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 Haiti Midwives Association was created in 2004 as a local organisation promoting the midwifery profession to reduce the maternal and infant mortality rate. They work in collaboration with other entities (such as the Ministry of Health, obstetricians, etc.) to provide and promote health and wellbeing throughout Haiti. To ensure greater visibility and recognition of the midwifery profession in Haiti, the AISFH has officially changed its name to ASFH.ASFH provides ongoing training to its members and offers preventive and treatment services in the field of sexual and reproductive health.ASFH promotes the following values:Midwifery is an essential pillar in the promotion of health and in the fight to reduce infant and maternal mortality and morbidity in Haiti.The care provided by midwives is based on respect for the well-being and dignity of the family.Midwifery provides a favourable environment for the continuity of maternal and neonatal care.Proximity to women, continuity of care, informed choice, choice of delivery site and community services are at the core of the high quality care midwives provide.Midwifery care must be accessible to all Haitian women, regardless of socio-economic status.It is important to highlight and promote the potential of midwifery to improve the well-being of women, families and society.