Mothers & Newborns
Dying in Madagascar
During Childbirth

Our goal is to partner with GUSI (Global Ultrasound Institute) and leading portable ultrasound manufacturers to place life-saving diagnostic tools directly in the hands of trained local providers across Madagascar — so that dangerous complications are caught early, not discovered too late.

1. Start with the ground truth.Our plan begins by mapping what already exists — facilities, referral pathways, blood supply, and the midwives, nurses, and physicians who are closest to mothers at the moment of crisis.
2. Train local champions through GUSI.We enrol a core group of local providers in GUSI's OB POCUS Essentials and Pediatric POCUS courses — then certify them to train others, so the knowledge multiplies without depending on outside experts indefinitely.
3. Put the right device in the right hands.We partner with portable ultrasound brands — Butterfly iQ+, Philips Lumify, GE Vscan Air — to source devices suited to Madagascar's power infrastructure, connectivity, and budget. No unnecessary complexity, just what works in the field.
4. Build a referral system around what the scan finds.A scan without a clear next step saves no one. Our plan defines exactly what to look for, which findings require immediate referral, and how to document everything at the point of care — so no warning sign is lost in translation.
5. Sustain it through ongoing quality assurance.Regular image review sessions, outcomes tracking, and refresher training keep skills sharp and standards high — turning a one-time intervention into a durable change in how care is delivered.