform in fact held its first meeting in 2014. It will enable the civil society to take a strong position on policies of nutrition, health, rural development and agricultural policies. Technical training on nutrition and advocacy have taken place in provinces and in the capital.
- About us
- What we do
- Our countries around the world
- Burkina Faso
- Central African Republic
- Democratic Republic of the Congo
- Kurdistan Region of Iraq
- Occupied Palestinian territory
- South Sudan
- Ivory Coast
- Sierra Leone
- Our fields of expertise
- Our countries around the world
- Get involved