Country Approach

After a period of political unrest from 2009 to 2014, USAID has been transitioning malaria and other key health commodities from nongovernmental organizations into the public health supply chain – all part of a larger effort to create a more efficient and integrated national supply chain. The USAID Global Health Supply Chain Program-Procurement and Supply Management (GHSC-PSM) project assists with these transition efforts in Madagascar to create an integrated and sustainable public supply chain operated by a highly skilled workforce. This supply chain will strengthen availability and security of commodities for reproductive health and family planning, maternal and child health, and malaria.

GHSC-PSM supports national forecasting, supply planning, and monitoring for medicines and supplies, with the goal of ensuring that Madagascar’s newly formed Logistics Management Technical Unit has the capacity to coordinate these activities.

Key Commodities
  • artemisin-based combination therapies (ACTs)
  • artesunate injectable
  • long-lasting insecticidal nets (LLINs)
  • malaria rapid diagnostic tests (RDTs)
  • sulfadoxine-pyrimethamine (SP)
Activity Highlights

Key activities in Madagascar include:


  • Collaborate with partners in procuring reproductive health/maternal and child health commodities for community health work
  • Strengthen the capacity of Ministry of Health personnel to ensure quality of pharmaceutical commodities, and train key staff in Madagascar’s Drug Regulatory Authority in pharmaceutical inspection and quality assurance
  • Provide warehousing and inventory management support with a focus on managing the cold-chain system, particularly for oxytocin
  • Support and participate in a nationwide assessment to review the national management information system and monitoring and evaluation systems, and support the Ministry of Health in developing and implementing a consolidated logistics management information system
  • Support and participate in improving monitoring and evaluation by implementing the end-use verification tool to monitor availability and use of key malaria and reproductive, maternal, newborn, and child health products at health facilities
Strategic Engagement

Key strategic engagement activities include:


  • Work with various partners to quantify family planning and reproductive health commodities and develop a strategy to mitigate misuse of medroxy-progesterone acetate
  • Participate in weekly meetings of malaria partners and in monthly meetings around malaria acquisition, supply, and stock management to review and update malaria commodity supply plans

Success Stories

November 3, 2017
A somewhat unglamorous but crucial aspect of ensuring access to lifesaving supplies and medicines is having a reliable supply of stock on hand. If estimates of need are too low, then stockouts, shortages, and dangerous interruption of treatments may result. Estimates that are too high can lead to…
October 12, 2017
Technology can be a game changer in maximizing efficiencies up and down the health supply chain, from estimating procurement needs to ensuring prompt delivery of essential medicines and supplies. Yet even the most cutting-edge tools can be rendered ineffective without trained staff to use and…
July 7, 2017
In early March 2017, Madagascar battled its most powerful storm in 13 years, which brought 145 mph winds and heavy rainfall. The cyclone affected more than 400,000 people – destroying homes, damaging health centers, and leaving behind large amounts of standing water – breeding grounds for malaria-…