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The government has decided to make reforming its health system a key focus of Madagascar's overall post-crisis economic recovery plan. The recovery plan devotes a large portion of its funding to providing Madagascar with modern infrastructure, including the construction of hospitals and health centers throughout the country.
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In order to achieve the Sustainable Development Goals (SDGs) in terms of health, Madagascar is focusing on community health as a priority approach. In recent years, interventions aimed at improving the health status of the population have been strengthened through public health actions, particularly targeting vulnerable groups such as mothers and children, the fight against communicable and non-communicable diseases, and health emergencies and epidemics.
However, the population is still insufficiently protected because health facilities are not always functional. The system suffers from dysfunctions characterized by a lack of staff and the dilapidated state of much of the healthcare network's assets.
The urban pneumonic plague epidemic had a significant impact on public health development programs. Indeed, from September to December 2017, most routine activities were suspended. The WHO must continue its mandate, particularly for priority programs such as UHC, health emergencies, and epidemic prevention, to ensure quality support to the government.
The recent Covid-19 pandemic has prompted the Malagasy government to build extensive research, testing, care, and treatment infrastructure. This emergency deployment is also in line with the Malagasy President's 5th Velinaro commitment to empowering the national healthcare system.
In order to provide the best possible service to users, the Ministry of Public Health set itself objectives for the beginning of 2020. Thus, 12 "Manarapenitra" Hospitals and 10 Basic Health Centers (CSB) were built in isolated areas, in addition to the rehabilitation of the Manarapenitra Hospital in Morondava, the Ambatofinandrahana District Reference Hospital Center (CHRD) and existing CSBs. 60 CSBs were also reopened to ensure maximum coverage. As infrastructure is multiplying throughout the island, the Ministry is continuing its efforts to equip them with standard equipment.
As a result, more than 400 Health Facilities have been equipped with functional solar refrigerators to comply with the cold chain standard for the conservation of vaccines in Madagascar, 10 CHRD have also had their operating theaters equipped with materials and equipment to provide the population with services such as surgical emergencies or caesareans. 62,958 blood bags are available for the permanent supply of the 70 Blood Transfusion Centers and Blood Transfusion Points.
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The fight against malnutrition
Malnutrition continues to wreak havoc in Madagascar, with one in two children suffering from this scourge. To irreversibly eradicate this malnutrition, a food supplement manufacturing plant will be established. The Mérieux Foundation is supporting the island nation in meeting this challenge as part of a large-scale social project.
NUTRISET, a global leader in the development and production of nutritional solutions for the treatment and prevention of malnutrition, will support the Malagasy government in its project to integrate nutrition into basic health centers by making available, in an accessible manner in terms of location, cost, and time, products for the prevention and treatment of malnutrition. Furthermore, the government's aim is to support the scaling up of nutritional programs and industrial development programs enabling the production of ready-to-use therapeutic foods and nutritional supplements for the management of child malnutrition, as closely as possible to needs.
Tax and customs incentives will facilitate the establishment and operation of nutritional food production units to combat malnutrition. No financial participation from the Malagasy government is required in this investment. The Mérieux Foundation will provide financial support to the project. For its part, NUTRISET will set up the necessary industrial tools while also promoting local employment.
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