The United States Agency for International Development (USAID)-funded Improving Market Partnerships and Access to Commodities Together (IMPACT) program in Madagascar works to improve the health commodities supply chain. Banyan Global led the IMPACT gender equality and social inclusion (GESI) portfolio, ensuring the integration of GESI considerations into the design and implementation of the project.

Capitalizing on lessons learned through IMPACT GESI activities, Banyan Global developed this GESI Learning Manual for Supply Chain Management in Madagascar. The manual, developed with input from 15 public, private, and local partners in Madagascar, is a technical capacity-building tool to increase knowledge around the linkages between GESI and health topics including family planning; malaria; maternal, newborn, and child health; gender-based violence; and COVID-19. The manual may also be used as a training aid. The primary audience is health supply chain managers across Madagascar’s public, private, social marketing sectors, who may use this manual to increase their technical abilities. The secondary audience is individuals and practitioners interested in themes related to health, supply chains, gender equality, women’s empowerment, and social inclusion.

This manual, also available in English, is organized into four parts:

1. Key GESI and health-related concepts,
2. Madagascar-specific health data points,
3. Illustrative IMPACT interventions that utilized a GESI lens to support strengthening the health supply chain, and
4. Relevant GESI tools and resources to support inclusivity and equity in everyday health supply chain and system programming.