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Despite recent progress, Madagascar faces pressing public health issues—high rates of maternal mortality (392 deaths per 100,000 live births) and infant mortality (45 deaths per 1,000 live births). In response, USAID’s Accessible Continuum of Care and Essential Services Sustained (ACCESS; 2018–2023) project sought to improve the capacity and quality of health services and integrate social and behavior change (SBC) practices into health activities across 14 regions of Madagascar. Learn What We’re Doing, What We’re Learning, and the Impact of this work here.