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Expatriate Forums in Madagascar -> Madagascar Education, Family & Parenthood in Madagascar -> HEALTHCARE IN MADAGASCAR / MADAGASCAR HOSPITAL GUIDE
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PostPosted: Fri Mar 02, 2007 11:45 am    Post subject: HEALTHCARE IN MADAGASCAR / MADAGASCAR HOSPITAL GUIDE Reply with quote

HEALTHCARE IN MADAGASCAR

GENERAL


All medical services in Madagascar are free. Each province has a central hospital and local clinics, dispensaries, and maternity-care centres are supplemented by mobile health units. The main hospitals are the Hospital Befelatnana (1,300 beds) and Fort Dauphin Hospital (80). As of 1999, total health care expenditure was estimated at 2.1% of GDP. As of 1999, there were an estimated 0.1 physicians and 0.9 hospital beds per 1,000 people.

There are 111 health districts in Madagascar, with a 3 level-system. At the primary level are the Basic Health Centres (CSB) and District Hospitals (CHD); at the secondary level, there are Regional Hospitals (CHR); and at national level, University Hospitals (CHU).

CSB: Basic Health Centres number in all 2,417 including 2,138 in the public sector and 279 in the private sector. There are two types of CSBs in the public sector, including CSB-1 (numbering 2,034) that provide basic health cares (curative and preventive cares) and are run by a para-medical Officer. CSB-2 provide the same health cares as above but besides, urban dispensaries and mother and child health care centres are attached to them and they are run by a Physician.

CHD: District Hospitals number in all 110, including 91 in the public sector and 19 in the private sector. There are also two types of CHDs in the public sector, including 67 CHD-1 that provide hospital cares to medical cases, and CHD-2 (24) that are besides provided with standard surgical operation facilities. Province-wise bed capacity is as follows: Antananarivo: 1046 beds; Antsiranana: 653 beds; Fianarantsoa: 829 beds; Mahajanga: 404 beds; Toamasina: 633 beds; and Toliary: 595 beds.

CHR/CHU: University Hospitals (CHU) are found at national level. They number in all 16, including 13 in Antananarivo and 3 in Mahajanga. They provide reference health care, impart initial and continuous training and conduct some research. At secondary level, there are four (4) Regional Hospitals (CHR) - Toamasina, Fianarantsoa, Antsiranana and Toliary. Bed capacity in the CHUs/CHRs in each Province is as follows - Antananarivo: 1502 beds; Antsiranana: 300 beds; Fianarantsoa: 309 beds; Mahajanga: 195 beds; Toamasina: 335 beds; and Toliary: 242 beds.

Malaria remains one of the major health problems. The current reorganisation of the health service in Madagascar is an opportunity to establish new anti-malaria programs. The strategies of the fight against malaria consist of early care of malaria cases, drug interaction for pregnant women, and eradication of adult insects in the central highlands where malaria is common. The major endemic diseases are malaria, leprosy, and schistosomiasis. Tuberculosis is also prevalent. In 1995, there were 5,915 leprosy cases. In 2000, 47% of the population had access to safe drinking water and 42% had adequate sanitation.

As of 2002, the crude birth rate and overall mortality rate were estimated at, respectively, 42.4 and 12.2 per 1,000 people. The fertility rate in 2000 was 5.4. Only 19% of married women (ages 15 to 49) used contraception in 2000. The infant mortality rate in 2000 was 88 per 1,000 live births. The maternal mortality rate in 1998 was 490 per 100,000 live births. Immunisation rates for children up to one year old for 1997 were: tuberculosis, 87%; diphtheria, pertussis, and tetanus, 73%; polio, 73%; and measles, 68%. As of 1999, 48% of children under five years of age were considered malnourished. Nearly 22.8% of schoolchildren suffered from goiter in 1996. The average life expectancy was 55 years in 2000.

DIRECTORY OF HOSPITALS & CLINICS

Centre de Diagnostic de Tananarive
Lot IVL - 176 Anosivavaka,
Ambohimanarina,
Antananarivo
Tel: +261 2230760

Clinic Saint Francois d'Assise
Lalana Dokotera Rajaonale,
Ankadifotsy,
Antananarivo
Tel: +261 2223095
Fax: +261 2223095

Hopital Josephe Ravoahangy
Andrianavalona,
Ampefiloha,
Antananarivo
Tel: +261 2227979
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