Developing an RMNCAH-N Investment Case: Madagascar's Journey

Improvements in reproductive, maternal, neonatal, child, and adolescent health, and nutrition (RMNCAH-N) care and services are critical to reaching global and national health objectives. This document outlines Madagascar’s experience in developing an investment case as part of a grant application for RMNCAH-N from the World Bank’s Global Fund Facility. The process involves examining levels of access to and coverage of RMNCAH-N services, examining barriers preventing certain populations from obtaining and benefiting from quality healthcare, and determining priority investments to address bottlenecks. An investment case includes a theory of change, the cost of prioritized interventions in prioritized regions, and the resources available and needed. Madagascar launched the seven-step process in December 2016, almost a year before the country was formally selected as a beneficiary in November 2017, indicating the government’s commitment to improving the health and nutrition of women, children, and adolescents.

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