Blue Ventures’ community health programme delivers health education and services in order to enable people to make their own reproductive health choices, as part of our integrated Population-Health-Environment (PHE) approach. Safidy, meaning “the freedom to choose” in Malagasy, has been operating in the Velondriake locally managed marine area on Madagascar’s southwest coast since August 2007, and in Belo sur Mer since May 2013. This report provides a summary of community health activities carried out during the seventh year of the programme (2013-2014).