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Mbolatiana Razafimahefa

Mbolatiana Razafimahefa
Position: Health Service Delivery Director
Organization: PSI Madagascar
Country of Origin:
Current Location:
Within PSI Madagascar's social Franchise called Top Reseau, Mbolatiana, as the Service Delivery Director, was really involved to develop the youth friendly services program to attract youth seeking for counseling in terms of family planning methods. – Rajo Rajaonarivelo, Deputy Country Representative at PSI Madagascar
Describe your contributions to and achievements in family planning.

As a medical provider in a health facility in the beginning of my career, I provided FP services to youth, sex workers, women in general. It gave me real satisfaction to see a woman feeling calm and safe right after receiving her method. Then, I worked at PSI and contributed to the following achievements: expansion of the Top Réseau social franchise network into 350 health providers spreaded around the country and offering comprehensive range of FP services, development of youth communication campaign to raise awareness and to increase self-efficacy towards FP use among youth, launch of new FP products and services, management of the FP/RH program that led to an average of 500,000 DALYs/year and integration of gender approach into the FP program.

What sparked your passion for family planning?

My passion for FP came from these three important facts : first the high maternal mortality rate in my country, mainly in rural areas. This situation could be improved by addressing FP in a holistic way. Second, I love children and I want them to be wanted. Any pregnancy should be planned, based on everyone’s choice and capacity to respect the basic right of their future children (education, health etc.), and last I believe I can actively contribute and make a difference.

What is the biggest challenge you’ve faced in your family planning efforts, and what have you done to overcome it?

Youth is one of the principal target group for FP. The situation was that some health providers were reluctant to provide FP services to unmarried youth. A training on youth-friendly services has resolved the situation, with a discussion on the current context, the current data, the possible results of not providing them a quality FP service.

What is your (country/region/city)’s biggest challenge in family planning, and how can it be addressed?

Despite many efforts led by the Ministry of Health in collaboration with the stakeholders, there are many barriers:policy, provision of services and at the target group level. The biggest challenge seems the cultural issues among target group which include misinformations, false beliefs around FP and gender issues. Men are often the primary decision-makers. In order to address this situation, more targeted communication strategy and advocacy involving the traditionnal leaders should be effective

What do you want to accomplish in the next 5 years?

In the next five years, I aim to increase my contributions to increase health impact related to FP use,
- by working at a higher level on policy and laws to improve environment around FP,
- and by expanding existing activities which directly reach female and male youth, men an women and improving availability, quality and access to FP services.

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