Member Associations

HERA (the Health Education and Research Association) was founded in 2000 as a volunteer’s movement of university students. It was in response to the country’s need for improved HIV education and treatment and for better care for people living with HIV. Since its beginnings HERA recognized the need to integrate HIV activities and services into broader sexual and reproductive health (SRH) provision. Today HERA is a leading national NGO working in the field of HIV and sexual and reproductive health and rights. HERA focuses on national and international advocacy for comprehensive and right-based policies and programmes on HIV and sexual and reproductive health. It particularly advocates for sexuality education and for a women’s right to choose and access to safe abortion services.

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 AIDS 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.