training

Year of family medicine established: 1989

Type of Training: Residency Program

Length of Training: 6 years of Medical School, followed by 2 years of a Residency Program

Number of institutions that offer family medicine: 1 Université D’Antananarivo (Faculty of Medicine)

Number of family medicine residents graduating each year: Between 100 and 300 new graduates from the Faculties of Medicine in Madagascar

practice

Number of family doctors: 60 general doctors

Physician to population ratio: 30 per 100,000 people.

DALY: 35,656 per 100,000 individuals (Due to all Causes).

Life Expectancy:

• Females 2017: 67.9 years

• Males 2017: 64.7 years

Mortality rate 2017:

• 2017 Males: 235 per 1,000 male adults.

• 2017 Females: 184 per 1,000 female adults.

Infant Immunization-HepB3: % of 1-year-old children received: 75%

College of Family Physicians (Y or N):

• NO

training

Madagascar has a residency program for family medicine that consists of 6 years of medical school, followed by 2 years of a residency program. Only one school currently offers family medicine training; the Université D’Antananarivo (Faculty of Medicine). Between 100 and 300 new graduates from the Faculty of Medicine in Madagascar each year.

practice

Family physicians in Madagascar primarily are concentrated in the capitals and major regional cities (urban areas), although 60-80% of the population live in rural areas. They work in clinics and provide curative treatment, using a qualitative approach. They also have obstetrics and gynaecologists, as well as internists.

In Madagascar, the model used is a community-based private medical practice, which was created through the combined strategy of Family Medicine plus Primary Health Care. Specifically, in family medicine they focus on the individual, clinical practice, curative treatment, response to a demand and qualitative approaches.