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Health, Nutrition, and Population in Madagascar 2000-09

  • Maryanne Sharp
  • Ioana Kruse
Registered author(s):

    With an income per capita US$400 in 2008, Madagascar is one of the poorest countries in the world. Poverty is widespread but with significant urban-rural differences (52 percent versus 74 percent). Health, nutrition, and the fight against communicable diseases and HIV/AIDS are key goals of the country's poverty reduction strategy, the Madagascar Action Plan 2007-2012. The National Health Sector and Social Protection Development Plan 2007-2011 was developed to strengthen the health system and improve service delivery to reduce neonatal, child and maternal mortality, address malnutrition and control communicable illnesses. The health sector has benefited 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 analyzed in a complementary way. This Country Status Report (CSR) seeks to capitalize on all of the existing data in the health sector, compare Madagascar to countries of similar income levels and assess the results achieved by the health system. The CSR provides an analysis of the population's health and nutrition status by linking health outcomes, household/individual behaviors, community factors, government interventions, and service provision. Although Madagascar is performing beer than the SSA average of 645 per 100,000 live births, the maternal mortality rate has stagnated over the last decade and in 2008/09 was estimated at 498. Health care seeking behavior for preventive child health services at the health facility level is improving. Complete immunization coverage stands at 62 percent in 2008 (for children 12 to 23 months), but there are still large differences in coverage across regions, place of residence, and income groups.

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    File URL: https://openknowledge.worldbank.org/bitstream/handle/10986/5957/632550PUB0Heal0ID0185380BOX361512B0.pdf?sequence=1
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    This book is provided by The World Bank in its series World Bank Publications with number 5957 and published in 2011.
    ISBN: 978-0-8213-8538-8
    Handle: RePEc:wbk:wbpubs:5957
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    1. Galasso, Emanuela & Umapathi, Nithin, 2007. "Improving nutritional status through behavioral change : lessons from Madagascar," Policy Research Working Paper Series 4424, The World Bank.
    2. Haddad, Lawrence James & Alderman, Harold & Appleton, Simon & Song, Lina & Yohannes, Yisehac, 2002. "Reducing child undernutrition," FCND discussion papers 137, International Food Policy Research Institute (IFPRI).
      • Haddad, Lawrence James & Alderman, Harold & Appleton, Simon & Song, Lina & Yohannes, Yisehac, 2002. "Reducing child undernutrition," FCND briefs 137, International Food Policy Research Institute (IFPRI).
    3. Ruel, Marie T. & Menon, Purnima, 2002. "Creating a child feeding index using the demographic and health surveys," FCND discussion papers 130, International Food Policy Research Institute (IFPRI).
    4. Glewwe, Paul & Jacoby, Hanan G, 1995. "An Economic Analysis of Delayed Primary School Enrollment in a Low Income Country: The Role of Early Childhood Nutrition," The Review of Economics and Statistics, MIT Press, vol. 77(1), pages 156-69, February.
    5. Maureen Lewis, 2006. "Governance and Corruption in Public Health Care Systems," Working Papers 78, Center for Global Development.
    6. Lewis, Maureen & Pettersson, Gunilla, 2009. "Governance in health care delivery : raising performance," Policy Research Working Paper Series 5074, The World Bank.
    7. Siddiqi, Sameen & Masud, Tayyeb I. & Nishtar, Sania & Peters, David H. & Sabri, Belgacem & Bile, Khalif M. & Jama, Mohamed A., 2009. "Framework for assessing governance of the health system in developing countries: Gateway to good governance," Health Policy, Elsevier, vol. 90(1), pages 13-25, April.
    8. Björkman, Martina & Reinikka, Ritva & Svensson, Jakob, 2006. "Local Accountability," Seminar Papers 749, Stockholm University, Institute for International Economic Studies.
    9. Owen O'Donnell & Eddy van Doorslaer & Adam Wagstaff & Magnus Lindelow, 2008. "Analyzing Health Equity Using Household Survey Data : A Guide to Techniques and Their Implementation," World Bank Publications, The World Bank, number 6896.
    10. Ruel, Marie T. & Armar-Klemesu, Margaret & Arimond, Mary, 2001. "A multiple-method approach to studying childcare in an urban environment," FCND discussion papers 116, International Food Policy Research Institute (IFPRI).
    11. Pablo Gottret & George Schieber, 2006. "Health Financing Revisited : A Practitioner's Guide," World Bank Publications, The World Bank, number 7094.
    12. Glewwe, Paul & Jacoby, Hanan G. & King, Elizabeth M., 2001. "Early childhood nutrition and academic achievement: a longitudinal analysis," Journal of Public Economics, Elsevier, vol. 81(3), pages 345-368, September.
    13. Lawrence Haddad & Harold Alderman & Simon Appleton & Lina Song & Yisehac Yohannes, 2003. "Reducing Child Malnutrition: How Far Does Income Growth Take Us?," World Bank Economic Review, World Bank Group, vol. 17(1), pages 107-131, June.
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