Reproductive, Maternal, Newborn, & Child Health

Toliara Region Expanded Impact Project (TREIP)


Location: Madagascar

Donor: USAID

Duration: 2006 - 2011


The Toliara Region Expanded Impact Project (TREIP) builds upon MCDI’s child survival experience in the Betoiky and Toliara regions of Madagascar to improve the quality of services at health facilities and support the MoH at the district level.


The innovative approaches that MCDI pioneered in the region include the recruitment and training of community volunteers, a peer-to-peer mothers program, the child-to-community approach to health promotion, community-based distribution of health products, and the creation of co-operatives to fund health care.


TREIP has demonstrated success in the areas of pneumonia case management, diarrhea case management and knowledge of danger signs, breastfeeding, immunization coverage, and birth spacing. In addition to the community-centered approach to the Integrated Management of Childhood Illnesses (IMCI), the project supported refresher training for clinical workers in IMCI, as well as enhanced supervision of clinical workers to reinforce the training.


TREIP has established links between communities and health care facilities by instituting monthly reporting and supervisory meetings between Community Health Workers (CHWs) and health facility personnel, and has facilitated outreach visits by health facility supervisors to TREIP area communities.


Throughout its lifetime, the expanded Toliara Region Impact Project benefited 40,743 children under-five and 78,349 women of reproductive age and supported activities in the original Betioky Sud District and the populations in the Toliara II District.


Back to Reproductive, Maternal, Newborn, & Child Health