UNICEF works to expand the use of integrated health services for children under five years old with emphasis on newborns.

Une petite fille et sa mere sont en consultation aupres du CSB
UNICEF Madagascar/2014/Ramasomanana


42 per cent

Neonatal mortality accounts for 42 per cent of under 5 deaths.

1 / 3

1/3 of maternal deaths are related to teenage pregnancies.

51 per cent

Percentage of children aged 12–23 months fully vaccinated fell from 62 per cent in 2008 to 51 per cent in 2012.

Madagascar is one of the worst countries in terms of child survival and health coverage.

UNICEF programme


  • Mother and Child Health Weeks
  • Community-based service delivery.
  • Advocacy for increased health sector financing
  • Improved linkages between public and community health
  • Strengthening routine immunization
  • Scaling up facility-based essential neonatal care interventions and community-based care for pregnant women and newborns
  • System-strengthening support to the national medical supply chain
  • Management and technical capacity development of sub-national health services


Key results

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Polio eradication

Routine: Cold chain improvement, vaccine provision, strengthened equity focus

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Mother & Child Health Weeks: 3.6 million children vaccinated against main childhood killers (twice/year)

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Health service delivery strengthened in 1,082 health centers

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Improved access to health services for 43 per cent of the population in Madagascar (9/22 regions)

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79 per cent of health facilities in target regions received Emergency Obstetric and Newborn Care training and equipment, reaching around 250,000 pregnant women and newborn each year

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Mobile clinics served more than 95,000 people