Health, Nutrition, and Population in Madagascar 2000-09

Sharp, Maryanne ; Kruse, Ioana

World Bank

关键词: ABORTION;    ABORTION COMPLICATIONS;    ABORTION RATE;    ACCESS TO HEALTH SERVICES;    ACQUIRED IMMUNODEFICIENCY SYNDROME;   

DOI  :  10.1596/978-0-8213-8538-8
RP-ID  :  63255

学科分类：社会科学、人文和艺术（综合）

来源: World Bank Open Knowledge Repository

【 摘 要 】

With an income per capita US$400 in2008, Madagascar is one of the poorest countries in theworld. Poverty is widespread but with significanturban-rural differences (52 percent versus 74 percent).Health, nutrition, and the fight against communicablediseases and HIV/AIDS are key goals of the country'spoverty reduction strategy, the Madagascar Action Plan2007-2012. The National Health Sector and Social ProtectionDevelopment Plan 2007-2011 was developed to strengthen thehealth system and improve service delivery to reduceneonatal, child and maternal mortality, address malnutritionand control communicable illnesses. The health sector hasbenefited from increasing investment over the last years,and a number of studies and surveys have been carried out,providing a wealth of information that is yet to be analyzedin a complementary way. This Country Status Report (CSR)seeks to capitalize on all of the existing data in thehealth sector, compare Madagascar to countries of similarincome levels and assess the results achieved by the healthsystem. The CSR provides an analysis of thepopulation's health and nutrition status by linkinghealth outcomes, household/individual behaviors, communityfactors, government interventions, and service provision.Although Madagascar is performing beer than the SSA averageof 645 per 100,000 live births, the maternal mortality ratehas stagnated over the last decade and in 2008/09 wasestimated at 498. Health care seeking behavior forpreventive child health services at the health facilitylevel is improving. Complete immunization coverage stands at62 percent in 2008 (for children 12 to 23 months), but thereare still large differences in coverage across regions,place of residence, and income groups.