THE PURPOSE OF USAID/MADAGASCAR¿S ACCESSIBLE CONTINUUM OF CARE AND ESSENTIAL SERVICES SUSTAINED (ACCESS) ACTIVITY IS TO INCREASE THE CAPACITY OF THE MALAGASY HEALTH SYSTEM TO DELIVER QUALITY ESSENTIAL HEALTH SERVICES TO RURAL AND URBAN POPULATIONS. THE ACTIVITY WILL STRENGTHEN THE SERVICE DELIVERY CONTINUUM THROUGH COMMUNITY HEALTH VOLUNTEERS (CHVS), PRIMARY HEALTH FACILITIES OR CENTRE DE SANTÉ DE BASE (CSBS), AND DISTRICT HOSPITALS BY IMPROVING CLINICAL AND NON-CLINICAL SKILLS OF HEALTH PROVIDERS AND STRENGTHEN HEALTH SYSTEMS AT THE DISTRICT LEVEL AND BELOW. THE ACTIVITY WILL ALSO ENGAGE WITH REGIONAL HEALTH AUTHORITIES TO ENSURE COORDINATION AND EFFECTIVE MANAGEMENT OF HEALTH ACTIVITIES IN THEIR DISTRICTS.