In Madagascar, 75% of people - up to 88% in rural areas - lack access to potable water, which puts them at significant risk of diarrheal diseases, including cholera. The leading causes of mortality among children under five in Madagascar are diarrheal disease with severe dehydration (19%) and severe malaria (29%).
PSI commits to reaching half a million Malagasy children with an integrated health care package to address two major causes of child death: malaria and diarrhea due to dirty drinking water. Specifically, PSI will:
(1) Offer an integrated heath care package including water purification solution, diarrhea treatment kit (DTK) with Oral Re-hydration Salts (ORS) and zinc tablets, long lasting insecticide treated nets (LLINs), and prepackaged treatment for malaria cases;
(2) Offer training for local NGOs on the management of diarrhea and malaria cases; and
(3) Provide communication tools to community health workers and distributors to help them enable caregivers to prevent and diagnose malaria and diarrhea in children.
In order to protect children under five from these water-related diseases, Population Service International (PSI) has developed an integrated health care package that equips Community Health Workers (CHWs) with pre-packaged prevention and treatment, products for malaria and diarrheal disease, as well as communication tools to offer quality care to children under five(CU5) that includes:
- An inexpensive and easy-to-use water purification solution, marketed under the brand name S?r'Eau;
- Pre-packaged diarrhea treatment kit (DTK) containing two sachets of the new low-osmolarity oral rehydration salts (ORS) and a blister of ten pediatric zinc tablets named Via Sur;
- Long lasting insecticide treated nets (LLINs) under the brand name Super Moustiquaire; and
- Prepackaged treatment consisting of Artemisinin-Based Combination Therapy for home management of simple malaria cases, under the brand name ACTIPAL.
The elements of this integrated health care package will be offered to caregivers and children by community health workers (CHW) and community based distributors (CBD).
PSI will provide the products through partner NGOs to a cadre of over 7,000 CBDs and CHWs. These people often work on foot so they are able to reach communities that are not accessible by road. This distribution system ensures that PSI reaches the poorest communities most vulnerable to diarrhea and malaria, providing income for the CBD and CHW, who sells the highly-subsidized products with a small margin that s/he keeps as commission. The CBDs are selected, trained and supervised by their sponsoring NGO. Because of their placement in rural communities and their local knowledge and experience, CBDs are an excellent way to reach rural populations at risk.
SEEKING: best practice information, media/marketing opportunities
The Population Service International (PSI) is seeking financial support to be able to scale up this integrated approach in Madagascar and implement it in other countries.