Madagascar

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Activities  2013 International Activity Report

country_map_2013

Key medical figures: 

  • 900 births assisted
  • 4,800 patients treated for malaria

Tropical cyclone Haruna struck the southwest coast of Madagascar on 22 February 2013, causing extensive flooding and resulting in the displacement of more than 10,000 people.

People in the cities of Tuléar and Morombe were particularly affected by the cyclone. Several aid agencies responded, including a team from Médecins Sans Frontières (MSF) that ran mobile clinics and donated drugs to facilities in the cities and to health centres in the surrounding areas until mid-April. From February to May, a team also helped health authorities respond to a spike in malarial infections in Tuléar, Morombe and Betioky. A total of 5,761 consultations were carried out.

Governmental budget cuts to social services following the 2009 presidential coup have severely affected the country’s health sector. A policy of free healthcare access for those in need was officially abolished in 2012. International donors also remain reluctant to release funds for non-emergency situations. Meanwhile, people in remote regions are unable to access the services they need because of the distances to health facilities.

Improving healthcare in Androy region Since 2011, an MSF team has been improving patient care in the remote Androy region. Clinical care and drugs are dispensed through Bekily hospital’s emergency room, inpatient department, and antenatal and maternity unit. Medicines, staff training and consultations are also provided in two health centres. Patients receive treatment for a range of health concerns such as malaria and tuberculosis, as well as for schistosomiasis (bilharzia), a curable parasitic disease endemic in Madagascar. In addition, MSF works with the Centre for the Testing and Treatment of Tuberculosis, testing, raising awareness and carrying out consultations. During 2013, 70 new patients were admitted for treatment.

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No. staff in 2013: 118. MSF first worked in the country in 1987.

Finances  2013 International Financial Report

Expenses
Concept In thousands of €
Programmes 1474
Indirect supply costs 25
Field-related expenses 1499
Locally hired staff 272
International staff 616
Operational running expenses 78
Medical and nutrition 214
Logistics and sanitation 45
Transport, freight and storage 236
Training and local support 5
Consultants and field support 8
Private and public institutional grants -
Others -
Funding
Concept In thousands of €
Public institutional income 5
Funding of field-related costs 1499
Private and other income 1494
ECHO and EU institutions -
Danish Agency for Development Assistance (DANIDA) 5
EU governments 5
Non-EU European governments -
North American governments -
Other governments -
UN institutions -
Staff information
Concept In full-time equivalents
Field positions 118
National staff 105
International staff 13