Caring Response Madagascar Foundation

What it reported doing in 2024

The model healthy village initiative as in the previous model healthy villages, the goal of this program is to improve public health by bringing clean water, hygiene education, safe sanitation, and environmentally friendly smokeless ovens to an entire fokontany and its cluster of small villages and hamlets. In 2024, crmf funding equipped skilled health educators - all of them from toamasina - to organize hygiene educations and to provide every household with water filters, latrines, handwash kits, and the knowledge to use and maintain them. Just one year into implementing the project in the remote village of ambodisaina ivondro, the community rate of open defecation dropped from 81.6% to 6.4%. Data collected during our past mhv projects have shown that the introduction of the basic hygiene measures mentioned above has substantially reduced both school absenteeism and the rate of infectious diarrhea among the overall population. In addition, the use of the environmentally friendly smokeless oven has reduced the occurrence of respiratory disease. Medical education through crmf's saving the lives of mothers and babies program at the ankirihiry csb ii, our 2024 obstetric team trained 20 midwives in episiotomy and the repair of 3rd and 4th degree lacerations. As a result, the csb midwives reduced the clinic's episiotomy rate to below 15% as recommended by who guidelines. Also in 2024, seven malagasy medical students participated in the internal medicine mentorship program, a partnership with the association sante pour tous (ast) and the vonjy medical center. As part of their theoretical and clinical intensive, the students, supervised by crmf volunteer doctors, offered free consultations and medications to 135 of toamasina's most needy residents.

Financial Efficiency

• Mission deployment rate: 83.4%; rating input score 83
• Program expense ratio: 95.3%; rating input score 95
• Fundraising efficiency: $24.2 raised per $1 spent on fundraising; rating input score 62; 62nd percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 64th percentile among comparable filings
• Pay-setting controls: Limited
• Foreign activity oversight: 0 of 8 controls in place; rating input score 0
  • Claims monitoring procedures: Fail
  • Requires narrative reports: Fail
  • Conducts field audits: Fail
  • May suspend future funding: Fail
  • Requires financial reports: Fail
  • Conducts site visits: Fail
  • Requires grant agreements: Fail
  • May require repayment: Fail
• Grant itemization coverage: 100%; rating input score 100; 80th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 63rd percentile among comparable filings
• Governance controls: 1 of 7 controls in place; rating input score 14
  • Conflict-of-interest policy: Fail
  • Whistleblower policy: Fail
  • Document-retention policy: Fail
  • CEO compensation review process: NotApplicable
  • Other executive compensation review process: NotApplicable
  • Form 990 shared with the board: Fail
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Missing
  • Independent financial-statement audit: Fail

Sustainability

• Operating margin: 12.7%; rating input score 64; 64th percentile among comparable filings
• Total-asset coverage ratio: 1.35; rating input score 49; 49th percentile among comparable filings
• Liabilities to assets ratio: 0; rating input score 80; 80th percentile among comparable filings
• Officer compensation ratio: 0%; rating input score 69; 69th percentile among comparable filings

Growth

• Program expense growth: 35.9% per year; rating input score 100; 92nd percentile among comparable filings
• Revenue growth: 6.2% per year; rating input score 100; 58th percentile among comparable filings
• Asset growth: 9.2% per year; rating input score 100; 63rd percentile among comparable filings