Madagascar

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Activities  2012 International Activity Report

Key medical figures: 

  • 4,860 outpatient consultations
  • 1,610 patients admitted to hospital
  • 610 births assisted

Amid political uncertainty and financial difficulties, the national health budget in Madagascar was halved in 2012, exacerbating gaps in healthcare.

In the remote Androy region, up to 180,000 people have difficulty accessing medical care because of the distance to the nearest hospital. In 2011, Médecins Sans Frontières (MSF) began working with the Ministry of Health to improve and expand medical services.

Basic medical care and maternal and child health services are supported through a programme at the hospital in the town of Bekily. MSF has assisted renovations, delivery of medical supplies and staff training, and has increased hospital capacity from 20 to 38 beds. The team also provides clinical care for adults and children and conducts joint consultations with Ministry of Health staff in three health centres.

The number of women attending antenatal services has increased fivefold since June, thanks in part to activities to improve awareness of the importance of medical care during pregnancy. Approximately 500 women now visit the hospital each month for antenatal care and teams assist more than 50 births per month.

Treatment for schistosomiasis

Schistosomiasis, a curable disease caused by parasitic worms, is endemic in Madagascar. People become infected through contact with contaminated water when bathing or swimming. Left untreated, the parasite can eventually damage internal organs such as the spleen and liver. MSF treated 429 patients for schistosomiasis in 2012.

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At the end of 2012, MSF had 75 staff in Madagascar. MSF first worked in the country in 1987.

Finances  2012 International Financial Report

Expenses
Concept In thousands of €
Programmes 1218
Indirect supply costs 18
Field-related expenses 1236
Locally hired staff 118
International staff 592
Operational running expenses 62
Medical and nutrition 158
Logistics and sanitation 40
Transport, freight and storage 4
Training and local support 238
Consultants and field support 6
Private and public institutional grants -
Others -
Funding
Concept In thousands of €
Public institutional income 3
Funding of field-related costs 1236
Private and other income 1233
ECHO and EU institutions -
Danish Agency for Development Assistance (DANIDA) 3
EU governments 3
Non-EU European governments -
North American governments -
Other governments -
UN institutions -
Staff information
Concept In full-time equivalents
Field positions 75
Locally hired staff 62
International staff 13