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Impact of USAID Interventions on Health Outcomes in Madagascar: 2003-2004 Preliminary Findings

This report presents preliminary findings from the 2003-2004 Madagascar Demographic and Health Survey (MDHS) focusing on the USAID intervention areas. It assesses the impact of health interventions on maternal and child health (MCH), family planning, nutrition, breastfeeding, and vaccination in two provinces, which house over 50% of Madagascar's population. The study engages over 5,000 women and nearly 1,700 men to evaluate trends in fertility rates, birth intervals, teenage pregnancy, contraceptive use, medical assistance at delivery, vaccination coverage, and more, targeting the rural population significantly affected by these programs.

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Impact of USAID Interventions on Health Outcomes in Madagascar: 2003-2004 Preliminary Findings

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  1. 2003-2004 Madagascar DHS Preliminary Findings from the USAID-Focus Intervention Areas

  2. Introduction • 2 provinces: over 50% of Madagascar’s entire population. • USAID interventions carried out from 1997 to 2004. • Focus was on MCH, vaccination, family planning breastfeeding and nutrition ANTSI MA TOA A/RIVO FI TOL

  3. USAID Interventions Provinces • Over sampling in these 2 provinces to assess USAID intervention areas. • Goal: to look at the impact of USAID interventions on fertility,MCH, family planning, nutrition, breastfeeding and vaccination. • Fieldwork carried out as part of 2003-2004 MDHS. • Same questionnaire and methodology used.

  4. USAID Interventions • USAID interventions targeted half of the entire population in the two provinces. • Findings based only on interventions areas… not entirely comparable to main DHS sample since a majority of interventions carried out in rural areas. • 5,193 women age 15-49; 1,642 men age 15-59

  5. KEY FINDINGS2003-2004 MDHS USAID Intervention Areas

  6. Trends in Total Fertility Rates

  7. Trends in Birth Intervals of 36+ Months

  8. Trends in Teenage Pregnancy

  9. Trends in Modern Contraceptive Use

  10. Trends on Medical Assistance at Delivery

  11. Trends on Full Vaccination Coverage

  12. Trends on Use of Oral Rehydration Therapy (ORS and/or Homemade solution) for Diarrhoea Treatment

  13. Trends on Stunting Among Children

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