Gray, Madeline

School of Public Health

MSPH

Madagascar

Madagascar - Maternal and Child Survival Program (MCSP)/Madagascar: Formative research on factors influencing first-time parents' use of SRH services

The USAID Maternal and Child Survival Program (MCSP) is USAID's flagship global technical assistance program in reproductive, maternal, newborn, child and adolescent health. It is a multi-partner effort led by Jhpiego; the JHU Institute for International Programs provides input to MCSP focused on implementation research. Madagascar is a large, low-income island nation off the east coast of Africa, population 24 million. Six years of political unrest have devastated the economy and the health sector. MCSP's program in Madagascar focuses on national level support in maternal and newborn health and family planning, as well as direct technical assistance in those areas to 5 (soon to be 15) regions. Madagascar has one of the highest adolescent fertility rates in the world at 163 adolescent births per 1,000; 36% of girls and women give birth before age 18.  According to the 2008/9 Madagascar DHS 26% of 15-19 year olds and 22% of 20-24 year-olds who had given birth in the six years prior to the survey died during childbirth.

In the interest of addressing the need for adolescent-friendly services and counseling, MCSP plans to conduct a formative First Time Parents Assessment during 2016. This qualitative research project aims to determine first-time parents' access to and use of antenatal care, maternal and newborn care, and family planning services and factors at the individual, family and community, and health services level that influence access and use.  This information will guide design of an intervention targeted to first time parents, significant adults in the community, and service providers that will help to improve access to and use of sexual and reproductive health services for young adolescent parents. 

Global Health Mentor: Julie Denison, PhD

People

Caitlin Kennedy, PhD MPH,BA

Co-Director, MPH concentration in Social and Behavioral Sciences in Public Health; Associate Director, Center for Qualitative...

Noreen Hynes, MD MPH

Director, Geographic Medicine Center of the Division of Infectious Diseases

Robert Bollinger Jr., MD MPH

Director, Johns Hopkins Center for Clinical Global Health Education (CCGHE); Associate Director, Johns Hopkins Center for Global...

Stefan Baral, MD MPH,MBA,MSc

Director, Key Populations Program

Yukari C. Manabe, MD

Associate Director of Global Health Research and Innovation

Joanne Katz, ScD MS,BSc

Associate Chair, Director of Academic Programs
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August 2018

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