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. 

LLAVES is a non-profit organization founded in 1999 by Allan Dunaway and Rosa Gonzalez in response to the particular needs of people living with HIV, specifically in the defense of the human rights of this population. LLAVES has developed expertise in the area of communication and uses it as a vehicle for primary and secondary prevention of HIV and other STIs, human rights advocacy, political advocacy, promotion of values, as well as the involvement of other key actors in the response to the epidemic, and its territorial areas of work are regional, national and international. LLAVES seeks to enhance the availability and quality of access to and use of key information, products and services for development that contribute significantly to improving the lives of people living with HIV and other vulnerable groups. The advocacy developed by LLAVES has been instrumental in achieving access to comprehensive care for people living with HIV, as well as a legal framework such as the special HIV Law and its reform. LLAVES has also been active in the development and implementation of the Five Year Plan on HIV and Human Rights: Reducing Human Rights Related Barriers to Access to HIV Services, an ambitious plan that aims to reduce legal, policy, scientific and community gaps. It comprises seven program areas, aimed at strengthening programs to protect and promote human rights, because human rights-related barriers impede the reach, use and impact of comprehensive HIV prevention and care services.   Instagram Twitter