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Map of Madagascar

Country Brief: Madagascar


CHISU has supported the Government of Madagascar to strengthen the use of quality data by:

Conducting an HIS maturity assessment. CHISU collaborated with the MOH, particularly the Direction des Etudes et de la Planification et du Système d’Information (DEPSI), health program managers, and existing HIS partners in conducting a Stages of Continuous Improvement (SOCI) assessment to measure the actual status of the HIS. The output included future HIS goals as well as HIS priorities to be included in the development of the HIS strategic plan 2023–2027. The assessment also helped HIS stakeholders gain a better understanding of the progress made in strengthening the HIS overtime, as well as chart a roadmap toward improvement. The assessment also provided important context for the ONN digitization needs assessment.

Conducting a High Performing Health Care (HPHC) tool assessment. CHISU supported the implementation of the USAID-developed HPHC assessment tool—which measures the accountability, affordability, accessibility, and reliability of the health care system—by working with the Mission to identify the target respondents and key stakeholders who should be engaged in this effort. CHISU also translated the HPHC website into Malagasy to facilitate feedback from a wider number of participants and to support dissemination of results. CHISU contacted the relevant stakeholders and provided them with unique links to complete the survey as well as follow up to encourage maximum participation. The results of the assessment were compiled and analyzed and shared in a half-day stakeholder meeting. Overall, 133 people participated in the assessment. The results highlight areas that work well and those that need to be improved, and serve as a benchmark for future evaluation.

Assessing the ONN’s digitization needs. CHISU evaluated what is needed to digitize the information system of the ONN in three phases: 1) a scoping exercise determined the parameters of the digitization assessment; 2) identified data and information needs and determined what digital health solution/system is necessary; and 3) developed a costed operational plan for systems/processes that can adapt to the needs of the nutrition program and respond to any evolving need. Short-term activities include establishing a regulated environment conducive to the interoperability between ONN and MOH systems and supporting ONN in leveraging the newly established nutrition sector digitization technical working group (TWG) to rally stakeholders behind a common vision. Medium-term activities include configuring the interoperability between ONN and DHIS2 instances and continued support to the TWG to ensure sustainability of systems. Long-term activities include configuring and implementing the collection of nutrition data. 

In FY23 and FY24, CHISU will support the Government of Madagascar to strengthen the design, development, and implementation of HIS related to malaria, maternal and child health, family planning, and nutrition. CHISU will strengthen national strategic documents; build capacity in generating and using quality data; and leverage existing platforms for collaboration and coordination between stakeholders, among other activities. 

Blog Posts

High Performing Health Care (HPHC) Tool

Sharing experiences using the High Performing Health Care Tool in Ethiopia, Madagascar, and the Philippines

On March 30, USAID and CHISU hosted a webinar titled: “Commonalities and Differences in Ethiopia, Madagascar, and Philippines HPHC Tool Health System Assessments.” The webinar was the first in our series that shares learnings from health system assessments using the High Performing Health Care (HPHC) Tool in low- and middle-income countries (LMICs).  Steve Ollis, Program Director for CHISU, moderated the discussion with panelists: Read more ›

Success Stories

CHISU Results in Action: Health Information System Assessment Tool Implementation in Two Countries


With the support of CHISU program, the HIS directorates in Madagascar and Niger planned to conduct an assessment of their HIS with the SOCI tool prior to the planning phase of their new strategic plans.  Read more ›