Madagascar’s maternal mortality ratio of 478 deaths per 100,000 live births is among the highest in sub-Saharan Africa, and 20–25% of those deaths are estimated to be due to postpartum hemorrhage (PPH).1 Women in Madagascar face a lack of access to quality maternity care; 83% of the population lives in rural areas, which have a high fertility rate and low rates of skilled birth attendance (44%) and facility-based delivery (39%),2 and where an insufficient maternal health workforce is poorly distributed.

In response to these challenges and as part of ongoing efforts to accelerate reductions in maternal deaths, Advancements in Postpartum Hemorrhage Care (APPHC) is a catalytic investment by USAID in Malawi and Madagascar for accelerating reductions in maternal deaths. This program brief presents APPHC’s portfolio of research activities in Madagascar.

The APPHC Partnership is led by the Breakthrough RESEARCH and Health Evaluation and Applied Research Development (HEARD) projects. The HEARD and Breakthrough RESEARCH projects are both designed to provide significant global implementation research and social and behavior change (SBC) research expertise and experience for reliable evidence and strengthened institutional capacities in these fields. A description of the APPHC Partnership Approach is available, and a similar brief describes APPCH’s Malawi portfolio.