Water, Sanitation, & Hygiene

A Health Environment for Healthy Communities (HEHC)


Location: Madagascar

Donor: USAID

Duration: March 2011-August 2012


The goal of HEHC was to improve the availability of, and access to family planning (FP) and water, sanitation and hygiene (WASH) information and services in Madagascar’s southwestern Atsimo Adrefana Region. The program focused on rural communities with low access to FP/WASH services near the Mikea National Park, an area with exceptional biodiversity. MCDI sought to protect this area that has been compromised by harmful environmental practices.


The project implemented comprehensive FP/WASH interventions while helping target communities manage and conserve their natural resources. Primary objective included:

  1. Increasing the availability of high-quality FP/WASH services and products
  2. Increasing demand for these services and products
  3. Documenting and sharing lessons learned from implementing integrated activities in Madagscar and building on existing tools and materials.

In order to achieve these goals, MCDI established a community-based distribution program to address the limited accessibility and availability of FP/WASH services and products. Community Health Volunteers (CHVs) were identified and trained to be community-based distributors and were provided with kits containing essential health and basic sanitation products. CHVs were also trained to provide counseling and outreach services to adolescents of reproductive age.


Project highlights include:

  • 26 villages declared Open Defecation Free
  • 7,462 people given access to a latrine for the first time
  • 166 households given access to a provider of sanitation marketing
  • 35,221 women and 31,149 men sensitized on hand washing with soap
  • 2,089 new regular users of modern family planning methods
  • 50,509 Women and 24,925 Men received information on family planning
  • 67 Dinas (social conventions) approved, signed and implemented on environmental protection

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