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In Madagascar, despite slow economic growth, the population is growing rapidly by about 600,000 people each year.
Madagascar’s population is projected to nearly double by 2050. While the total fertility rate is steadily declining, the average remains at 4.8 births per woman. This is largely due to Madagascar's high unmet need for contraception.
According to a Demographic Health Survey from 2009, 19% of married women of reproductive age wanted to space or limit their births but were not using any form of contraception. Although this level has since improved, the overall level of contraceptive use needs additional attention and investment, particularly as the population continues to grow.
Since 1992, Marie Stopes Madagascar has been working with national government and non-governmental partners to provide a full range of sexual and reproductive health services including contraception, maternal health, post-abortion care, and screening for sexually transmitted infections and HIV.
Madagascar’s population is projected to nearly double by 2050.
Our outreach teams - consisting of a doctor, nurse, co-ordinator, and driver - travel through rural and hard-to-reach parts of the country offering long-acting and permanent contraceptive methods. In addition to the short-acting methods available at community and primary health centres, these outreach teams ensure that people have access to the full range of voluntary contraceptive information and services.
In 2012, Marie Stopes Madagascar began using light-weight inflatable tents that are easy to transport and quick to assemble for use in hard-to-reach areas. The tents enable outreach teams to serve rural areas where a suitable building is not always available. The washable tents have three rooms that can be used for counselling, procedures, and recuperation, and are an innovative way to ensure that high-quality contraceptive services can be offered even in the most remote locations.
In Madagascar, our team identified a need to reach young people and provide them with sexual and reproductive health services. Almost two thirds of the population is aged under 25, and rates of maternal mortality remains high. 32% of girls aged 15-19 already had children or were currently pregnant, according to a survey conducted by DHS. The same survey showed that the number was significantly higher for the poorest quantile, where 51% had started childbearing.
In 2013, Marie Stopes Madagascar piloted a highly successful youth voucher programme. Between July 2013 and December 2014, 58,417 vouchers were distributed to young people:
Marie Stopes International Australia has partnered with WaterAid Australia on an innovative new project, tackling important areas of adolescent girls’ health in Timor Leste and Papua New Guinea.
In response to Mexico City Policy the Dutch government launches She Decides, a global fund designed to minimise the loss of USAID funding on reproductive health initiatives in developing countries.Read more
Marie Stopes UK statement in response to news that the British Government will fund abortions for women travelling to England from Northern Ireland.Read more
Marie Stopes UK has announced it will no longer charge Northern Irish women travelling to England for abortion, following a government commitment to fund their treatment through the Equalities Office.Read more
Four Marie Stopes International team members have been recognised for their work championing family planning, in the 120 Under 40 awards.Read more
The United States has announced it is withdrawing funding, totalling more than $30 million, for the United Nations Population Fund (UNFPA).Read more
MSI-US calls on donors to 'open the door' for women around the world, and support their Blue Door Fund. The Fund aims to help address the family planning funding gap created by the Mexico City Policy.Read more
In India, increasing numbers of women are being wrongly told they need a court order to access abortion care. A new campaign seeks to clarify the law and reduce stigma.Read more
Pharmaceutical company, Pfizer, has announced that the UK's first self-injectable contraceptive for women is now available for use at home.Read more
Marie Stopes International says meeting global demand for contraception is possible as a new Guttmacher Institute report shows first ever decrease in unmet need, from 225 million women to 214 million.Read more
Pope Francis has made a statement that, for the remainder of the Jubilee Year, all priests will be permitted to absolve women of "the sin of abortion" - if they repent with "a contrite heart".Read more
Drug company Pfizer has announced it will launch its Sayana Press self-injectable contraceptive for women in the UK to use at home.Read more
On Wednesday 29 July the World Health Organisation (WHO) released some of its most ground-breaking guidance yet in the field of safe abortion.Read more
Today (Tuesday 8th March) is International Women’s Day - an annual event that celebrates women’s achievements and raises awareness of the barriers to gender equality.Read more
A government scheme to provide free abortion services in England for women travelling from Northern Ireland has been welcomed by pro-choice campaigners and Labour MP, Stella Creasy.Read more