This memo from USAID/Madagascar outlines revised guidelines for in-country per diem, lodging, and transportation payments for officials, civil society, nonprofit staff, and Community Health Volunteers (CHVs). It supersedes a previous 2021 memo, introducing new eligibility criteria and rates based on recommendations from various stakeholders.
Key points include:
- Per diem eligibility requires official travel away from the normal workplace for over eight hours, with specific rates established for regional capitals and district centers. Rates are adjustable based on meals and lodging provided.
- Senior Government of Madagascar officials may access higher lodging reimbursements.
- Transportation reimbursements cover actual travel costs or fixed daily rates based on location.
- CHVs are eligible for stipends only during qualifying travel for non-regular activities, with explicit daily rates for various events and transportation options.
- Double payments from multiple sources are prohibited.
The memo's comprehensive approach reflects USAID's effort to standardize support for health-related initiatives, ensuring fair treatment and budget adherence among its partners in Madagascar. It emphasizes collaboration and adherence to established guidelines for efficient resource management.
The USAID Access Miahy program, set to launch with a Notice of Funding Opportunity (NOFO) issued on October 7, 2024, aims to enhance maternal and child health services in Madagascar. The program seeks to build the capacity of the local health system by improving primary health care (PHC) services and addressing critical health issues like maternal mortality, malnutrition, and childhood diseases. The initiative targets nine regions, focusing on strengthening health management, governance, and service delivery through enhanced training and resources for health care workers.
Key objectives include increasing access to quality health services, improving local governance, and fostering healthy behaviors among communities. The program emphasizes sustainability through community involvement and integration of local organizations in implementation efforts, aligning with USAID's localization goals. Cross-cutting considerations include gender equity, youth engagement, and private sector collaboration to optimize health outcomes. Climate risk management and environmental compliance are integral components. Overall, Access Miahy represents a comprehensive approach to improving health results in underserved populations by empowering local actors and enhancing health system resilience.