Accessible Continuum of Care and Essential Services Sustained (ACCESS) Program in Madagascar

Funding Agency:
US Agency for International Development

The ACCESS activity aims to support activities that will contribute to USAID/Madagascar's five-year (2016-2020) Health Development Objective (DO) focused on “sustainable health impacts accelerated for Malagasy People.” By building upon the successes and lessons learned from USAID’s health programs Mikolo, MAHEFA, Mahefa Miaraka, and Maternal and Child Survival Program (MCSP), this activity will increase the capacity of the Malagasy health system to deliver quality essential health services to rural and urban populations. The activity will strengthen the service delivery continuum through community health volunteers (CHVs), primary health facilities or Centre de Santé de Base (CSBs), and district hospitals by improving clinical and non-clinical skills of health providers and through focused efforts to strengthen health systems at the district level and below. The activity will also engage with regional health authorities to ensure coordination and effective management of health activities in their districts. Work at the national level will focus on the development of in-service training curricula for health providers and development of performance improvement and quality assurance measures. In addition, ACCESS will work to develop healthy norms and health seeking behaviors and build the capacity of Malagasy institutions to lead and coordinate social and behavior change activities. 

Each applicant may only submit one application for this NOFO.

  • Duke Internal Deadline: March 20, 2018
  • Sponsor Deadline: Apr. 9, 2018

If the internal deadline has passed and you are interested in this opportunity, please email Anastasia Maddox at to find out if it is still open.

Agency Website

Eligibility Requirements

U.S. and non-U.S. organizations may submit an application under this NOFO. USAID/Madagascar welcomes applications from organizations which have not previously received financial assistance from USAID. 



Amount Description

Subject to the availability of funding, USAID/Madagascar intends to provide approximately $90 million in USAID funding over a five-year period. The actual funding amount is subject to the availability of funds. USAID/Madagascar intends to award one Cooperative Agreement pursuant to this NOFO; USAID/Madagascar reserves the right to fund any one or none of the applications submitted. 

Funding Type





International Opportunities
Medical - Clinical Science
Social Sciences

Internal Nomination

Owing to the sponsor's restriction on the number of applications that may be submitted from Duke, anyone wishing to pursue nomination should submit the following materials as one PDF.

* A letter of support from dean or chair - 1 to 1.5 pages
* Project summary - 2 to 4 pages
* CV or Biosketch of project leader

Please submit internal materials through My Research Proposal. (Code ILN)

Instructions for setting up your account and uploading internal applications can be found here: Instructions_FINAL.pdf

Internal Deadline

March 20, 2018

External Deadline

April 19, 2018