Health, Nutrition, and Population in Madagascar, 2000-09While some health indicators in Madagascar are on par with international and regional standards, the country is lagging behind in others. This is largely explained by the vulnerability of two groups: (i) children under five and (ii) women who are pregnant and give birth. The Government has designed and implemented, with donor support, a sector strategy that has started to produce results. Child mortality declined significantly between 2003/04 and 2008/09 and a series of initiatives were launched to improve maternal care. Yet, results have been unequal so far, excluding many poor and/or isolated households. Furthermore, recent gains have been put at risk by the negative impact of the political crisis on the delivery of health services and well-being of the population. This policy note provides an analysis of the evolution of key health indicators over the past few years, and proposes a series of recommendations to support improving access to health services for the most vulnerable and to address some of the more systemic issues that prevent the efficient use of financial and human resources in the sector. |
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Health, Nutrition, and Population in Madagascar, 2000-09 Maryanne Sharp,Ioana Kruse No preview available - 2011 |
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accountability Africa allocations analysis anemia Antananarivo antenatal Antsiranana Ariary average behaviors breastfeeding capital central Central African Republic contraceptive countries coverage crisis decreased Development diarrhea district health district level donor drugs Equity Funds evaluation execution rate expenditures family planning Figure financing Government Haute Matsiatra health facilities health insurance health sector health services health system health workers hospital level households impact implementation improve increase indicators investment budget leakage Madagascar Mahajanga Majunga Malagasy malaria malnutrition Marovoay maternal Ministry monitoring months mortality rate mothers Mozambique National nutritional outcomes overall patients percent percentage performance pilot poor population Poverty pregnant women prevalence public health regions reported risk rural areas Santé self-efficacy service delivery Sexually Transmitted Infections SIGFP social Source Sub-Saharan Sub-Saharan Africa survey Tanzania tion treatment underweight UNICEF user fees utilization visits World Bank Zambia