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Healthcare

For both urban and rural poor in Madagascar, affordable medical treatment is limited or often nonexistent. In past years, CRMF has funded supplies, training, and free treatment from rural medical clinics, to prison hospitals, to urban medical centers. Our goal has been to provide medicine and supplies for the patients who we treat, as well as provide training for local healthcare providers on how to perform simple, yet life-saving procedures. This enables to healthcare workers to better serve their communities, as well as train additional professionals.

Doctors and midwives practiced newborn resuscitation with Laerdal’s NeoNatalie, a newborn simulator.

The midwives at the Ankirihiry Clinic in urban Toamasina. Last year, there were more than 1,300 births at the clinic.

Other upgrades included maternity beds, an ultrasound machine, Doppler, delivery tables and baby warmers, and the supplies and medications needed to respond to postpartum emergencies.

Beginning with our 2018 visit, that strategy of the program will focus exclusively on clinical education, in hopes of strengthening the capacity of Malagasy providers to deliver effective care. During the September visit we will partner with Malagasy institutes that currently provide clinical education to discuss way to strengthen community prevention programs. Partners include the Malagasy Sisters who train community health workers and the ONG St. Gabriel team who trains the educators to teach about hygiene and water filtration systems.

 

Dispensary Antsiramandroso  

This rural medical facility, operated by the Daughters of Wisdom, is the primary healthcare center for the rural poor of rural Toamasina. It serves primarily the native Betsimisaraka tribe. The Sisters care for more than 4500 people each year, diagnosing and treating malaria, infectious diarrhea, tuberculosis and leprosy. The facility faces many challenges:

The 40 year old the cinder block center had only a few treatment rooms and one inpatient bed.

People would walk up to fifty km to reach the center. Whole families often came together and camp in temporary shelters near the dispensary.

For some tests, patients had go to Toamasina city.

The majority of patients had little ability to pay for treatment.

CRMF funded improvements include:

Construction of a modern laboratory facility so that some testing previously done in Toamasina can take place on site

Construction of latrines for lepers

Installation of a water line and septic system

The purchase of new equipment including microscopes

Building of a new laboratory for the dispensary

Creation of a new patient treatment area

When CRMF sponsored free treatment clinics during the site visits the Antsiramandroso dispensary was one of the sites used.