Hospitals and small medical centers and posts are found throughout the island of Madagascar, although they are concentrated in urban areas and particularly in Antananarivo.[1] In addition to the high expense of medical care relative to the average Malagasy income, the prevalence of trained medical professionals remains extremely low.
The Human Rights Measurement Initiative[2] finds that Madagascar is fulfilling 90.8% of what it should be fulfilling for the right to health based on its level of income. When looking at the right to health with respect to children, Madagascar achieves 99.0% of what is expected based on its current income. In regards to the right to health amongst the adult population, the country achieves 96.8% of what is expected based on the nation's level of income. Madagascar falls into the "bad" category when evaluating the right to reproductive health because the nation is fulfilling only 76.6% of what the nation is expected to achieve based on the resources (income) it has available.[3]