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Note 1
Widespread use of Child-to-Child approaches reported by different agencies.
In Madagascar USAID have been supporting programmes in association with the Madagascan Ministry of Health, Medical Care Development International, Basics II and other NGO’s who have been using the Child-to-Child methods as an integral part of all their health promotional activities.
In 2000 it was reported that:
“In 1999, an innovative in-school "Child-to-Child" health programme, coupled with complementary parent-group activities, achieved impressive 81% immunization levels in pilot rural communities. Madagascar's contraceptive prevalence rate reached 12.7% in 1999. In a country where 49% of the under-five children are malnourished, the food aid programme reaches over 321,000 of these most vulnerable citizens.”
They have been supporting programmes ever since and the Child-to-Child programme featured rominently in their 2004-5 strategic objectives. Basics II are running programmes using the Child-to-Child approach.
Date: 2000
Source: Basics website
Note 2
In 2004 Basics II produced a CD-rom relating to the integrated, large-scale child-survival and reproductive health programme carried out in 1992-2002 involving all the governmental and non-governmental organisations working in the country. It is a case study designed to offer information and assist the replication of the programme in other countries. It contains sections on the Child-to-Child Approach.
It would appear that through the programmes run by Basics and USAID over a long period of time the Child-to-Child approach has become part of the thinking in both health and education provision in Madagascar.
Date: 2004
Source: Basics website
References to current programmes:
Note 3
Medical Care Development International reports show the use of Child-to-Child as an integral part of their extensive health promotion programmes “improving hygiene behaviours and knowledge in schools”.
Date: 2005
Source: MCDI (Betioky Child Survival Project 1996-1998; 1998-2002; 2002-2006)
Note 4
SCHOOL HEALTH
USAID are also supporting NGOs and the Madagascan Ministry of Health (a $2,000,000 programme in 2004).
“Technical assistance and training in marketing and behaviour change will be provided to the Ministry of Health (MOH) and selected organisations to increase knowledge of healthy behaviours and demand for modern health services and products. Activities will include community mobilization, Child-to-Child school health education, and family involvement in malaria care and, for integrated management of childhood illnesses (IMCI), a comprehensive prevention and treatment approach. Funds will be used for mass media campaigns and for furthering health education through agricultural and environmental organisations. Principal contractors and grantees include: Population Services International (PSI), CARE, Catholic Relief Services (CRS), Adventist Development and Relief Agency (ADRA) and Voahary Salama (a consortium of local NGOs).”
Date: 2004
Source: USAID report
Note 5
WaterAid is running a large-scale programme promoting sanitation and hygiene in Madagascar. The WASH progress report for 2004 describes the programme.
Date: 2004
Source: wsscc 2004 progress report
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