Andrés Garchitorena

Biographic Data

ID7019068
NAMEAndrés Garchitorena
GIVEN NAMESAndrés
FAMILY NAMEGarchitorena
SIGNATUREGARCHITORENA A
AFFILIATIONSCentre National de la Recherche Scientifique
ORCID0000-0001-6225-5226
VERIFIEDYes
TOTAL WORKS12
TOTAL CITATIONS0
WORKS AS AUTHOR12
WORKS AS EDITOR0
FIRST PUBLICATION YEAR2017
LATEST PUBLICATION YEAR2024
H-INDEX0

  • Evaluation of a novel approach to community health care delivery in Ifanadiana District, Madagascar

    Open AccessBenedicte Razafinjato, Luc Rakotonirina et al.ARTICLEPLOS Global Public Health2024

    Despite widespread adoption of community health (CH) systems, there are evidence gaps to support global best practice in remote settings where access to health care is limited and community health workers (CHWs) may be the only available providers. The nongovernmental health organization Pivot partnered with the Ministry of Public Health (MoPH) to pilot a new enhanced community health (ECH) model in rural Madagascar, where one CHW provided care a…

  • Excess mortality associated with the Covid-19 pandemic during the 2020 and 2021 waves in Antananarivo, Madagascar

    Open AccessJoelinotahiana Hasina Rabarison, Jean Marius Rakotondramanga et al.ARTICLEBMJ Global Health2023

    INTRODUCTION: COVID-19-associated mortality remains difficult to estimate in sub-Saharan Africa because of the lack of comprehensive systems of death registration. Based on death registers referring to the capital city of Madagascar, we sought to estimate the excess mortality during the COVID-19 pandemic and calculate the loss of life expectancy. METHODS: Death records between 2016 and 2021 were used to estimate weekly excess mortality during the…

  • Climatic, land-use and socio-economic factors can predict malaria dynamics at fine spatial scales relevant to local health actors

    Open AccessJulie D Pourtois, Krti Tallam et al.ARTICLEPLOS Global Public Health2023

    While much progress has been achieved over the last decades, malaria surveillance and control remain a challenge in countries with limited health care access and resources. High-resolution predictions of malaria incidence using routine surveillance data could represent a powerful tool to health practitioners by targeting malaria control activities where and when they are most needed. Here, we investigate the predictors of spatio-temporal malaria …

  • Impact of health system strengthening on delivery strategies to improve child immunisation coverage and inequalities in rural Madagascar

    Open AccessElinambinina Rajaonarifara, Matthew H Bonds et al.ARTICLEBMJ Global Health2022

    BACKGROUND: To reach global immunisation goals, national programmes need to balance routine immunisation at health facilities with vaccination campaigns and other outreach activities (eg, vaccination weeks), which boost coverage at particular times and help reduce geographical inequalities. However, where routine immunisation is weak, an over-reliance on vaccination campaigns may lead to heterogeneous coverage. Here, we assessed the impact of a h…

  • Geographic barriers to care persist at the community healthcare level

    Open AccessMichelle V Evans, Tanjona Andréambeloson et al.ARTICLEPLOS Global Public Health2022

    Geographic distance is a critical barrier to healthcare access, particularly for rural communities with poor transportation infrastructure who rely on non-motorized transportation. There is broad consensus on the importance of community health workers (CHWs) to reduce the effects of geographic isolation on healthcare access. Due to a lack of fine-scale spatial data and individual patient records, little is known about the precise effects of CHWs …

  • Integrating Health Systems and Science to Respond to Covid-19 in a Model District of Rural Madagascar

    Open AccessRado J L Rakotonanahary, Herinjaka Andriambolamanana et al.ARTICLEFrontiers in Public Health2021

    There are many outstanding questions about how to control the global COVID-19 pandemic. The information void has been especially stark in the World Health Organization Africa Region, which has low per capita reported cases, low testing rates, low access to therapeutic drugs, and has the longest wait for vaccines. As with all disease, the central challenge in responding to COVID-19 is that it requires integrating complex health systems that incorp…

  • Geographic barriers to establishing a successful hospital referral system in rural Madagascar

    Open AccessFelana Ihantamalala, Felana Angella Ihantamalala et al.ARTICLEBMJ Global Health2021

    BACKGROUND: The provision of emergency and hospital care has become an integral part of the global vision for universal health coverage. To strengthen secondary care systems, we need to accurately understand the time necessary for populations to reach a hospital. The goal of this study was to develop methods that accurately estimate referral and prehospital time for rural districts in low and middle-income countries. We used these estimates to as…

  • Geographic barriers to achieving universal health coverage

    Open AccessAndrés Garchitorena, Felana A Ihantamalala et al.ARTICLEHealth Policy and Planning2021

    Poor geographic access can persist even when affordable and well-functioning health systems are in place, limiting efforts for universal health coverage (UHC). It is unclear how to balance support for health facilities and community health workers in UHC national strategies. The goal of this study was to evaluate how a health system strengthening (HSS) intervention aimed towards UHC affected the geographic access to primary care in a rural distri…

  • District-level health system strengthening for universal health coverage

    Open AccessAndrés Garchitorena, Ann C Miller et al.ARTICLEBMJ Global Health2020

    INTRODUCTION: Despite renewed commitment to universal health coverage and health system strengthening (HSS) to improve access to primary care, there is insufficient evidence to guide their design and implementation. To address this, we conducted an impact evaluation of an ongoing HSS initiative in rural Madagascar, combining data from a longitudinal cohort and primary health centres. METHODS: We carried out a district representative household sur…

  • Reconciling model predictions with low reported cases of Covid-19 in Sub-Saharan Africa

    Open AccessMichelle V Evans, Ugo Pagallo et al.ARTICLEGlobal Health Action2020

    COVID-19 has wreaked havoc globally with particular concerns for sub-Saharan Africa (SSA), where models suggest that the majority of the population will become infected. Conventional wisdom suggests that the continent will bear a higher burden of COVID-19 for the same reasons it suffers from other infectious diseases: ecology, socio-economic conditions, lack of water and sanitation infrastructure, and weak health systems. However, so far SSA has …

  • Child malnutrition in Ifanadiana district, Madagascar

    Open AccessSarah McCuskee, Andrés Garchitorena et al.ARTICLEGlobal Health Action2018

    BACKGROUND: Child malnutrition, a leading cause of death and disability worldwide, is particularly severe in Madagascar, where 47% of children under 5 years are stunted (low height-for-age) and 8% are wasted (low weight-for-height). Widespread poverty and a weak health system have hindered attempts to implement life-saving malnutrition interventions in Madagascar during critical periods for growth faltering. OBJECTIVE: This study aimed to shed li…

  • Baseline population health conditions ahead of a health system strengthening program in rural Madagascar

    Open AccessAnn C Miller, Ranto H Ramananjato et al.ARTICLEGlobal Health Action2017

    BACKGROUND: A model health district was initiated through a program of health system strengthening (HSS) in Ifanadiana District of southeastern Madagascar in 2014. We report population health indicators prior to initiation of the program. METHODS: A representative household survey based on the Demographic Health Survey was conducted using a two-stage cluster sampling design in two strata - the initial program catchment area and the future catchme…