A qualitative evaluation of health care in the Maroantsetra region of Madagascar

Bustamante, Nirma D.; Golden, Christopher D.; Randrianasolo, Jean F.; Parmar, Parveen

doi:10.1093/inthealth/ihy070

Cited by 8 publications

(12 citation statements)

References 14 publications

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“…The strong presence of SDGs 2, 3, and 6 in Malagasy curricula corresponds to the crucial role of primary education in the improvement of health in Madagascar [11]. This is especially true in rural areas, where medical health care is often not available [31]. To improve health and to fight malnutrition, the Malagasy state provides medical visits and promotes dental health, deworming, good hygiene and sanitation behaviors, and, sometimes, school canteens for public schools [11].…”

Section: Sdgs and Malagasy Primary Educationmentioning

confidence: 99%

“…Access to soap or improved sanitation [45], bed nets for protection from mosquitos [46], alternative biomass for cooking [47], and foods for balanced nutrition [48] are all limited. Access to health care and health-related resources such as point-of-care technology or trained personnel is especially weak in rural areas [31,49]. Furthermore, health is negatively affected by prevalent open defecation [45].…”

Section: Health Issues In Madagascarmentioning

confidence: 99%

“…Furthermore, health-related learning objectives dominate primary school curricula [23]. As rural and urban areas have different schooling conditions [13,24,25] and different access to health-related infrastructure and sanitation [31,49,52], careful adaptation of teaching approaches to individual school settings might provide adequate education on health-conscious behaviors.…”

Section: Educational Needs Regarding Land-use and Health Issuesmentioning

confidence: 99%

“…Regarding prevention of (serious) illness, existing infrastructure includes severe barriers, particularly in rural areas [31,49]. As a result, rural households, in comparison to urban households, seek professional health care less often (H.16) and more often choose self-medication or consultation with traditional healers [31,49]. In contrast, the use of bed nets to fight malaria (H.11) is common in urban and rural areas.…”

Section: Health Topics For Teaching Procedural Knowledge To Promote Sdgs 2 3 and 6 In The Sava Regionmentioning

confidence: 99%

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Land-Use and Health Issues in Malagasy Primary Education—A Delphi Study

2020

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Education for Sustainable Development (ESD) plays a key role in Sustainable Development. In low-income countries like Madagascar, this key role is particularly relevant to primary education. However, the curricula lack a comprehensive ESD approach that incorporates regional issues. In Madagascar, sustainable land-use practices (Sustainable Development Goals 12, 15) and health prevention (SDGs 2, 3, 6) are educational challenges. Procedural knowledge allows problem-solving regarding unsustainable developments. We adapted and further developed a measure of ESD-relevant procedural knowledge. Considering curricula, sustainability standards, research, and a two-round Delphi study (n = 34 experts), we identified regionally relevant land-use practices and health-protective behavior. After the experts rated the effectiveness and possibility of implementation of courses of actions, we calculated an index of what to teach under given Malagasy (regional) conditions. Combined with qualitative expert comments, the study offers insights into expert views on land-use and health topics: For example, when teaching ESD in Northeast Madagascar, sustainable management of cultivation and soil is suitable, particularly when linked to vanilla production. Health-protective behavior is ultimately more difficult to implement in rural than in urban areas. These results are important for further curricula development, for ESD during primary education, and because they give insights into the topics teacher education should address.

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Section: Sdgs and Malagasy Primary Educationmentioning

confidence: 99%

Section: Health Issues In Madagascarmentioning

confidence: 99%

Section: Educational Needs Regarding Land-use and Health Issuesmentioning

confidence: 99%

Section: Health Topics For Teaching Procedural Knowledge To Promote Sdgs 2 3 and 6 In The Sava Regionmentioning

confidence: 99%

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Land-Use and Health Issues in Malagasy Primary Education—A Delphi Study

2020

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“…Considering such determinants for improved health behavior is highly relevant in teaching. Local conditions (e.g., access to products, resources, infrastructure) strongly differ between not only rural and urban areas [28,73] but also between different communities within urban and within rural areas (personal observation). Furthermore, existing habits likewise play a crucial role in implementing the health courses of action.…”

Section: Implications For Education and Training Regarding Health And Land Usementioning

confidence: 99%

Health and Land-Use Courses of Action for Education for Sustainable Development in Madagascar: Teacher Perspectives on Possibilities for Implementation

Niens

Bögeholz

2021

Sustainability

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Education for Sustainable Development (ESD) plays a key role in achieving the Sustainable Development Goals. However, the implementation of ESD in education remains a challenge, particularly for countries such as Madagascar. ESD needs to consider regional realities to be relevant to learners. An expert study identified health and land-use courses of action for regionally relevant ESD in northeast Malagasy primary education. However, what about teacher perspectives on the possibilities for implementing such courses of action? The present think-aloud study with 10 Malagasy primary teachers used the Integrated Behavioral Model for Water, Sanitation, and Hygiene (IBM-WASH) to analyze factors that teachers perceive to be relevant for implementing health and also—as an innovation—land-use courses of action. The IBM-WASH model is a tool for identifying opportunities and barriers to a desired health behavior. It turned out that the local school’s surroundings, shared values and attitudes, and existing habits are important for implementing health and land-use courses of action. Therefore, regionally adapted health and land-use teaching should consider community-contextual, community-psychosocial, and habitual-psychosocial factors. Additionally, teachers mentioned the costs and benefits of land-use practices. Thus, land-use teaching should take the individual-technological factor into account. This paper argues for a regionally adapted ESD in teacher and school education.

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A habitat stronghold on the precipice: A call‐to‐action for supporting lemur conservation in northeast Madagascar

Eppley

Borgerson

Patel³

et al. 2023

American J Primatol

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The northeast of Madagascar is as diverse as it is threatened. The area bordering the Analanjirofo and SAVA regions contains six protected areas and at least 22 lemur species. Many applied research and conservation programs have been established in the region with the aim of ensuring both wildlife and people thrive in the long term. While most of the remaining humid evergreen forest of northeast Madagascar is formally protected, the local human population depends heavily on the land, and unsustainable natural resource use threatens this biodiversity hotspot. Drawing from our collective experiences managing conservation activities and research programs in northeast Madagascar, we discuss the major threats to the region and advocate for eight conservation activities that help reduce threats and protect the environment, providing specific examples from our own programs. These include (1) empowering local conservation actors, (2) ensuring effectively protected habitat, (3) expanding reforestation, (4) establishing and continuing long‐term research and monitoring, (5) reducing food insecurity, (6) supporting environmental education, (7) promoting sustainable livelihoods, and (8) expanding community health initiatives. Lastly, we provide a list of actions that individuals can take to join us in supporting and promoting lemur conservation.

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A qualitative evaluation of health care in the Maroantsetra region of Madagascar

Cited by 8 publications

References 14 publications

Land-Use and Health Issues in Malagasy Primary Education—A Delphi Study

Land-Use and Health Issues in Malagasy Primary Education—A Delphi Study

Health and Land-Use Courses of Action for Education for Sustainable Development in Madagascar: Teacher Perspectives on Possibilities for Implementation

A habitat stronghold on the precipice: A call‐to‐action for supporting lemur conservation in northeast Madagascar

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