The Legal, Regulatory, and Policy Environment for Integrating Family Planning into Universal Health Coverage Schemes in Madagascar

In this brief, HP+ examines the legal, regulatory, and policy environment for family planning inclusion in universal health coverage initiatives in Madagascar. Using the corresponding guide, HP+ reviewed policy instances in Madagascar to identify how they support or inhibit population-level coverage and access, increased responsiveness and method choice, and financial protection in seeking family planning services. Madagascar has a strong enabling environment mostly due to a 2018 revision to its Reproductive Health and Family Planning Law that allows for universal access to family planning services. However, the country has a nascent health financing system that has produced limited policy instances and the absence of these, such as those regulating health insurance schemes, creates more barriers to family planning financing than the implications of policy instances that do exist. It will be important for Madagascar to consider the implications to family planning as it undertakes future health financing reform aimed at progressing toward universal health coverage.

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