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. 

Health Development Initiative (HDI-Rwanda) is a non-profit organization based in Kigali, Rwanda, dedicated to improving healthcare quality and accessibility for all. Our approach is rooted in human rights, aiming to build a society where every person can attain optimal health and well-being, regardless of their social, cultural, economic or any other status. HDI advocates for the enhancement of health outcomes through the implementation of laws, policies, and programs tailored to address the needs of diverse groups, including women, children, historically marginalized communities, individuals living with HIV/AIDS, youth, and other marginalized populations. HDI has two service delivery points : Kicukiro and Nyakabanda. Average total clients served through the clinic: 8,000 Approx. 65% women Average calls received through the hotline: 85,000 Approx. 85% women, 70% adolescents under 19 Average number of cases of SGBV, discrimination, child registration and women seeking safe abortion supported by HDI’s legal team each year: 1,500 Over 95% women seeking safe abortion SRHR Clinical services: Provision of emergency contraceptives for vulnerable women and girls Linkage to comprehensive safe abortion services Pregnancy testing and linkage to health services Provision of comprehensive SRHR education HIV testing; linkage to care and treatment for those who are HIV-positive STIs screening and referral for treatment Referral for voluntary male medical circumcision SRHR Outreach Service (SRHR and community health education) Psychosocial Support, Counseling, and Legal Aid Family planning counseling and linkage to services Counseling, psychosocial support, and legal assistance to GBV survivors Pre-abortion and post-abortion counseling and legal assistance Legal aid for key populations for legal advice, support, and education on laws and human rights Psychosocial support for key populations and LGBTI community members Follow up on cases of violence and detention on the grounds of sexual orientation and gender identity and sex work Toll-Free Hotline Information on SRHR topics including HIV prevention, menstruation, contraception, relationships, among many others Referral for clinic services Social media pages: Twitter: https://twitter.com/HDIRwanda Instagram: https://www.instagram.com/hdirwanda/ Facebook: https://www.facebook.com/HDIRwanda