Open AccessA Way Forward for Healthcare in Madagascar?
Author(s) -
Florian Marks,
Nathalie Rabehanta,
Stephen Baker,
Ursula Panzner,
Se Eun Park,
Julius N. Fobil,
Christian G. Meyer,
Raphaël Rakotozandrindrainy
Publication year - 2016
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/civ758
Subject(s) - health care , government (linguistics) , context (archaeology) , work (physics) , medicine , population , typhoid fever , nursing , business , environmental health , economic growth , geography , virology , engineering , mechanical engineering , linguistics , philosophy , archaeology , economics
A healthcare utilization survey was conducted as a component of the Typhoid Fever Surveillance in Africa Program (TSAP). The findings of this survey in Madagascar contrasted with those in other sites of the program; namely, only 30% of the population sought healthcare at the government-provided healthcare facilities for fever. These findings promoted us to determine the drivers and barriers in accessing and utilizing healthcare in Madagascar. Here we review the results of the TSAP healthcare utilization initiative and place them in the context of the current organization of the Madagascan healthcare system. Our work highlights the demands of the population for access to appropriate healthcare and the need for novel solutions that can quickly provide an affordable and sustainable basic healthcare infrastructure until a government-funded scheme is in place.
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