School of Public Health
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