Many outbreaks of infectious disease and other health emergencies and natural disasters in Madagascar have shown the devastating consequences of inadequate and lack of Infection Prevention and Control (IPC) and Water Sanitation and Hygien (WASH) capabilities. According to the World Health Organization (WHO), every country should have the minimum requirements in place to contribute to global health security. The objective is to conduct an evaluation of the national PCI program followed by an analysis of the program's Strengths, Weaknesses, Challenges, Opportunities, and Threats. A situational analysis was carried out, using the Infection Prevention and Control Assessment Tools 2 (IPCAT2), comprising 25 indicators, reflecting the main components of the infection control program recommended by WHO: the national program, guidelines, education and training, surveillance of Healthcare-Associated Infections (HAI), multimodal strategies and monitoring-evaluation. The total score will be the sum of all “yes” answers for each main component, weighted according to the number of indicators for each component. The results were used to analyze Strengths, Weaknesses, Challenges, Opportunities, and Threats. The IPCAT2 tool used provides an overview of the progress of IMCI activities in accordance with WHO recommendations. For Madagascar, the total score is 16%. In addition, the implementation of three of the six components and minimum requirements has not yet begun, namely education and training, surveillance of Healthcare-Associated Infections (HAI), and monitoring-evaluation. Concernant les 3 autres composantes et exigences minimales, Madagascar has nominated IPC focal point and officially launched the program in 2023, with action plan. Guidelines and training curricula have been drawn up. Capacity-building and follow-up training have also been carried out. In addition, HAI surveillance has been integrated into the national disease surveillance system. IPC Monitoring and evaluation of health facilities will be carried out using IPCAF tool. The main challenges include institutional instability, the availability of sustainable resources for routine IPC activities, and the low level of technical facilities in health care establishments. Continued efforts and multi-sectoral commitment at all levels would contribute to the sustainable development of Madagascar's national IPC program.

Infection Prevention and Control Program Implementation, Madagascar