Back to All Countries


IntraHealth works in Madagascar to improve the health of the Malagasy people, especially women, children, and youth, and those living in rural and underserved areas.

To do so, we focus on health worker quality improvement and capacity building—from private clinic doctors to peer educators and community health workers—to promote healthy behavior and increase access to and use of essential health services offered through a network of Top Réseau private clinics.

We also address gender issues affecting health, including gender inequalities that hinder use of family planning and other health services and a high rate of gender-based violence among women.  

Selected Achievements

Trained 28 Top Réseau providers and 71 peer educators in Antananarivo, Madagascar, on gender-based violence case management.
In Madagascar, trained over 250 health care providers on long-acting and permanent family planning methods, child survival, nutrition, and post-abortion care.
Created and implemented a gender strategy in Madagascar for the Top Réseau social franchise to address gender inequities related to access to and use of family planning and other essential health services.
Developed gender-based violence case management protocols for health workers in Madagascar and corresponding training manuals and job aids and designed a referral system to ensure access to services for survivors of violence.


126 gender-based violence survivors were treated by 28 Top Réseau providers and 71 peer-educators in Antananarivo, Madagascar, trained on gender-based violence case management.