The new financial procedure manual is put into practice and the national society is recognised as a

financially transparent organisation.

Programmes are implemented and reported on in a correct and timely manner.

Volunteers are carrying out programmes efficiently and effectively.

2. Health and Care

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Background and achievements/lessons to date

CBHP and HIV/AIDS

The chronic poverty and nutritional needs of a significant sector of Madagascar’s population have led

to a significant increase in the spread of transmissible diseases. Malaria and cholera are endemic, and

the National Society has been involved in response and prevention activities in these two fields in the

past. However a lack of technical capacity at both central and provincial levels has prevented the

National Society from implementing effective programmes at the community level. A priority now is

to develop the skills of headquarters and branch representatives to design and implement health

programmes based on the Federation’s Project Planning Process.

Water and Sanitation

To date, there is no established water and sanitation capacity despite obvious needs, both emergency

and developmental. Some efforts have been made to address water and sanitation needs in the past,

but not to the extent of creating National Society human or material resources to that end. As both

emergency and developmental needs in water and sanitation have close linkages with health

interventions, and the fact that globally, water and sanitation is seen increasingly as a preventative

health measure (both in Strategy 2010 and ARCHI 2010) the National Society has identified water

and sanitation as a sector under the Health and Care umbrella, in which they wish to establish and

expand capacity.

Overall Goal

The capacity of the Malagasy Red Cross in Health Programme delivery is strengthened.

Programme Objective

A sustainable impact upon targeted communities’ general health is achieved through

community-based health programming focusing on HIV/AIDS and water and sanitation.

Expected Results

1. The Malagasy Red Cross is implementing Community-Based Health and HIV/AIDS

programmes designed with the active participation of the targeted beneficiaries.

Health, HIV/AIDS programmes are designed using the Project Planning Process (PPP)

model.

Advocacy materials for community and public education to encourage community

engagement in health interventions are produced.

Advisory support for health programmes activities is provided by the Federation Regional

Delegation.

2. The emergency and developmental needs of the most vulnerable are met through the National

Society’s increased capacity in the area of water and sanitation.

Water and sanitation activities are initiated through the introduction of a ‘seed project.’

Water and sanitation capacity within the Health and Care umbrella of the National Society

is established.

PHAST, as a community development and project planning tool, is introduced.

The Water and/or Sanitation needs of a small community are met.

The Water and Sanitation strategy of the National Society is determined through the

evaluation of the ‘seed project.’

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