In Madagascar, the public health sector struggles to provide the care needed by the population; the private sector provides vital complementary products and services and helps to improve geographic access. The United States Agency for International Development (USAID) in Madagascar engaged the Sustaining Health Outcomes through the Private Sector (SHOPS) Plus project to conduct an assessment of the private health sector in Madagascar.
The purpose of the assessment was to estimate the size, scope, and scale of the private health sector, with an emphasis on key stakeholders and their roles; review the types of health services and products offered by the private sector; review policies and factors that inhibit or enable private sector participation in the health system; estimate digital financial services and financial inclusion in Madagascar, with an emphasis on mobile money, barriers and opportunities for growth, and key stakeholders and their roles; and review mobile-enabled insurance activities and opportunities.