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Assistance in Southern Madagascar. © 2021 USAID


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.

USAID Madagascar IMPACT Program Midterm Evaluation
D4I facilitated the IMPACT midterm evaluation to provide learning and course correction. The evaluation examined the program’s progress and performance to date, identified what worked and what did not, and offered solutions or areas of focus for the remaining program years.
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USAID Madagascar ACCESS Program Midterm Evaluation
D4I collected qualitative data through key informant interviews and focus group discussions. The study included a desk review of program data, scan of peer-reviewed articles, and analysis of secondary data collected from district-level indicator data from the Madagascar DHIS2.
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Featured Resources

Madagascar ACCESS Activity (Accessible Continuum of Care and Essential Services Sustained): Midterm Evaluation Report
Activité ACCESS à Madagascar : Dossier d’évaluation à mi-parcours
Madagascar IMPACT Activity (Improving Market Partnerships and Access to Commodities Together) Midterm Evaluation Report
Activité IMPACT Madagascar : dossier d’évaluation à mi-parcours

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