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. 

Positive Vibes is a progressive, Namibian-registered organization that focuses on advancing queer rights and human rights in Southern, East, and West Africa, as well as in Southeast Asia, Southwest Asia, and Central America.The organization works at the intersection of human rights, health, and Sexual and Reproductive Health and Rights (SRHR) to create an inclusive society where all individuals, regardless of gender, sexuality, or background, have the opportunity to participate in civic, developmental, and political processes, including making decisions about their sexual and reproductive health.The organization supports marginalized and vulnerable groups, including LGBTQ+ individuals, sex workers, and women-led groups, by ensuring access to comprehensive SRHR services and promoting social, policy, and structural change.Positive Vibes empowers these communities to raise their voices, engage at local and national levels, and contribute to positive change. Their approach is grounded in the belief that people have the right to lead their own lives and movements, strengthening communities to achieve broader goals of social inclusion, justice, equity, and comprehensive sexual and reproductive health rights for all.