Madagascar Program Profile

The SHOPS project worked with Marie Stopes Madagascar to implement a year-long program (October 2010 to September 2011) in Madagascar that aimed to (1) expand access to voluntary family planning through provision of long-acting and permanent methods via mobile outreach teams working across underserved regions and (2) increase the demand for quality reproductive health services by removing financial barriers through vouchers. This program profile presents the program context, goals, components, results, and the following lessons learned:

• Public-private partnership was key to increasing the use of LA/PMs through outreach
• Implants were the preferred method in outreach and voucher programs
• Strong demand creation was crucial to the success of the outreach and voucher programs
• Vouchers, when properly targeted, do not displace non-voucher clients
• For voucher programs, it is imperative to put robust monitoring and fraud controls in place to limit and avoid collusion and overcharging to clients