Table 17 : Trend in neonatal, infant and child mortality
Demographic and Health Surveys
of Madagascar
1992
1997
Neonatal mortality
per 1 000 living births
42
Infant mortality (<1 year)
per 1 000 living births
Infant - child mortality (<5 years) for
1000 living births
ENSOMD
2015
Objectives
2003-2004
2008-2009
2012-2013
41
34
24
26
17
93
96
58
48
42
34
163
159
94
72
62
56
Sources : Demographic and Health Surveys in Madagascar in 1992, 1997, 2003-2004, 2008-2009,
ENSOMD 2012-2013
Medical assistance and primary health care of the child
299.A multisectoral approach involving the community has been adopted in the
implementation of actions for the survival of the mother and the child. A provision of a
local service was prioritised through outreach and mobile strategies.
300.The biennial national campaign for vitamin A is programmed since 2006 during the
Week of the Health of the Mother and Child (SSME). This strategy aims to
strengthen the supply and use of basic health services through an integrated
package of services including immunisation, malaria prevention, pre-natal
consultation and family planning. The SSME priority targets are mothers and
children, the least accessible and least served by routine services and aims to reach
at least 90% of the population. This strategy has helped to strengthen and integrate
effective strategies to meet the targets in the most remote areas representing 40% of
the population. It offers free services whether in fixed strategy, advanced or mobile.
Prevention of vaccine-preventable diseases
301.Vaccination is one of the pillars of the reduction of infant mortality. On the whole,
the vaccine-related indicators show a positive trend from one year to another.
302.Since 2009, vaccination has become a priority of the State.
303.The Bill on vaccination has been validated during the Council of Government and
Ministers before transmission to the National Assembly for adoption. This Bill aims
to:
- The legal framework for the management of the prevention of diseases
preventable by vaccination;
- The planning, organisation, implementation and monitoring of actions to
ensure the compulsory and free aspect of the prevention of vaccinepreventable diseases;
47