Madagascar faces major health challenges, with severe malaria among the top five causes of reported overall mortality. Malaria epidemiology varies across the country; however, the entire population is considered to be at risk for the disease. The 2018–2022 Malaria National Strategic Plan stratifies the country into malaria epidemiologic clusters based on the intensity of malaria transmission in order to better target interventions. From 2003–2013, there were clear impacts observed from malaria control program investments, including decreases in malaria cases and deaths. Data from a 2016 household survey showed a decrease in malaria in children less than five years of age from 10 percent in 2013 to 5.2 percent in 2016.


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Malaria Operational Plans

The Malaria Operational Plans below are detailed 1-year implementation plans for PMI focus countries. Each plan reviews the current status of malaria control and prevention policies and interventions, identifies challenges and unmet needs to achieve PMI goals, and provides a description of planned PMI-funded activities. Each Malaria Operational Plan has been endorsed by the U.S. Global Malaria Coordinator and reflects collaborative discussions with the national malaria control programs and partners in country. Changes to these plans are reflected in revised postings.

FY 2019 Madagascar Abbreviated Malaria Operational PlanPDF1.30 MB Download
FY 2019 Madagascar Revised Funding TablesPDF75.61 KB Download
FY 2018 Madagascar Malaria Operational PlanPDF1.63 MB Download
FY 2018 Madagascar Revised Funding TablePDF161.68 KB Download
FY 2017 Madagascar Malaria Operational PlanPDF1005.04 KB Download
FY 2017 Madagascar Revised Funding TablePDF166.19 KB Download
FY 2016 Madagascar Malaria Operational PlanPDF1.23 MB Download
FY 2016 Madagascar Revised Funding TablePDF45.25 KB Download
FY 2015 Madagascar Malaria Operational PlanPDF2.75 MB Download
FY 2015 Madagascar Revised Funding TablePDF50.06 KB Download
FY 2014 Madagascar Malaria Operational PlanPDF871.23 KB Download
FY 2014 Madagascar Revised Funding TablePDF106.83 KB Download
FY 2013 Madagascar Malaria Operational PlanPDF1.03 MB Download
FY 2013 Madagascar Revised Funding TablePDF53.23 KB Download
FY 2012 Madagascar Malaria Operational PlanPDF1.24 MB Download
FY 2012 Madagascar Revised Funding TablePDF39.58 KB Download
FY 2011 Madagascar Malaria Operational PlanPDF567.21 KB Download
FY 2011 Madagascar Revised Funding TablePDF42.22 KB Download
FY 2010 Madagascar Malaria Operational PlanPDF430.09 KB Download
FY 2010 Madagascar Revised Funding TablePDF106.76 KB Download
FY 2009 Madagascar Malaria Operational PlanPDF528.90 KB Download
FY 2009 Madagascar Revised Funding TablePDF34.36 KB Download
FY 2008 Madagascar Malaria Operational PlanPDF841.98 KB Download
FY 2008 Madagascar Revised Funding TablePDF129.28 KB Download

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Stories from the Field

  • Dr Sedera (DLP) explaining the assessment and the supervision objectives to local leaders in the village of Andarvitraza Ankilaoka Toliara.

    Assessing Experiences and Perceptions on Care-seeking in Madagascar

    Jun 2018
    The USAID-supported Maternal and Child Survival Project was commissioned to support the Malagasy Ministry of Public Health to conduct an assessment on "experiences and perceptions on care seeking for febrile illness among caregivers and providers, in eight districts of Madagascar."
  • A community health volunteer (CHV) with the USAID Mikolo Project - part of the frontline of malaria elimination in Madagascar.

    Community Health Volunteers Combat Malaria in Madagascar

    Oct 2017

    In Madagascar, the U.S. President’s Malaria Initiative supports over 6,800 community health volunteers (CHVs), and works towards helping eliminate malaria through awareness raising, prevention, treatment, and epidemiologic surveillance. CHVs are on the frontlines of this effort, saving the lives of thousands of people in villages across Madagascar.

  • NMCP’s Deputy Director interviews an IRS beneficiary for quality assurance of the spray campaign.

    Collaboration Builds Capacity in IRS

    Apr 2017

    In Madagascar, where the entire population is at risk of contracting malaria, the PMI AIRS Project is building the capacity of the government to deliver high-quality spraying through trainings and collaborative meetings

  • The PMI AIRS Project worked with trusted members of the community, including traditional kings and local authorities, to develop an advocacy work plan for their commune, resulting in a 93.5% coverage.

    Trust in Tradition

    Mar 2017
    The PMI AIRS Project worked with trusted members communities in Madagascar, including traditional kings and local authorities, to develop an advocacy work plan for their commune, resulting in a 93.5% coverage.
  • In a number of PMI focus countries, mobile phones are being used to report data and pay spray operators, helping to improve efficiency in IRS programs.

    Integrating Mobile Technology into Project Implementation: Improving Efficiency in Malaria Control Operations

    Jan 2016
    The PMI Africa Indoor Residual Spraying (AIRS) Project protects millions of people in Africa from malaria by spraying insecticide on the walls, ceilings, and other indoor resting places of mosquitoes that transmit malaria.
  • Jean-Marie François, supply point manager in Eastern Madagascar, fills out a stock management tool. Credit: Dr Lanto, PSI Madagascar

    Supply Points Provide Malaria Commodities in Remote Areas of Madagascar

    Aug 2015

    Jean-Marie François is a very important person in his community. He is responsible for managing a stock of malaria, family planning, and child survival commodities to supply 40 community health volunteers on the East Coast of Madagascar.

  • In Madagascar, an environmental compliance officer shows spray operators how to build a mobile soak pit before beginning to spray. Credit: Peter Chandonait, Abt Associates

    In Madagascar, Innovation Drives Improvements in IRS Environmental Compliance

    Aug 2015
    The President’s Malaria Program’s (PMI’s) indoor residual spraying (IRS) programs undertake robust environmental compliance procedures to ensure operations have a minimal impact on the environment, from start to finish. 
  • Environmental Compliance Officer Tahina Masihelison uses a smart phone to record a river crossing. Photo credit: Mijoro Rasolofomalala

    A Smarter Way to Spray

    Jul 2015
    Electronic data collection and GPS on smart phones improves IRS planning, resulting in safer, easier spray campaigns.
  • "Saving Lives from Malaria in Madagascar" video from the PMI AIRS Project.

    Saving Lives from Malaria in Madagascar

    Apr 2015
    Watch a video about the expansion of PMI's indoor residual spraying program into the eastern region of Madagascar last year. 
  • Fighting Malaria in Madagascar (photo slideshow)

    Mar 2015
    In 2014, PMI extended its reach in malaria protection in Madagascar, spraying in a new area on the East Coast, where malaria is prevalent. View a photo slideshow of the project's work.
  • PMI AIRS Malaria Fighter: Tahina Masihelison

    Feb 2015

    Tahina Masihelison, an Environmental Compliance Officer with PMI Africa Indoor Residual Spraying (AIRS) Project, discusses the challenges in balancing safety and the environmental impact of indoor residual spraying in the efforts to wipe out malaria.

  • Pelandrova tests a boy using RDT, Boeny Region

    MAHEFA Supports CHWs in Recognizing, Diagnosing, and Treating Children with Malaria

    Feb 2015
    The Madagascar Community-Based Integrated Health Project, known locally as MAHEFA, and its local partner Association des Jeunes Pionniers du Progrès regularly visit community health workers (CHW), such as Pelandrova, who works in the Mitsinjo District of Boeny Region to recognize, diagnose, and treat local children with malaria.
  • A Malagasy mother and child next to an ITN received through a PMI-supported mass distribution campagin. Credit: Allison Bellemvire, PMI

    Radio Spot Promotes ITN Use in Madagascar

    Dec 2014
    During World Malaria Month in 2014, Madagascar Peace Corps volunteer, Marcelo Morinigo, in collaboration with a local radio station in southeast Madagascar, created a radio spot that promoted sleeping under insecticide-treated mosquito nets in order to help prevent malaria. 
  • A World Malaria Day event banner reads, "Race and party to fight malaria in Ambatovaky" in Ambatovaky Avaratra, Fianarantsoa, Madagascar. Credit: Antoinette Pick-Jones, Peace Corps

    Malagasy Women’s Group Organizes Malaria Awareness Event

    Dec 2014
    In eastern Madagascar, the Ambatovaky Village Women’s Association and Running Club organized events to increase awareness of malaria in the community and improve understanding of the disease, its symptoms, and how to prevent it. 
  •  Cover for the Story of Matia and the Moka

    Soa and the Moka: An Educational Story about Malaria

    Dec 2014

    Inspired by a trip to southeastern Madagascar to volunteer at Le Centre d'Accueil et de Transit des Jumeaux Abandonné (CATJA) orphanage in Mananjary, Peace Corps volunteers (PCVs) Raegan and Patrick Spencer wrote and illustrated Soa and the Moka, a story that teaches about the dangers of malaria and how to avoid malaria transmission.

  • A Malagasy community health worker practices performing an RDT during a training in preparation for a pilot of PECADOM Plus in Madagascar. Credit: Peace Corps Madagascar.

    PECADOM Plus – Peace Corps Volunteers in Madagascar Extend Malaria Case Management to the Community

    Dec 2014
    Based on the success of PECADOM Plus (Prise en charge à domicile) in Senegal, Peace Corps volunteers in Madagascar are helping to implement this model for malaria case management in four rural villages in the south and southeast.
  • US Chargé d’Affaires Stephen Anderson sprays a home with insecticide to protect its residents from malaria.

    U.S. Chargé d’Affaires in Madagascar Sprays Against Malaria

    Dec 2014
    US Chargé d’Affaires in Madagascar, Stephen Anderson, visited Ambatondradama fokontany in Vinaninony commune, Faratsiho district, where AIRS conducted its indoor residual spraying (IRS) campaign this year.
  • An environmental compliance officer shows spray operators how to build a mobile soak pit before beginning to spray. Source: Peter Chandonait

    Have Pit, Will Travel

    May 2014
    To increase efficiency and improve environmental safety, AIRS piloted the use of mobile soak pits during the 2013-2014 IRS campaign in remote areas of Madagascar’s Central Highlands and seven districts in the south, where difficult roads require spray operators to access villages via foot. 
  • AIRS introduced mobile banking in Madagascar to process payments to seasonal workers. More than $350,000 was transferred during the 2013-2014 spray campaign. Source: Mialy Noroarisanjy

    Mobile Money Pays Off

    May 2014

    Carrying large amounts of cash into the field to pay seasonal workers increases the risk of theft and fraudulent activities. To reduce risk, the President’s Malaria Initiative-funded Africa Indoor Residual Spraying Program in Madagascar piloted an innovative mobile banking system.

  • Community health volunteer Kazy Zafisoa receiving ill children at the community hut built by the community in Enakasa Village. Source: Santénet2/Asos Sud

    In Madagascar, a Community Compensates a Health Volunteer

    Oct 2013
    Providing access to quality health services is a challenge in Madagascar. In this country, more than 80 percent of the population lives in rural, difficult-to-reach areas, and 60 percent live more than five kilometers from the nearest health facility.

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Contracts & Agreements

Listed below are contracts, agreements and implementing partner reports for the PMI focus countries. Documents have been redacted by the awardee at USAID's request to remove any information the awardee considers proprietary.

Featured Videos

Annual Report

13th Annual Report to Congress
Read the PMI Thirteenth Annual Report [PDF, 11MB]

Mission Info

USAID Madagascar Mission

Learn more on their website.