Siméon Nanama, UNICEF Madagascar
Since 2006, Madagascar’s VAS programme has been institutionalized within a Maternal and Child Health Week (MCHW). Currently the package contains VAS and de-worming for children-under-five, immunization catch-up, Severe Acute Malnutrition (SAM) detection and referral, fistula detection and referral, as well as promotion of breastfeeding, hand washing and immunization uptake. The approach taken involves micro-planning, fixed and outreach services, decentralized coordination, and a supervision system. Successes and challenges are discussed.