Case study: Building the business skills of private providers in Madagascar

SHOPS Plus support

SHOPS Plus acknowledged that access to finance and weak business management skills were significant barriers to quality improvement among private providers in Madagascar. The project provided technical assistance in business management to help private health facility leaders better manage their health practices, purchase necessary equipment, apply for loans, and make other decisions necessary to promote a work culture that prioritizes quality. One-on-one coaching was available to a few providers who requested it.

Formative research to explore care-seeking perceptions and practices among low-income caregivers of young children in Anamalanga region


SHOPS Plus Madagascar worked with the government to increase the private sector’s capacity to deliver high quality health products and services through activities that could be continued by local stakeholders, with emphasis on reaching the poor—especially those residing in Anamalanga Region.

Madagascar Private Health Facility Mapping


The private health sector plays an important role in the provision of care in Madagascar, but the true scope and distribution of private health facilities remain unknown. In 2019, the Ministry of Health (MSP) asked USAID and SHOPS Plus to conduct a mapping of all private health facilities in Madagascar. SHOPS Plus conducted the mapping exercise in close cooperation and with the support of the focal points of the MSP, the Department of Studies, Planning and Information System (DEPSI), Professional Orders and Associations, and the health districts.

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Sustaining Health Outcomes through the Private Sector (SHOPS) Plus is a five-year cooperative agreement (AID-OAA-A-15-00067) funded by the United States Agency for International Development (USAID). This website is made possible by the generous support of the American people through USAID. The information provided on this website is not official U.S. government information and does not represent the views or positions of USAID or the U.S. government.

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