Medicare in Madagascar

Medicare in Madgascar

Hospital in Tamatave
All medical services in Madagascar are free. Each province has a central hospital and local clinics, dispensaries, and maternity-care centers are supplemented by mobile health units.  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.

Malaria remains one of the major health problems. The current reorganization 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.

Entrance to hospital

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.

Additional factors contributing to health problems include overcrowding (in some areas five to eight persons live in a room fourteen meters square), contagious diseases such as the plague, and inadequate garbage disposal facilities. Infant mortality has risen from sixty-eight per 1,000 births in 1975 to 109 per 1,000 in 1980 and 150 per 1,000 in 1990. Malnutrition, diarrheal diseases, respiratory infections, and malaria are major causes of infant deaths. Madagascar had a serious malaria epidemic in 1990 causing the death of tens of thousands; efforts are underway for annual antimalarial campaigns, especially in the Hauts Plateaux

The average life expectancy was 55 years in 2000.

At the end of 2001, the number of people living with HIV/AIDS was estimated at 22,000 (including 0.3% of the adult population). Deaths from AIDS in 1999 were estimated at 870. In the same year HIV prevalence was 0.14 per 100 adults.

A new hospital is being built in Tamatave, with Ambatovy sponsoring the burn unit.  Burns in Madagascar are quite high, as all cooking is done on the ground, and with children around, you can imagine how easily it is for them to get burned. 



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