{"id":9574,"date":"2018-08-15T13:54:58","date_gmt":"2018-08-15T12:54:58","guid":{"rendered":"https:\/\/blog.blueventures.org\/?p=9574"},"modified":"2018-10-23T16:56:35","modified_gmt":"2018-10-23T15:56:35","slug":"progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar","status":"publish","type":"post","link":"https:\/\/blog.blueventures.org\/en\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\/","title":{"rendered":"Progress, experience and passion: 11 years of supporting community health services in Madagascar"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Often in my life, and in particular with my work in international development, I have strongly related to this quote from French philosopher Bernard de Chartres: <\/span><\/p>\n<blockquote><p><span style=\"font-weight: 400;\">We are like dwarfs sitting on the shoulders of giants. If we see more things than they, and things at a greater distance, it is not because of the sharpness of our sight<\/span><span style=\"font-weight: 400;\"> or our greatness, but because we are raised up high by them.\u201d<\/span><\/p><\/blockquote>\n<p><span style=\"font-weight: 400;\">This has certainly held true for my two years working with Blue Ventures in Madagascar.<\/span><\/p>\n<div id=\"attachment_9577\" style=\"width: 1610px\" class=\"wp-caption alignnone\"><img decoding=\"async\" aria-describedby=\"caption-attachment-9577\" class=\"size-full wp-image-9577 lazyload\" data-src=\"https:\/\/blog.blueventures.org\/media\/2018\/08\/Mahajamba-Bay.jpg\" alt=\"Fishers near Mahajamba Bay, northwest Madagascar | Photo: Jen Hacking\" width=\"1600\" height=\"899\" data-srcset=\"https:\/\/blog.blueventures.org\/media\/2018\/08\/Mahajamba-Bay.jpg 1600w, https:\/\/blog.blueventures.org\/media\/2018\/08\/Mahajamba-Bay-100x56.jpg 100w, https:\/\/blog.blueventures.org\/media\/2018\/08\/Mahajamba-Bay-635x357.jpg 635w, https:\/\/blog.blueventures.org\/media\/2018\/08\/Mahajamba-Bay-745x419.jpg 745w, https:\/\/blog.blueventures.org\/media\/2018\/08\/Mahajamba-Bay-2000x1124.jpg 2000w, https:\/\/blog.blueventures.org\/media\/2018\/08\/Mahajamba-Bay-1300x731.jpg 1300w, https:\/\/blog.blueventures.org\/media\/2018\/08\/Mahajamba-Bay-300x169.jpg 300w\" data-sizes=\"(max-width: 1600px) 100vw, 1600px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 1600px; --smush-placeholder-aspect-ratio: 1600\/899;\" \/><p id=\"caption-attachment-9577\" class=\"wp-caption-text\">Fishers near Mahajamba Bay, northwest Madagascar | Photo: Jen Hacking<\/p><\/div>\n<p><span class=\"pull-right\"><span style=\"font-weight: 400;\">15 August 2018 is Safidy\u2019s 11 year anniversary, an appropriate time to reflect on where we were a year ago, celebrate our accomplishments, and consider what lies ahead.<\/span><\/span><\/p>\n<p><span style=\"font-weight: 400;\">Last August, Blue Ventures celebrated the <\/span><a href=\"https:\/\/discover.blueventures.org\/safidy-10-years\/#1\"><span style=\"font-weight: 400;\">ten year anniversary<\/span><\/a><span style=\"font-weight: 400;\"> of its <\/span><a href=\"https:\/\/blueventures.org\/conservation\/community-health\/\"><span style=\"font-weight: 400;\">community health programme<\/span><\/a><span style=\"font-weight: 400;\">, known in Madagascar as \u201cSafidy\u201d (the Malagasy word for \u201cchoice\u201d). <\/span><a href=\"https:\/\/blueventures.org\/conservation\/approach\/phe\/\"><span style=\"font-weight: 400;\">Integrating family planning with marine conservation<\/span><\/a><span style=\"font-weight: 400;\"> was a giant leap for a small conservation organisation, and each step since then has required innovation, teamwork and the continued trust and support of the communities we work with. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Looking back at my two years with Safidy, I am reminded of how I, and everyone else in the organisation, has benefited from the progress, experience, and passion of those who came before us. It\u2019s amazing how much the programme has transformed and improved since its inception. Family planning, maternal and child health, and water, sanitation, and hygiene services are all now major components of Blue Ventures\u2019 work. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">15 August 2018 is Safidy\u2019s 11 year anniversary, so it felt like an appropriate time to reflect on where we were a year ago, celebrate our accomplishments, and consider what lies ahead for the programme. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">This last year has seen us continue to deliver high quality health services in low-resource settings, pilot new activities that diversify our services and continue to meet the needs of communities, including:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Developing the Safidy programme in two new sites \u2013 Ambanja and Mahajamba \u2013 in the northwest of Madagascar<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Strengthening the supervision and support given to community health workers <\/span><span style=\"font-weight: 400;\">(CHWs)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Improving our programme monitoring through monthly reports, mobile reporting and community maps<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Partnering with <a href=\"https:\/\/www.mariestopes.org.uk\/\">Marie Stopes<\/a> to deliver long-acting reversible contraceptives<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Supporting the health education of youth groups<\/span><\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/blog.blueventures.org\/visiting-andavadoaka-community-health-learning-exchange\/\"><span style=\"font-weight: 400;\">Sharing learning<\/span><\/a><span style=\"font-weight: 400;\"> between the Safidy teams in different sites<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Conducting joint missions with the Ministry of Health<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Facilitating health and environment discussions with new outreach tools such as \u00a0decision-making stories and <a href=\"http:\/\/phemadagascar.org\/\">PHE Madagascar\u2019s<\/a>\u00a0<\/span><a href=\"https:\/\/blueventures.org\/madagascar-phe-network-phe-resources-launched\/\"><span style=\"font-weight: 400;\">story cards<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Piloting <\/span><a href=\"http:\/\/www.communityledtotalsanitation.org\/page\/clts-approach\"><span style=\"font-weight: 400;\">Community-Led Total Sanitation<\/span><\/a><span style=\"font-weight: 400;\"> (CLTS)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Improving access to HIV testing and treatment<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Strengthening our maternal and child health services to include <\/span><a href=\"https:\/\/blog.blueventures.org\/helping-babies-breathe-one-year\/\"><span style=\"font-weight: 400;\">Helping Babies Breathe<\/span><\/a><span style=\"font-weight: 400;\"> training, and support and information sessions for traditional birth attendants<\/span><\/li>\n<\/ul>\n<div data-carousel-extra='{\"blog_id\":1,\"permalink\":\"https:\\\/\\\/blog.blueventures.org\\\/en\\\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\\\/\"}' class=\"tiled-gallery type-rectangular\" data-original-width=\"900\"><div class=\"gallery-row\" style=\"width: 895px; height: 313px;\"><div class=\"gallery-group images-1\" style=\"width: 474px; height: 317px;\"><div class=\"tiled-gallery-item tiled-gallery-item-large\"><a href=\"https:\/\/blog.blueventures.org\/en\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\/phe-cards\/\"><img decoding=\"async\" data-attachment-id=\"9579\" data-orig-file=\"https:\/\/blog.blueventures.org\/media\/2018\/08\/PHE-Cards.jpg\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;4&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;ILCE-7RM2&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1508172759&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;70&quot;,&quot;iso&quot;:&quot;400&quot;,&quot;shutter_speed&quot;:&quot;0.0015625&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"PHE story card discussion | Photo: Leah Glass\" data-image-description=\"\" data-medium-file=\"https:\/\/blog.blueventures.org\/media\/2018\/08\/PHE-Cards-536x357.jpg\" data-large-file=\"https:\/\/blog.blueventures.org\/media\/2018\/08\/PHE-Cards-725x483.jpg\" data-src=\"https:\/\/blog.blueventures.org\/media\/2018\/08\/PHE-Cards-470x313.jpg\" width=\"470\" height=\"313\" align=\"left\" title=\"PHE story card discussion | Photo: Leah Glass\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" class=\"lazyload\" style=\"--smush-placeholder-width: 470px; --smush-placeholder-aspect-ratio: 470\/313;\" \/><\/a><div class=\"tiled-gallery-caption\">PHE story card discussion | Photo: Leah Glass<\/div><\/div><\/div><div class=\"gallery-group images-1\" style=\"width: 421px; height: 317px;\"><div class=\"tiled-gallery-item tiled-gallery-item-large\"><a href=\"https:\/\/blog.blueventures.org\/en\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\/chw-supervision\/\"><img decoding=\"async\" data-attachment-id=\"9578\" data-orig-file=\"https:\/\/blog.blueventures.org\/media\/2018\/08\/CHW-Supervision.jpg\" data-orig-size=\"1200,900\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;2.2&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;SM-T550&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1511265662&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;3.3&quot;,&quot;iso&quot;:&quot;50&quot;,&quot;shutter_speed&quot;:&quot;0.000952380952381&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"A support visit to a CHW in the Velondriake LMMA\" data-image-description=\"\" data-medium-file=\"https:\/\/blog.blueventures.org\/media\/2018\/08\/CHW-Supervision-476x357.jpg\" data-large-file=\"https:\/\/blog.blueventures.org\/media\/2018\/08\/CHW-Supervision-644x483.jpg\" data-src=\"https:\/\/blog.blueventures.org\/media\/2018\/08\/CHW-Supervision-417x313.jpg\" width=\"417\" height=\"313\" align=\"left\" title=\"A support visit to a CHW in the Velondriake LMMA\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" class=\"lazyload\" style=\"--smush-placeholder-width: 417px; --smush-placeholder-aspect-ratio: 417\/313;\" \/><\/a><div class=\"tiled-gallery-caption\">A support visit to a CHW in the Velondriake LMMA<\/div><\/div><\/div><\/div><\/div>\n<p><span style=\"font-weight: 400;\">Some of these accomplishments are perfect examples of building on past work. For 11 years the Safidy team have been refining and improving how we supervise and support CHWs, how we collect and monitor service delivery data, and the coverage of our maternal and child health work. They are not new activities, but they are developing in a way that was likely unimaginable to the Safidy team back in 2007.<\/span><\/p>\n<p><span class=\"pull-right\"><span style=\"font-weight: 400;\">We have made great strides in the last year, but that isn\u2019t to say that we haven\u2019t experienced our own set of challenges.<\/span><\/span><\/p>\n<p><span style=\"font-weight: 400;\">We have made great strides in the last year, but that isn\u2019t to say that we haven\u2019t experienced our own set of challenges. <\/span><span style=\"font-weight: 400;\">This year in particular we\u2019ve had to expand beyond health service provision and consider pressing logistical needs for our rapidly growing team. Developing Safidy in two new sites has required the recruitment of motivated and experienced staff who embody our values, and the streamlining of communication channels within and across our sites so that the teams feel connected and can easily share learning and best practices. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Over the last year I have seen the Safidy team grow both personally and professionally. People who could barely speak English or French a year ago are now communicating with their colleagues, and their new language skills have opened up a whole world of opportunities and information. I\u2019ve seen staff grow from technical specialists to competent leaders and managers, gaining trust from colleagues and communities alike with more creative thinking and better problem-solving. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">What I love about Blue Ventures is that, despite our rapid growth, our values and approach are still very similar to how they were in the very beginning. We are still listening to the communities we work with to ensure that their needs and priorities are aligned with the services that Safidy offers. As a result, we are investigating potential opportunities for improving access to safe drinking water over the coming years.<\/span><\/p>\n<div data-carousel-extra='{\"blog_id\":1,\"permalink\":\"https:\\\/\\\/blog.blueventures.org\\\/en\\\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\\\/\"}' class=\"tiled-gallery type-rectangular\" data-original-width=\"900\"><div class=\"gallery-row\" style=\"width: 895px; height: 316px;\"><div class=\"gallery-group images-1\" style=\"width: 441px; height: 320px;\"><div class=\"tiled-gallery-item tiled-gallery-item-large\"><a href=\"https:\/\/blog.blueventures.org\/en\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\/clts\/\"><img decoding=\"async\" data-attachment-id=\"9580\" data-orig-file=\"https:\/\/blog.blueventures.org\/media\/2018\/08\/CLTS.jpg\" data-orig-size=\"1200,868\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"A CLTS session in Menaky | Photo: Niels Bourquin\" data-image-description=\"\" data-medium-file=\"https:\/\/blog.blueventures.org\/media\/2018\/08\/CLTS-494x357.jpg\" data-large-file=\"https:\/\/blog.blueventures.org\/media\/2018\/08\/CLTS-668x483.jpg\" data-src=\"https:\/\/blog.blueventures.org\/media\/2018\/08\/CLTS-437x316.jpg\" width=\"437\" height=\"316\" align=\"left\" title=\"A CLTS session in Menaky | Photo: Niels Bourquin\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" class=\"lazyload\" style=\"--smush-placeholder-width: 437px; --smush-placeholder-aspect-ratio: 437\/316;\" \/><\/a><div class=\"tiled-gallery-caption\">A CLTS session in Menaky | Photo: Niels Bourquin<\/div><\/div><\/div><div class=\"gallery-group images-1\" style=\"width: 454px; height: 320px;\"><div class=\"tiled-gallery-item tiled-gallery-item-large\"><a href=\"https:\/\/blog.blueventures.org\/en\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\/youth-groups\/\"><img decoding=\"async\" data-attachment-id=\"9581\" data-orig-file=\"https:\/\/blog.blueventures.org\/media\/2018\/08\/Youth-Groups.jpg\" data-orig-size=\"1200,843\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Safidy-supported youth groups | Photo: Njaka Raveloson\" data-image-description=\"\" data-medium-file=\"https:\/\/blog.blueventures.org\/media\/2018\/08\/Youth-Groups-508x357.jpg\" data-large-file=\"https:\/\/blog.blueventures.org\/media\/2018\/08\/Youth-Groups-688x483.jpg\" data-src=\"https:\/\/blog.blueventures.org\/media\/2018\/08\/Youth-Groups-450x316.jpg\" width=\"450\" height=\"316\" align=\"left\" title=\"Safidy-supported youth groups | Photo: Njaka Raveloson\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" class=\"lazyload\" style=\"--smush-placeholder-width: 450px; --smush-placeholder-aspect-ratio: 450\/316;\" \/><\/a><div class=\"tiled-gallery-caption\">Safidy-supported youth groups in the Velondriake LMMA | Photo: Njaka Raveloson<\/div><\/div><\/div><\/div><\/div>\n<p><span style=\"font-weight: 400;\">However, another serious challenge for Safidy is the increase in bandit attacks and the overall decline in safety in Madagascar. We need to think even more about the feasibility and outcomes of our activities: Can our teams travel safely to the villages? Where will our team sleep? Could the economic benefits brought about by an activity increase potential risks? How do you reduce the prevalence of malaria when communities are afraid to sleep in their houses at night? How can a CHW ensure that her clients receive adequate and consistent medication if they are constantly moving? \u00a0<\/span><\/p>\n<p><span class=\"pull-right\"><span style=\"font-weight: 400;\">Transferring ownership of activities has always been part of Blue Ventures\u2019 approach. By strengthening community agency, ownership, and resiliency in this way, we hope that those who are hardest to reach will not be left behind.<\/span><\/span><\/p>\n<p><span style=\"font-weight: 400;\">These questions and challenges are sometimes heartbreaking, but they are never debilitating. The communities that we serve continue to be resilient, and their perseverance and positivity always inspires me. Despite their limited resources and occasionally harsh living conditions, they continue to share their stories and work with us to make their communities a better place for themselves and for future generations.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">With those future generations in mind, we have designed handover strategies for all of our activities, where ownership will be transferred to communities, partners, or the government over the course of the next ten years. The political landscape of Madagascar is changeable, and sudden shifts in policy or governance can influence the direction and growth of the Safidy programme. The aim of Safidy is to strengthen the health system in Madagascar, regardless of our presence in the future.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Transferring ownership of activities has always been an integral part of Blue Ventures\u2019 approach, as by strengthening community agency, ownership, and resiliency in this way, we hope that those who are hardest to reach will not be left behind, even in the face of unprecedented challenges. Activity handovers also provide us with opportunities to diversify our services and address community needs and priorities that we haven\u2019t before.<\/span><\/p>\n<div id=\"attachment_9583\" style=\"width: 1210px\" class=\"wp-caption alignnone\"><img decoding=\"async\" aria-describedby=\"caption-attachment-9583\" class=\"wp-image-9583 size-full lazyload\" data-src=\"https:\/\/blog.blueventures.org\/media\/2018\/08\/Velondriake-Assoc.jpg\" alt=\"\" width=\"1200\" height=\"794\" data-srcset=\"https:\/\/blog.blueventures.org\/media\/2018\/08\/Velondriake-Assoc.jpg 1200w, https:\/\/blog.blueventures.org\/media\/2018\/08\/Velondriake-Assoc-98x65.jpg 98w, https:\/\/blog.blueventures.org\/media\/2018\/08\/Velondriake-Assoc-540x357.jpg 540w, https:\/\/blog.blueventures.org\/media\/2018\/08\/Velondriake-Assoc-730x483.jpg 730w, https:\/\/blog.blueventures.org\/media\/2018\/08\/Velondriake-Assoc-300x199.jpg 300w\" data-sizes=\"(max-width: 1200px) 100vw, 1200px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 1200px; --smush-placeholder-aspect-ratio: 1200\/794;\" \/><p id=\"caption-attachment-9583\" class=\"wp-caption-text\">The Velondriake Association in session in Andavadoaka, southwest Madagascar | Photo: Ben Honey<\/p><\/div>\n<p><span style=\"font-weight: 400;\">For personal reasons I will be leaving Blue Ventures at the end of August. I wouldn\u2019t say that I\u2019ve become a giant in my two years with Blue Ventures, but I hope and trust that those who follow me will stand on my shoulders, just as I have stood on the shoulders of those who came before me. With this mentality and culture we can ensure that we<\/span><span style=\"font-weight: 400;\"> are always making progress, continually gaining new experience, and never losing our passion for transforming health outcomes so that remote coastal communities can better engage in and manage their natural resources.<\/span><\/p>\n<hr \/>\n<h3>Learn more about the Safidy programme and Blue Ventures&#8217; <a href=\"https:\/\/discover.blueventures.org\/safidy-10-years\/#1\">first steps into community health<\/a><\/h3>\n<hr \/>\n<p>Thanks to all those that have supported the Safidy programme over the years, including the Helmsley Charitable Trust and the MacArthur Foundation.<\/p>\n<p>Cover image by <a href=\"https:\/\/blueventures.org\/team\/ben-honey\/\">Ben Honey<\/a><\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>11 years ago today, Blue Ventures made the decision to diversify its approach and support local health service provision. In this blog Nick Reed-Krase reflects on the development, accomplishments and future of the Safidy programme.<\/p>\n","protected":false},"author":149,"featured_media":9575,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[345,622,535,673],"tags":[505,576,483],"class_list":["post-9574","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-community-health","category-madagascar","category-thought","category-working-holistically","tag-family-planning","tag-resilience","tag-sharing-learning"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Progress, experience and passion: 11 years of supporting community health services in Madagascar - Blue Ventures - Beyond Conservation blog<\/title>\n<meta name=\"description\" content=\"11 years ago today, Blue Ventures made the decision to diversify its approach and support local health service provision. In this blog Nick Reed-Krase reflects on the development, accomplishments and future of the Safidy programme.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blog.blueventures.org\/en\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Progress, experience and passion: 11 years of supporting community health services in Madagascar - Blue Ventures - Beyond Conservation blog\" \/>\n<meta property=\"og:description\" content=\"11 years ago today, Blue Ventures made the decision to diversify its approach and support local health service provision. In this blog Nick Reed-Krase reflects on the development, accomplishments and future of the Safidy programme.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blog.blueventures.org\/en\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\/\" \/>\n<meta property=\"og:site_name\" content=\"Blue Ventures - Beyond Conservation blog\" \/>\n<meta property=\"article:published_time\" content=\"2018-08-15T12:54:58+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2018-10-23T15:56:35+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blog.blueventures.org\/media\/2018\/08\/Safidy-Consultation.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1600\" \/>\n\t<meta property=\"og:image:height\" content=\"1066\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Nick Reed-Krase\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@blueventures\" \/>\n<meta name=\"twitter:site\" content=\"@blueventures\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Nick Reed-Krase\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blog.blueventures.org\\\/en\\\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blog.blueventures.org\\\/en\\\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\\\/\"},\"author\":{\"name\":\"Nick Reed-Krase\",\"@id\":\"https:\\\/\\\/blog.blueventures.org\\\/en\\\/#\\\/schema\\\/person\\\/12f2f1495f96d06e972fa306a9fcd21a\"},\"headline\":\"Progress, experience and passion: 11 years of supporting community health services in Madagascar\",\"datePublished\":\"2018-08-15T12:54:58+00:00\",\"dateModified\":\"2018-10-23T15:56:35+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blog.blueventures.org\\\/en\\\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\\\/\"},\"wordCount\":1307,\"commentCount\":0,\"image\":{\"@id\":\"https:\\\/\\\/blog.blueventures.org\\\/en\\\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blog.blueventures.org\\\/media\\\/2018\\\/08\\\/Safidy-Consultation.jpg\",\"keywords\":[\"family planning\",\"resilience\",\"sharing learning\"],\"articleSection\":[\"Community Health\",\"Madagascar\",\"Thought\",\"Working holistically\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blog.blueventures.org\\\/en\\\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blog.blueventures.org\\\/en\\\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\\\/\",\"url\":\"https:\\\/\\\/blog.blueventures.org\\\/en\\\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\\\/\",\"name\":\"Progress, experience and passion: 11 years of supporting community health services in Madagascar - Blue Ventures - Beyond Conservation blog\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blog.blueventures.org\\\/en\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/blog.blueventures.org\\\/en\\\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/blog.blueventures.org\\\/en\\\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blog.blueventures.org\\\/media\\\/2018\\\/08\\\/Safidy-Consultation.jpg\",\"datePublished\":\"2018-08-15T12:54:58+00:00\",\"dateModified\":\"2018-10-23T15:56:35+00:00\",\"author\":{\"@id\":\"https:\\\/\\\/blog.blueventures.org\\\/en\\\/#\\\/schema\\\/person\\\/12f2f1495f96d06e972fa306a9fcd21a\"},\"description\":\"11 years ago today, Blue Ventures made the decision to diversify its approach and support local health service provision. In this blog Nick Reed-Krase reflects on the development, accomplishments and future of the Safidy programme.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blog.blueventures.org\\\/en\\\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blog.blueventures.org\\\/en\\\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blog.blueventures.org\\\/en\\\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\\\/#primaryimage\",\"url\":\"https:\\\/\\\/blog.blueventures.org\\\/media\\\/2018\\\/08\\\/Safidy-Consultation.jpg\",\"contentUrl\":\"https:\\\/\\\/blog.blueventures.org\\\/media\\\/2018\\\/08\\\/Safidy-Consultation.jpg\",\"width\":1600,\"height\":1066},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blog.blueventures.org\\\/en\\\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blog.blueventures.org\\\/en\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Progress, experience and passion: 11 years of supporting community health services in Madagascar\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/blog.blueventures.org\\\/en\\\/#website\",\"url\":\"https:\\\/\\\/blog.blueventures.org\\\/en\\\/\",\"name\":\"Blue Ventures - Beyond Conservation blog\",\"description\":\"Voices from the front line of marine conversation\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/blog.blueventures.org\\\/en\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/blog.blueventures.org\\\/en\\\/#\\\/schema\\\/person\\\/12f2f1495f96d06e972fa306a9fcd21a\",\"name\":\"Nick Reed-Krase\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/13be2a03dab1dbb749e25277a14b78f6bc95f209b43108a0716e4db02abd3b18?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/13be2a03dab1dbb749e25277a14b78f6bc95f209b43108a0716e4db02abd3b18?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/13be2a03dab1dbb749e25277a14b78f6bc95f209b43108a0716e4db02abd3b18?s=96&d=mm&r=g\",\"caption\":\"Nick Reed-Krase\"},\"description\":\"As a Community Health Programme Coordinator, Nick provides technical support and oversight to our community health programme, which is integrated with community-based natural resource management initiatives in coastal areas in three regions of Madagascar.\",\"url\":\"https:\\\/\\\/blog.blueventures.org\\\/en\\\/author\\\/nick-reed-krase\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Progress, experience and passion: 11 years of supporting community health services in Madagascar - Blue Ventures - Beyond Conservation blog","description":"11 years ago today, Blue Ventures made the decision to diversify its approach and support local health service provision. In this blog Nick Reed-Krase reflects on the development, accomplishments and future of the Safidy programme.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blog.blueventures.org\/en\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\/","og_locale":"en_US","og_type":"article","og_title":"Progress, experience and passion: 11 years of supporting community health services in Madagascar - Blue Ventures - Beyond Conservation blog","og_description":"11 years ago today, Blue Ventures made the decision to diversify its approach and support local health service provision. In this blog Nick Reed-Krase reflects on the development, accomplishments and future of the Safidy programme.","og_url":"https:\/\/blog.blueventures.org\/en\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\/","og_site_name":"Blue Ventures - Beyond Conservation blog","article_published_time":"2018-08-15T12:54:58+00:00","article_modified_time":"2018-10-23T15:56:35+00:00","og_image":[{"width":1600,"height":1066,"url":"https:\/\/blog.blueventures.org\/media\/2018\/08\/Safidy-Consultation.jpg","type":"image\/jpeg"}],"author":"Nick Reed-Krase","twitter_card":"summary_large_image","twitter_creator":"@blueventures","twitter_site":"@blueventures","twitter_misc":{"Written by":"Nick Reed-Krase","Est. reading time":"6 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blog.blueventures.org\/en\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\/#article","isPartOf":{"@id":"https:\/\/blog.blueventures.org\/en\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\/"},"author":{"name":"Nick Reed-Krase","@id":"https:\/\/blog.blueventures.org\/en\/#\/schema\/person\/12f2f1495f96d06e972fa306a9fcd21a"},"headline":"Progress, experience and passion: 11 years of supporting community health services in Madagascar","datePublished":"2018-08-15T12:54:58+00:00","dateModified":"2018-10-23T15:56:35+00:00","mainEntityOfPage":{"@id":"https:\/\/blog.blueventures.org\/en\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\/"},"wordCount":1307,"commentCount":0,"image":{"@id":"https:\/\/blog.blueventures.org\/en\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\/#primaryimage"},"thumbnailUrl":"https:\/\/blog.blueventures.org\/media\/2018\/08\/Safidy-Consultation.jpg","keywords":["family planning","resilience","sharing learning"],"articleSection":["Community Health","Madagascar","Thought","Working holistically"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blog.blueventures.org\/en\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blog.blueventures.org\/en\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\/","url":"https:\/\/blog.blueventures.org\/en\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\/","name":"Progress, experience and passion: 11 years of supporting community health services in Madagascar - Blue Ventures - Beyond Conservation blog","isPartOf":{"@id":"https:\/\/blog.blueventures.org\/en\/#website"},"primaryImageOfPage":{"@id":"https:\/\/blog.blueventures.org\/en\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\/#primaryimage"},"image":{"@id":"https:\/\/blog.blueventures.org\/en\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\/#primaryimage"},"thumbnailUrl":"https:\/\/blog.blueventures.org\/media\/2018\/08\/Safidy-Consultation.jpg","datePublished":"2018-08-15T12:54:58+00:00","dateModified":"2018-10-23T15:56:35+00:00","author":{"@id":"https:\/\/blog.blueventures.org\/en\/#\/schema\/person\/12f2f1495f96d06e972fa306a9fcd21a"},"description":"11 years ago today, Blue Ventures made the decision to diversify its approach and support local health service provision. In this blog Nick Reed-Krase reflects on the development, accomplishments and future of the Safidy programme.","breadcrumb":{"@id":"https:\/\/blog.blueventures.org\/en\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blog.blueventures.org\/en\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blog.blueventures.org\/en\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\/#primaryimage","url":"https:\/\/blog.blueventures.org\/media\/2018\/08\/Safidy-Consultation.jpg","contentUrl":"https:\/\/blog.blueventures.org\/media\/2018\/08\/Safidy-Consultation.jpg","width":1600,"height":1066},{"@type":"BreadcrumbList","@id":"https:\/\/blog.blueventures.org\/en\/progress-experience-and-passion-11-years-of-supporting-community-health-services-in-madagascar\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blog.blueventures.org\/en\/"},{"@type":"ListItem","position":2,"name":"Progress, experience and passion: 11 years of supporting community health services in Madagascar"}]},{"@type":"WebSite","@id":"https:\/\/blog.blueventures.org\/en\/#website","url":"https:\/\/blog.blueventures.org\/en\/","name":"Blue Ventures - Beyond Conservation blog","description":"Voices from the front line of marine conversation","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/blog.blueventures.org\/en\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/blog.blueventures.org\/en\/#\/schema\/person\/12f2f1495f96d06e972fa306a9fcd21a","name":"Nick Reed-Krase","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/13be2a03dab1dbb749e25277a14b78f6bc95f209b43108a0716e4db02abd3b18?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/13be2a03dab1dbb749e25277a14b78f6bc95f209b43108a0716e4db02abd3b18?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/13be2a03dab1dbb749e25277a14b78f6bc95f209b43108a0716e4db02abd3b18?s=96&d=mm&r=g","caption":"Nick Reed-Krase"},"description":"As a Community Health Programme Coordinator, Nick provides technical support and oversight to our community health programme, which is integrated with community-based natural resource management initiatives in coastal areas in three regions of Madagascar.","url":"https:\/\/blog.blueventures.org\/en\/author\/nick-reed-krase\/"}]}},"_links":{"self":[{"href":"https:\/\/blog.blueventures.org\/en\/wp-json\/wp\/v2\/posts\/9574","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blog.blueventures.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.blueventures.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.blueventures.org\/en\/wp-json\/wp\/v2\/users\/149"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.blueventures.org\/en\/wp-json\/wp\/v2\/comments?post=9574"}],"version-history":[{"count":0,"href":"https:\/\/blog.blueventures.org\/en\/wp-json\/wp\/v2\/posts\/9574\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blog.blueventures.org\/en\/wp-json\/wp\/v2\/media\/9575"}],"wp:attachment":[{"href":"https:\/\/blog.blueventures.org\/en\/wp-json\/wp\/v2\/media?parent=9574"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.blueventures.org\/en\/wp-json\/wp\/v2\/categories?post=9574"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.blueventures.org\/en\/wp-json\/wp\/v2\/tags?post=9574"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}