Member Associations

Relative to much of Africa, Madagascar has high levels of contraceptive use, but high birth rates coupled with endemic poverty and limited government-led sexual and reproductive health (SRH) provision mean that child mortality and maternal death figures are high. Fianakaviana Sambatra (FISA) has been fighting since 1967 to improve the nation’s SRH through advocacy, education and direct service provision. Currently, it runs 67 service points, including: 11 permanent clinics, 3 mobile units and 12 community-based services (CBSs), across 6 of the country’s regions. FISA works with 5 associated clinics and 29 private practitioners. FISA has 70 full-time staff, 184 peer educators, and a youth action movement made up of 42 members. FISA delivers a wide range of services: family planning, prevention and management of HIV and the provision and dissemination of comprehensive SRH materials. FISA has used its on-the-ground experience to advise government on national SRH policy. It has partnered with the Ministry of Health, Family Planning and Social Protection, and the Ministry of Youth to advocate for a concerted approach to resolving the critical SRH issues currently facing the country. At the same time, it works with non-governmental organizations (NGOs) such as Marie Stopes International, and the ASSONG coalition of NGOs. FISA receives financial support from UNFPA, the Big Lottery Fund, Amélioration de la Qualité De Services, the EU and IPPF’s Japan Trust Fund. It’s also closely connected to other organizations promoting SRH rights across the country and the region. 

The Foundation for Research on Women’s Health, Productivity and the Environment (BAFROW) is a non-profit organization that complements the development efforts of the Government of The Gambia and other national partners through a holistic and integrated Social and Economic Empowerment Program geared towards improving the quality of life of the most vulnerable and marginalized people, especially women and girls, in targeted rural and urban communities. The overall goal of our program is to empower communities to take charge of their health and economic well-being, with emphasis on their sexual and reproductive health and rights (SRHR). BAFROW’s approach Our approach is holistic, multi-dimensional and multi-sectoral and based on the principle that sound health is closely linked with economic well-being, knowledge and skills, conducive physical and social environments, good personal and environmental hygiene, and the absence of all cultural practices that affect the health and well-being of women and girls, thereby bridging gaps and creating linkages between these issues. Projects BAFROW’s main projects are: 1) Health promotion and health service delivery 2) Combatting practices that are harmful to health including female genital mutilation/ cutting (FGM/C) 3) HIV/AIDS prevention, care and support 4) Obstetric fistula treatment, rehabilitation and reintegration, and 5) Women’s economic empowerment and the environment Service delivery Our hospital, BAFROW Medical Centre which is operated under our Health promotion and health service delivery project, is registered as a commercial entity. The service delivery points of our two functional health facilities are: Serrekunda, Kanifing Municipality for BAFROW Medical Centre; and Mandinaba Village, Brikama Local Government Area for BAFROW’s Well Woman and Family Clinic.  BAFROW provides clinical services under the following specialized areas: Family Medicine Internal Medicine Cardiology Infant and Child Welfare/ Paediatrics Obstetrics and Gynaecology Specifically on SRHR, BAFRWO provides: Maternity care and services Fertility treatment (for both men and women) Abortion-related services Contraceptives & emergency contraceptives Sexually transmitted disease screening and treatment HIV testing; referrals for HIV treatment Care services for rape including PEP Screening and treatment or referrals if necessary for other diseases of the reproductive system Obstetric fistula reparation surgery, and rehabilitation and reintegration services Information, education and counselling for all the above and on other SRH issues Email: [email protected]