Madagascar - Country Commercial Guide
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The government’s public health policy seeks to establish universal health care coverage for children under age five, pregnant women, and people over 65. It prioritizes the provision of adequate and modern equipment and identifies the need to increase the public health budget. In addition, the government is setting up mobile units to handle aid and health services in remote areas. 

Leading sub-sectors 

Table 1: Generic Pharmaceuticals
GENERIC PHARMACEUTICALS20192020202120222023 (Jan-Jun)
Total exports 18655800208
Total imports 119,097103,197109,110119,81262,411
Imports from the U.S.10225598140112
Total market size 118,911102,639109,110119,81262,203

Data source: Madagascar Customs. Figures are in thousands of USD. Data includes HTS code starting with 3004 and does not break out generic and non-generic medicines.

  • Health information technology: advanced application of drones, digitalization of medical records, telemedicine 
  • Equipment for healthcare facilities including diagnostic laboratory equipment, X-ray equipment, dental equipment, orthopedic equipment, surgical equipment, medical scanners, and therapeutic equipment.


  • Leasing of modern health equipment 
  • Investment in opening advanced healthcare facilities to provide quality services 
  • Planned government procurement through a sporadic call for tenders 
  • Pharmaceutical industry



  • Ministry of Public Health:
  • Central Purchasing Agency of Generic Medicines (SALAMA):