September 2021

New Program: PRO-WASH Madagascar

Improving the Health of Young Children in Southeastern Madagascar – A Pathogens Pathway Study

Madagascar is one of the poorest countries in the world, with an estimated 75% of the population living below the international poverty line of $1.90 a day. Child morbidity and mortality are high, largely due to food insecurity and inadequate water, sanitation, and hygiene. Among young children, almost all diarrhea cases are attributable to fecal exposures via contaminated water, food, hands, and other objects that children place in their mouths.

A recent study found that nearly 50% of children under five tested positive for pathogenic intestinal microorganisms in Madagascar.

To address the challenges of WASH services, Aquaya and partners (Ny Tanintsika and USAID FIOVANA program) will explore targeted interventions to improve the health of infants and young children.

This research aims to answer two key questions:

  • What are the possible ingestion pathways of fecal pathogens for children under the age of two?
  • What are potential interventions for interrupting these transmission pathways?

Our research will examine which pathways of exposure present the highest risk of infection and illness. These findings will translate into direct actions for the USAID FIOVANA program to improve the health of infants and young children in Southeastern Madagascar.

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