OUR CURRENT PROGRAMS
Comprehensive rural health programs focused on primary prevention & early intervention
STOP and GO
PROGRAM
stop:
STI/ HIV
Tuberculosis
Malaria
Malnutrition
excess birth
education
screening
preventive
products
access
to care
STOP
GO
MHI goals: Through local and international volunteers we intend to provide education, screening as
well as family planning products to individuals as well as communities in the targeted area.

MHI-FP goal 1.  Increase education, screening and availability of FP products
a)        Provide basic FP education to at least 90% screened persons age 10-50
b)        Provide FP screening to at least 90% high risk individuals
c)        Provide FP products to at least 90% high risk individuals and to at least 75% of individuals at
general risk

MHI- FP goal 2. Screening and follow up of high risk groups.
MHI FP goal 3.  A) increase prevalence of contraceptive use in target population to 30%.
b)        Reduce fertility rate in the targeted population to 3 children by 2012.
Our primarily goal is to provide education and means for the lay Malagasy villagers as well as for
the local providers to improve the quality of care in treatment and intervention for STI/HIV.

STI/HIV goal 1. Improve STI /HIV education and improve STI/HIV screening
a)        Provide STI/HIV education to at least 90% screened persons age 10-75
b)        Provide STI/HIV screening to at least 90% high risk individuals
c)        Provide STI/HIV products to at least 90% high risk individuals and to at least 75% of
individuals at general risk

STI/HIV goal 2.  Follow up of high risk individuals
a)        Provide follow up to care to more than 90% of high risk individuals

STI/HIV goal 3.  Attempt to reduce incidence and prevalence of STI/HIV by 25% in the target
population.
Madagascar action plan
goals- family planning
2005
2012
total fertility rate
5.4
3
fertility rate urban
3.7
3
fertility rate rural
5-8
3-5
contraceptive use prev.% adults
18
30
contraceptive use prev % teenagers
15
45
% teenagers having access to FP information
45
100
1.  FAMILY PLANNING
Unplanned pregnancies and teenage pregnancies remain related to high maternal
and fetal mortality. Instituting family planning, prenatal and infant care are high priority
goals of the Madagascar action plan.
2.  STI/ HIV prevention
Madagascar action plan
goals- STI/ HIV
2005
2012
prevalence of HIV among pregnant
women
0.95
0.8<
prevalence of condom use in high risk category age
15-24
n/a
45
percent of adults and children with HIV who are on
ARV therapy and alive after 12 months
n/a
90%
percentage of syphilis among pregnant women
40
1
Prevalence of STI remains in Madagascar one of the highest in the world. Threat
of further spread of HIV remains an alarming concern.
OVERVIEW
Further information about our programs may be provided upon request. (contact us).
MHI-malaria goal 1.  Increase education, screening and availability of malaria preventive
products
d)        Provide basic malaria prevention education to at least 90% screened persons
e)        Provide malaria prevention education to at least 90% high risk individuals
f)        Provide malaria prevention products to at least 90% high risk individuals and to at least
75% of individuals at general risk


c)        Provide follow up to care to more than 90% of high risk individuals

MHI  malaria: goal 3.  A) Reduce malaria incidence in target population by 50%.
d)        Reduce hospital malaria related mortality in the targeted population to less than 10% by
2012
.
3. MALARIA
Madagascar action plan
goals- malaria
2005
2012
number of presumed malaria cases per year
1,234,000
320,00
percentage of malaria in hospital mortality
18%
9%
percent of adults and children with HIV who are on
ARV therapy and alive after 12 months
n/a
90%
percentage of syphilis among pregnant women
40
1
Malaria remains among the leading causes of death for children and adults.  
Reduction of this potentially preventable illness remains a national priority.
3. MALNUTRITION
Madagascar action plan
goals- malnutrition
2005
2012
percent of malnutrition among children under age 5
42
28
percent of food insecurity among households
65
48
MHI goals:
1.        MHI plans to increase education and prevention about malnutrition with a goal to
reduce the number of malnourished to less than 25%.  
2.        This will be accomplished through an increase the rapid diagnostic screening
(nutritional, medical, and social/household history interviews), along with physical
examinations, appropriate intervention, treatment, and through monitoring of the
malnourished and undernourished.
MHI Goal 2.
1.        HRI individuals (BMI < 17, history of weight loss, children with growth curve below
95% percentile and those with worsening growth, all children under age 5,  the extremely
poor, pregnant and lactating women and elderly) will be targeted and screened for
appropriate treatment, follow up, and secondary prevention.
2.        Each severe malnutrition case will be followed, and extreme cases will be referred to
the regional center for evaluation and treatment.
Madagascar action plan
goals- immunizations
2005
2012
percentage of DTCP coverage
80
100
percent of children getting supplementary
micronutrients
80
100
percentage of 1 year old immunized against TB
95.2
100
percentage of one year old immunized against
measles
95.2
100
ratio of maternal mortality out of 100.000 living
births
469
273
ratio of neonatal mortality out of 1000 living births
32
17
MHI goals:
1.        MHI plans to increase education and about the positive role of prevention through
immunization with the goal to reduce the number of unvaccinated children to less than 25%.
2.        MHI plans to conduct proper education and support about vaccination record keeping.
3.        Each child will further have both an electronic record and laminated card detailing
their history of vaccination, and this will be followed.

MAP Goal 2.
1.        HRI individuals (newborns, mothers with children, children under age 5) will be
targeted and screened for appropriate vaccination, follow up and secondary prevention.
2.        Each case where a lack of vaccination is detected, the patient will be given the
appropriate vaccines for age.  
3.        If the vaccines are not available at that time when a patient is in need of it in the
remote areas, the patient may be referred for immunizations to the regional center as
necessary.  
4.        In accordance with the plan of MHI, all efforts to maintain the cold chain and bring
the vaccines to the people will be made.
4. IMMUNIZATIONS
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