Impacts des filets de sécurité sociale sur la qualité de vie des ménages vulnérables à Madagascar

Social protection systems help individuals and their families, particularly poor and vulnerable households, to cope with crises and shocks, to find employment, to become more productive, to invest in their children's health and education, and to protect those who are ageing. Madagascar has 81 % of the population living below the poverty line in 2022. Social safety net (SSN) initiatives are put in place to alleviate the impact of this poverty. The aim of this study is to describe the quality of life of households benefiting from social safety nets, in terms of access to healthcare, the ability to eat at least twice a day and to send their children to school. The study was carried out in the District of Amboasary Sud on four hundred and twenty households, which may or may not benefit from a health insurance scheme and/or a social protection system, by using a random method after administration of a pre-tested questionnaire. Three per cent of the study population had received care through the equity fund and 30.5 % had acquired a social safety net. Obtaining a social safety net doesn’t help families in financial need to benefit medical care nor full time education but is designed to secure food twice per day. Policy based on activities which generate substantial income remains important.