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ORIGINAL ARTICLE
Open Access

Practical Implications of Policy Guidelines: A GIS Model of the Deployment of Community Health Volunteers in Madagascar

Aurélie Brunie, James MacCarthy, Brian Mulligan, Yvette Ribaira, Andry Rabemanantsoa, Louisette Rahantanirina, Caleb Parker and Emily Keyes
Global Health: Science and Practice September 2020, 8(3):466-477; https://doi.org/10.9745/GHSP-D-19-00421
Aurélie Brunie
aHealth Services Research, FHI 360, Washington, DC, USA.
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  • For correspondence: abrunie@fhi360.org
James MacCarthy
bBehavioral, Epidemiological and Clinical Sciences, FHI 360, Durham, NC, USA.
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Brian Mulligan
cCommunity Capacity for Health Program, JSI Research & Training Institute, Inc., Antananarivo, Madagascar.
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Yvette Ribaira
cCommunity Capacity for Health Program, JSI Research & Training Institute, Inc., Antananarivo, Madagascar.
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Andry Rabemanantsoa
cCommunity Capacity for Health Program, JSI Research & Training Institute, Inc., Antananarivo, Madagascar.
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Louisette Rahantanirina
cCommunity Capacity for Health Program, JSI Research & Training Institute, Inc., Antananarivo, Madagascar.
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Caleb Parker
bBehavioral, Epidemiological and Clinical Sciences, FHI 360, Durham, NC, USA.
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Emily Keyes
dReproductive, Maternal, Newborn and Child Health, FHI 360, Durham, NC, USA.
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Figures & Tables

Figures

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  • FIGURE 1.
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    FIGURE 1.

    Number of ACs per Fokontany in Madagascar

    Abbreviation: ACs, agents communautaires (community health workers).

  • FIGURE 2.
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    FIGURE 2.

    Population Coverage per ACs in Madagascar

    Abbreviation: ACs, agents communautaires (community health workers).

  • FIGURE 3.
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    FIGURE 3.

    Surface Area to ACs in Madagascar

    Abbreviation: ACs, agents communautaires (community health workers).

  • FIGURE 4.
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    FIGURE 4.

    Number of Fokontany per Population and Surface Area Covered by ACs

    Abbreviation: ACs, agents communautaires (community health workers).

  • FIGURE 5.
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    FIGURE 5.

    Estimated Travel Time for AC From Each Fokontany to Their Assigned CSB by Foot During the Dry Season (1 Way)

    Abbreviations: ACs, agents communautaires (community health workers); CSB, centres de santé de base (health centers).

  • FIGURE 6.
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    FIGURE 6.

    Estimated Travel Time for AC From Each Fokontany to Their Assigned PA by Foot During the Dry Season (1 Way)

    Abbreviations: ACs, agents communautaires (community health workers); PA, points d’approvisionnement (supply points).

Tables

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    TABLE 1.

    Characteristics of 2 Districts in Madagascar and Distribution of Community Health Workers

    DistrictMandritsaraMananara Nord
    RegionSofiaAnalanjirofo
    Population323,242216,281
    Number of fokontany239206
    Number of CSB with ACs3519
    Number of PA3017
    Number of AC530432
    • Abbreviations: AC, agents communautaires (community health workers); CSB, centres de santé de base (health centers); PA, points d’approvisionnement (supply points).

    • View popup
    TABLE 2.

    Travel Times for ACs From Each Fokontany to Their Assigned and Closest CSBs

    DistrictAssigned, hClosest, h
    MinMaxMeanMedianMinMaxMeanMedian
    Travel time to CSB
    Mandritsara0.0510.593.002.560.057.622.522.20
    Mananara Nord0.139.172.682.170.138.412.241.89
    Both districts0.0510.592.862.340.058.412.392.04
    Travel time to PA
    Mandritsara0.0711.823.232.570.0711.822.872.33
    Mananara Nord0.1411.052.972.340.148.972.592.07
    Both districts0.0711.823.112.450.0711.822.742.27
    • Abbreviations: AC, agents communautaires (community health workers); CSB, centres de santé de base (health centers); PA, points d’approvisionnement (supply points).

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Global Health: Science and Practice: 8 (3)
Global Health: Science and Practice
Vol. 8, No. 3
September 30, 2020
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Practical Implications of Policy Guidelines: A GIS Model of the Deployment of Community Health Volunteers in Madagascar
Aurélie Brunie, James MacCarthy, Brian Mulligan, Yvette Ribaira, Andry Rabemanantsoa, Louisette Rahantanirina, Caleb Parker, Emily Keyes
Global Health: Science and Practice Sep 2020, 8 (3) 466-477; DOI: 10.9745/GHSP-D-19-00421

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Practical Implications of Policy Guidelines: A GIS Model of the Deployment of Community Health Volunteers in Madagascar
Aurélie Brunie, James MacCarthy, Brian Mulligan, Yvette Ribaira, Andry Rabemanantsoa, Louisette Rahantanirina, Caleb Parker, Emily Keyes
Global Health: Science and Practice Sep 2020, 8 (3) 466-477; DOI: 10.9745/GHSP-D-19-00421
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