Fatshimetry
In a bold and enlightened move, President Andry Rajoelina of Madagascar announces plans to lead a tour across the country to raise awareness about the use of contraceptives. This approach is part of a plan to promote family planning over the next four years, approved at the last Council of Ministers. The ambitious objective of this program is to double the number of users of contraceptive methods in order to reduce the fertility rate and, in turn, the poverty rate in the country.
This approach, which aims to encourage responsible family planning, was warmly welcomed by reproductive health stakeholders in Madagascar. Médecins du monde, an organization very involved in this area, welcomes the priority given to contraception by the highest level of government. For Charlotte Berthier, representative of the organization in the country, it is crucial that good political intentions come to fruition on the ground, by ensuring real and free availability of contraceptive means, particularly in rural areas.
However, despite these laudable advances, challenges remain. It is imperative that family planning information reaches younger populations effectively, including adolescents and young adults. This awareness, essential for promoting responsible sexuality and informed access to contraception, should also be reinforced in schools. However, a recent directive from the Ministry of National Education prohibits any demonstration of contraceptive materials in schools, favoring the promotion of abstinence.
The major challenge of reducing the fertility rate in Madagascar is complex, with significant disparities depending on the region. For example, in the Androy region, the fertility rate reaches an alarming level of 8 children per woman, while in Antananarivo, the capital, it is lower, with 2.9 children per woman. This variation highlights the importance of a personalized approach adaptable to regional specificities to ensure the effectiveness of family planning programs.
In sum, President Rajoelina’s awareness tour across Madagascar offers a unique opportunity to promote an open and inclusive dialogue on contraception and family planning. It is imperative that this initiative is supported by concrete measures, continued awareness-raising and close collaboration with health and education stakeholders. By joining forces, the authorities, civil society organizations and the Malagasy population will be able to work together towards reproductive health and family planning that are respectful and accessible to all.