MADAGASCAR

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MADAGASCAR Yesterday Today and tomorrow A
dream for a better health and hope for a real
developpement

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Madagascar is aware that only healthy children
can guarantee economic and social development
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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.
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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
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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
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Strategic planning of wide intervention coverage
with particular approach in remote areas
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Implementation through active participation of
various partners (UNICEF, USAID, UNF,
ACDI,WHO,CDC Atlanta, JICA, etc) who conducted
field visits to assess the progress
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Since 1998 to 2004 intensifed interventions in
public health
to reinforce the health system
Institutionalization of the cost recovery
system (FANOME) and support for indigent people
Increase basic health service coverage for
communes (to bring health care closer to the
people)
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And above all child survival -Greatest
vaccination Campaign AVA - FAOBE FAV -
HIAKA -mass vitamine A campaigns for
children -extension of Nutritional
rehabilitation centers CRENI and launch of
baby friendly hospital initiatives HAB -launch
HEALTH CARD -developement of safe motherhood
programmes MSR - SR -extension of AIDS
prevention programmes, PMTCT -Promotion of
BEDNETS for MALARIA prevention -Improve DIARRHEA
treatment with ORS
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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.
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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
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The whole country presents its gratitude towards
every partner
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Thank you for your patience and kind
attention The Malagasy people greet all of you.