Health expenditure in Madagascar continues to be amongst the lowest globally, representing just 1% of national spending in 2020. Rural health centres bear the brunt of this burden as spending is focused on urban areas, leaving remote communities deprioritised. SEED is planning to improve the health status of 16,000+ people by improving the WASH conditions of and solar-electrifying three health centres in southeastern Madagascar located in Ankilivalo, Ambinanibe and Manambaro.
Approximately half of all health facilities across Madagascar lack access to an improved water source and hygienic latrines perpetuating the transmission of WASH-related disease. Children are disproportionately impacted with WASH-related diseases accounting for 25% of under-five mortality. In some rural clinics, kerosene lamps and torches are used by staff during medical emergencies that occur at night. Well lit health facilities are critical for safe child delivery and any other emergencies.
SEED has secured $64,665 out of $86,710 and is now seeking $22,045 to install two 10,000L rainwater harvesting systems and one ground water well with hand washing stations. A total of 15 existing latrines will be repaired. Seven gender segregated latrines and three menstrual management facilities will also be constructed. Additionally, three solar electrification systems will be installed in the three clinics to illuminate 17 rooms.
This project will tackle three significant barriers to development: health and well-being; access to water, sanitation and hygiene; and access to reliable and sustainable energy. The installation of rainwater harvesting systems, ground water well and hand washing stations will improve WASH. The repair and construction of gender segregated latrines with menstrual management facilities will promote gender equitable sanitation. Solar power will improve the range of medical care delivered at night.
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