Madagascar

The Madagascar country profile provides an overview of the community health system in Madagascar according to the most up-to-date policies available. It particularly focuses on the country’s community health providers, the structures that support them, and the services they deliver across many health areas – with a spotlight on family planning. The profile is targeted towards policymakers, program implementers, donors, researchers, and others interested in the country’s community health system.

The table below captures key information from the full, downloadable country profile. The complete CHS Catalog data set is also available for download, including information for Madagascar.

Community Health Quick Stats

Main Community Health Policy / Strategy | Last Updated
  • Package of Community Activities Guide (Guide de Paquet d’activités communautaires (PAC)) | 2008
  • National Community Health Policy (Politique nationale de la santé communautaire (PNSC)) | 2009
  • National Community Health Policy Implementation Guide (Guide de mise en oeuvre de la politique national de santé communautaire) | 2014
  • Health Sector Development Plan (Plan de développement du secteur santé (PDSS) 2015–2019) | 2015
Number of Community Health Provider Cadres

1 main cadre: agents communautaires (ACs)

Estimated Number of Community Health Providers

34,000 ACs

Community-Level Data Collection Yes
Levels of Management of Community-Level Service Delivery

National, regional, district, commune, fokontany

Key Community Health Program(s)

Various programs in specific health areas including nutrition, malaria, and reproductive health

Key Policies and Strategies

Ministry of Health and Family Planning, Republic of Madagascar. 2009. PDF iconPolitique nationale de santé communautaire à Madagascar (PDF, 2.9MB). Antananarivo: Ministry of Health and Family Planning.

———. N.d. Guide de formation de l’agent communautaire: Prise en charge de la Fièvre de l’enfant de moins de 5 ans au niveau de la communauté. Antananarivo: Ministry of Health and Family Planning.

Ministry of National Education. 2013. Programme national d’alimentation, de nutrition, et de santé scolaire. Antananarivo: Ministry of National Education.

Ministry of Public Health, Republic of Madagascar and the Health Statistic Service. N.d. Rapport mensuel d’activités communautaires. Antananarivo: Ministry of Public Health.

Ministry of Public Health, Republic of Madagascar. 2012. Politique nationale en santé de la reproduction. Antananarivo: Ministry of Public Health. Antananarivo: Ministry of Public Health.

———. 2013a. Plan stratégique de lutte contre le VIH et le SIDA 2013–2017. Antananarivo: Ministry of Public Health

———. 2013b. Plan stratégique de renforcement du système d’information sanitaire 2013–2017. Antananarivo: Ministry of Public Health.

———. 2014a. Guide de mise en oeuvre de la politique nationale de santé communautaire. Antananarivo: Ministry of Public Health.

———. 2014b. Liste nationale des médicaments essentiels et des intrants de santé à Madagascar. Antananarivo: Ministry of Public Health.

———. 2015. Plan de développement du secteur santé 2015–2019. Antananarivo: Ministry of Public Health.

Ministry of Water, Republic of Madagascar. 2013. Stratégie nationale de l’eau, de l’assainissement et de l’hygiène période 2013-2018. Antananarivo: Republic of Madagascar.

Republic of Madagascar, USAID, and JSI Research & Training Institute, Inc. N.d. Environmental Mitigation Monitoring Plan. Antananarivo: Republic of Madagascar.

Republic of Madagascar. 2004. Guide PAC. Antananarivo: Republic of Madagascar.

———. 2012. Plan national d’action pour la nutrition 2012–2015. Antananarivo: Republic of Madagascar.

———. 2013. Plan stratégique de lutte contre le paludisme Madagascar 2013–2017. Antananarivo: Republic of Madagascar.

———. 2015a. Plan national de développement. Antananarivo: Republic of Madagascar.

———. 2015b. Stratégie nationale sur la couverture santé universelle Madagascar. Antananarivo: Republic of Madagascar.

———. 2016. Politique nationale de la santé. Antananarivo: Republic of Madagascar.