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Antananarivo · ≈ 30 million
UHC & health insurance in Madagascar
Madagascar established the National Health Solidarity Fund (CNSS-S) in 2022 and is starting UHC operational rollout in a highly rural setting.
National scheme
National Health Solidarity Fund (CNSS-S), CNaPS, Ministry of Public Health.
Priority challenges
- •Reach rural and island populations
- •Build a reliable beneficiary registry
- •Articulate UHC with vertical programmes (EPI, malaria)
- •Manage financial flows between State, communes and providers
What Afri CNAM brings to Madagascar
- Resilient offline-first architecture
- Field enrolment by communal agents
- Digital and physical health card with offline verification
- Sovereign hosting in Antananarivo