271.The prevention measure for mental retardation, are :
- Fighting against Disorders due to Iodine Deficiency (TDCI) ;
- The fight against fetal alcohol syndrome through a public private
multidisciplinary cluster in collaboration with the peer entity of the Reunion
Island since 2007.
272.Furthermore, programs have been implemented for the prevention of mental
retardation through the Safe Motherhood, the Integrated Management of Childhood
Illness (IMCI), the Nutrition Program and strengthening the management of
epilepsies.
273.At the health system level, mentally disabled persons are supported in rehabilitation
centres and services. Public services are still concentrated in big cities and do not
offer the complete technical platform suitable for the care of mentally impaired
children.
274.The long-stay facilities that can accommodate children with multiple disabilities are
rare. The required long treatments are an obstacle to the provision of support
because there is no third-party payment system to help families cope with the direct
and indirect costs, apart from cases managed by associations and NGOs.
Access to education
275.In the strategic plan for the development of the education sector is, among other
things, the will of the Malagasy State to develop a care policy for "persons with
disabilities".
276.Decree No. 2009/1147 of 1st September 2009 on education policy advocates that
children and adolescents with disabilities are given priority to normal education in
mainstream schools, according to the principles of inclusive education.
277.Despite these provisions, 10% of children with all forms of disabilities attend the
above-mentioned schools.
Education of children with physical disabilities
278.Efforts remain to be made in order to facilitate access for physically disabled
children in regular schools: Cost of equipment and lack of architectural accessibility
adapted to their situation.
279.The CRMM has integrated within its premises a school providing primary and
secondary education for the children receiving a treatment at the centre.
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