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Skip search results from other journals and go to results- 2 JMIR mHealth and uHealth
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Madagascar, with a population of 29 million [6], experienced two humanitarian crises in 2021 and 2022. First, the COVID-19 pandemic led to a reduction in GDP, increased unemployment, and poverty [7] Second, a severe drought and subsequent famine affected the southern regions of the island, where extreme poverty and malnutrition rates are particularly high [8,9].
JMIR Mhealth Uhealth 2025;13:e60811
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Still, in other countries the spread of false or unconfirmed information by politicians and public figures about coronavirus “cures” such as the herbal tonic promoted by President Andry Rajoelina of Madagascar caused confusion and some preventable deaths [30].
Another major concern has been the use of oppressive actions by law enforcement to contain outbreaks. There have been reports in Kenya of civilian deaths by security forces in the process of enforcing curfews [31].
J Med Internet Res 2020;22(11):e24248
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In Madagascar, a low-income country with a maternal mortality rate of 353 per 100,000 [17,18], financial obstacles are a major cause for a lack of access to basic health care during pregnancy, with 44% of pregnant women not seeking skilled birth attendance [19,20]. Although Madagascar implemented a user fee exemption policy for maternal health care services in 2008, out-of-pocket costs for routine drugs and laboratory tests or hospitalizations remain a major obstacle for seeking skilled care [21].
JMIR Mhealth Uhealth 2019;7(3):e11420
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