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Local Health System Sustainability Project

Madagascar

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The Government of Madagascar outlined its national strategy for attaining universal health coverage (UHC) in 2015. The strategy aims to provide the population with access to quality health services without the risk of financial hardship and to protect people from risks affecting their health. To supplement this, in late 2021, Madagascar also finalized its first health financing strategy that outlines how resources to achieve access to UHC will be mobilized and pooled, and how health services will be purchased. 

The Ministry of Public Health’s UHC Support Unit has been tasked with coordinating interventions to achieve the objectives of both strategies. The draft 2019 implementation plan for the National UHC Strategy has not yet been finalized, and together with multiple leadership changes at the Ministry of Public Health, progress to achieve access to UHC remains a distant goal.  

LHSS is working with the Ministry of Public Health to develop its knowledge and skills to convene stakeholders and lead technical discussions on how to best implement the National UHC Strategy, a health mutuelle, and the National Health Financing Strategy. 

LHSS is collaborating with the UHC Support Unit to:  

  • Interpret existing studies on financial risk protection and their implications for achieving the objectives of the National UHC Strategy and identify information gaps and how to fill them 
  • Strengthen its understanding of key principles of financial protection for health, design health mutuelles, and share best practice and lessons from mutuelles experience in Madagascar and other countries  
  • Conduct a self-assessment of its organizational capacity and identify key organizational capacity strengthening needs  
  • Provide select capacity strengthening support in areas such as change management, effective leadership, and stakeholder engagement 

Ultimately, the UHC Unit will strengthen its capacity to implement a National UHC strategy to allow the Malagasy population to access financial protection when accessing essential health services.