Madagascar
D4I performed midterm evaluations of two USAID-funded, five-year programs aimed at strengthening and increasing the efficiency of Madagascar’s health sector supply chain and strengthening capacity of district health management teams to plan, implement, monitor, and evaluate their own public health programs.
The evaluation of the Improving Market Partnerships and Access to Commodities Together (IMPACT) project reported challenges and successes regarding social marketing and public sector and for-profit supply chains, both independently and within a total market approach. The evaluation of the Accessible Continuum of Care and Essential Services Sustained (ACCESS) program’s approaches showed promise and contributed to the improved quality of health services, increased the capacity of health service providers, and improved health behaviors.

