Supported by the GFF, the government of Madagascar is prioritizing actions to increase resources to frontline health care providers by channeling more funding and deploying more qualified workers in underserved areas. Focus is also placed on increasing demand for services among vulnerable populations, improving access to financial protection, strengthening service delivery networks and enhancing the national civil registration and vital statistics. The government also plans to develop a new health financing strategy for universal health care and further increase the financial autonomy of community health centers. See Madagascar's investment case for 2025–2029 for more details.

The GFF supports partner alignment, including on resource mapping and expenditure tracking to increase the transparency of financing. The GFF further funds technical and analytical support at the primary health care level, with a focus on adolescent and youth friendly service provision, integration of health and nutrition services, supply chain management, and quality improvements through rapid phone surveys and results-focused decision making.

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