Information for Patients
In Madagascar’s healthcare system, the Centres de Santé de Base (CSB) are the primary care facilities and provide the lowest level of healthcare services. District hospitals and regional referral hospitals provide more advanced services such as diagnostic, surgical and obstetric services. The highest level of medical services can be found in the university teaching hospitals and other private health facilities.  

The healthcare system in Madagascar is poorly funded. Domestic public resources contributes very little to the system, hence, it has to rely heavily on external sources. Only 60%-70% of Madagascar’s inhabitants have access to any form of medical service and it is common for them to travel more than 10km to reach the nearest health facility. Therefore, despite being free of charge, healthcare services are not widely available to all Malagasy. Patients in need of complex surgeries would have to make their way to hospitals in South Africa. To improve its healthcare system, the government is gradually working towards achieving universal health coverage in the country. 

Information for Health Care Professionals
Madagascar’s healthcare system is comprised of Western and traditional medicine practices. The latter uses plant-based product for medical uses and is available throughout the country, especially in rural provinces. Doctors in Madagascar, particularly in smaller clinics and in the countryside, barely receive structured, multi-year training. Doctors often provide treatments for which they have been insufficiently trained. The situation in Madagascar attracted many foreign medical workers or medical organizations to provide volunteered assistance to the poorer communities in the country. 

Information for Travellers
Travellers planning to make their way to Madagascar are recommended to receive multiple vaccinations, including Hepatitis A, Hepatitis B, Typhoid, Yellow Fever, Rabies, Polio and Routine Vaccinations. Both Malagasy and French are the official languages in Madagascar, but there are more speakers of Malagasy than French in the country. 

Link to Ministry of Health: