The Global Sanitation Fund programme in Madagascar

In light of the COVID-19 pandemic, WSSCC has provided the country’s  partners with guidance about reprogramming, allowing funds to be directed to preventing, delaying and containing COVID-19 in line with government and advice from the World Health Organization (WHO). More detailed country information can be found here.

Executing Agency:
Medical Care Development International (MCDI)
Programme duration:
Programme Coordinating Mechanism:
Designated committee established by the Government of Madagascar, Chaired by an independent scholar
National Coordinator:
Michèle Rasamison


As the number of Open Defecation Free (ODF) villages increases, Fonds d’Appui pour l’Assainissement (FAA), the GSF programme in Madagascar, continues to intensify efforts to ensure that results achieved are sustained.

In a fragile political context and with limited resources, staff and capacity at local government level, FAA applies complementary strategies to address matters of sustainability, including working towards behavioural sustainability by strengthening local traditional community governance structures and involving community actors, such as Natural Leaders and Community Consultants in monitoring and follow up of interventions; ensuring technological/infrastructure sustainability by “triggering” demand for improved latrine technologies, strengthening supply chains of services and products, and where appropriate establishing Village Saving and Loans Associations; and working closely with local traditional, political and institutional leaders to ensure all community interventions are anchored in existing local institutional structures to ensure continued support beyond the FAA programme cycle.

By the end of 2019, these sustainability measures had been implemented in more than 17,000 out of the 21,000 villages declared ODF. These represent more than 2.4 million people living in ODF environments.

The FAA has also intensified efforts in integration of Menstrual Hygiene Management into programming. Following the annual workshop held by the programme in 2019, Implementing Partners have integrated MHM into their work plans, focusing on key messages on MHM in schools and households. Equality and non-discrimination principles have now been included in the process of data collection as well as in the implementation of CLTS activities at community level, as well as in institutions, such as public schools and health centers.

Challenges and future direction

Striking a reasonable balance between investments in delivering new results by expanding the geographical scope and and sustaining results already achieved through post-ODF interventions at community level remains a challenge for FAA’s implementing partners as for most behaviour change focused sanitation and hygiene programmes. For the remaining part of 2020, the FAA will continue to strengthen the implementation of sustainability strategies. Additionally, the programme will intensify its interventions in schools and health centers in partnership with other key sector players. The FAA will also strengthen its partnership with and support to the Ministry of WASH to contribute to the government plans and priorities for sanitation and hygiene as per the national ODF road map.