100&Change: 2021

Overcoming Madagascar’s Number One Killer: Pollution

Trustees of Indiana University

In Madagascar, where pollution causes nearly one third of premature deaths, we will implement the country’s action plan to restore the environment and save lives.

Submitted: August 2019
DOWNLOAD: Project Factsheet
Two-page overview of proposal
Competition Participation
100&Change: 2021
Current Work Location(s):
  • Analamanga Region, Madagascar
  • Tỉnh Hưng Yên, Vietnam
  • Hebei Sheng, China
  • Central Region, Uganda
  • South-West Region, Cameroon
  • Analamanga Region, Madagascar
  • Androy Region, Madagascar
  • Atsimo-Andrefana Region, Madagascar
  • Haute Matsiatra Region, Madagascar
  • Vakinankaratra Region, Madagascar
Priority Population(s):
  • Low-income people
  • Extremely poor people
Sustainable Development Goals (SDGs):
  • 3. Good health and well-being
  • 7. Affordable and clean energy
  • 11. Sustainable cities and communities
  • 12. Responsible consumption and production
  • 13. Climate action

Executive Summary

Contamination of air, soil, and water is the leading cause of death in Madagascar. While other risk factors such as malnutrition and communicable diseases are declining, the burden of pollution continues to rise. The will to address this problem is strong: government agencies have partnered with the Global Alliance on Health and Pollution to draft a Health and Pollution Action Plan that has the support of Malagasy grassroots organizations. However, as one of the world’s poorest countries, Madagascar lacks the resources and expertise to make the necessary changes. Our project closes the gap between the will and the way by joining local Malagasy communities and leaders in a multidisciplinary network of experts to address the technical, logistical, and social components of harm reduction. In five years, we will reduce pollution exposure for half the population and develop local capacity to bring pollution levels down to developed-country standards within 20 years.

Organization Details
Lead Organization

Trustees of Indiana University

website: https://SolvePollution.iu.edu
Organization Headquarters
Monroe County, Indiana, United States
Organization ID
Annual Operating Budget
> $1 Billion
Number of Full-time Employees
> 1,000

Charity, fund, non-governmental organization, religious institution, school, or other entity

COVID-19 Response

The strategic partnerships making up the consortium have moved to remote work and learning as a result of COVID-19. Indiana University, University of Birmingham, and Pure Earth have prioritized projects related to public health, economic resilience and retaining global connections, and in the early phases of the pandemic have worked to assist with acquiring PPE, test kits, and medical devices. On the ground in Madagascar they are working on pandemic preparedness. The only anticipated change to the proposal is to reverse the order of the phases in order to begin with sustainability, followed by the implementation of critical services and ending with mapping a plan for the future. One change to barrier assessment/risk mitigation is that there may be resistance to shifting crisis response networks from an emergent to chronic focus.

Racial and Ethnic Injustice Response

Environmental injustice refers to the inequitable exposure of poor, minority, and disenfranchised populations and ethnic groups to toxic chemicals, contaminated air and water, unsafe workplaces and other forms of pollution. These inequities result in a disproportionate burden of pollution-related disease, often in violation of human rights. Our Solve Pollution Network works to develop and implement solutions that restore these rights by reducing the burden pollution, improving health, and by delivering long-term economic and environmental sustainability.