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MADAGASCAR Yesterday Today and tomorrow “ A dream for a better health and hope for a real developpement ”. Madagascar is aware that only healthy children can guarantee economic and social development. Up to mid 70s, Madagascar was:

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and tomorrow

“ A dream for a better health and hope for a real developpement ”


Madagascar is aware that only healthy children can guarantee economic and social development


Up to mid 70s, Madagascar was:

The country of   « moramora » means «there is no need to hurry», limited foreign exchange, and a shy population. Some characters distinguish it:

The mother is the center of the family

To have children was the main goal = a marriage is blessed with many children

The national priority = high emphasis on birth rate(1st Republic)

- The slogan of that period was to fill the stomach without worrying about the quality of food: malnutrition was linked to malediction.- Health centers were only used as a last resort.

- Most of mortalities are linked to sorcery.


Mid-80s to late 90s: were the black decade of the economic bankruptcy for the country

Explosion of several epidemic diseases: measles, diphteria, diarrheas, respiratory infections, malnutrition, malaria, plague

Also an increase of new problems:stress, smoking addiction, self-medication, sexual violence


The government with the support of partners began new strategies to address health programme needs:

- Launch of vaccination campaign (EPI) - Basic Health care Policy - Family Planning (FP) - Malaria prevention campaign - Essential drug policy - Community participation and cost recovery


Strategic planning of wide intervention coverage with particular approach in remote areas


Implementation through active participation of various partners (UNICEF, USAID, UNF, ACDI,WHO,CDC Atlanta, JICA, etc…) who conducted field visits to assess the progress


Since 1998 to 2004

intensifed interventions in public health to reinforce the health system:

Institutionalization of thecost recoverysystem (FANOME) and support for indigent people

Increase basic health service coverage for communes (to bring health care closer to the people)


And above all child survival :

-Greatest vaccination CampaignAVA - FAOBE – FAV - HIAKA

-massvitamine A campaigns for children

-extension of Nutritional rehabilitation centersCRENI

and launch of baby friendly hospital initiativesHAB


-developement of safe motherhood programmesMSR - SR

-extension of AIDS prevention programmes, PMTCT

-Promotion ofBEDNETS for MALARIA prevention

-Improve DIARRHEA treatment with ORS


Programme priorities for the MOH-FP:

P.1. Organization and administration: improve the number of qualified staff

P.2. Access to quality health services: health coverage

P.3. Maternal and Child health: EPI, IMCI, Safe motherwood

P.4. Nutrition program, vit A campaign

P.5. Fight against communicable diseases: malaria, Filaria, leprosy, tuberculosis.

P.6. HIV/AIDS programs : VCT, MTCT, HIV care, blood safety

P.7. Health promotion

P.8. Family Planning: increase of FP, RH sites.


Madagascar is on the right road towards improving the health and wellbeing of the Malagasy population.

There is still much to be done. However, through continued partnership, we shall achieve our dream where the majority of people die of old age


Thank you for your patience and kind attention

The Malagasy people greet all of you.