Top 20 Hospitals in Madagascar

1. Joseph Ravoahangy Andrianavalona Hospital (HJRA)

Located in Antananarivo, HJRA is the largest public hospital in Madagascar and serves as the main teaching hospital for the University of Antananarivo's medical school. Established in 1964, it offers a wide range of medical services across various specialties including internal medicine, surgery, pediatrics, and obstetrics.

The hospital is particularly renowned for its trauma center and emergency services, handling complex cases from across the country. It also houses specialized units for cardiology, neurology, and oncology treatments. HJRA is equipped with modern diagnostic equipment including CT scanners and MRI machines, making it a referral center for advanced medical cases in Madagascar.

Popular treatments: Trauma surgery, cancer treatment, cardiac care, and neurosurgery.

2. Soavinandriana Hospital

Soavinandriana Hospital, located in Antananarivo, is one of the major public health facilities in Madagascar with a focus on maternal and child health services. The hospital operates as both a treatment center and a training facility for healthcare professionals in the region.

Specializing in obstetrics and gynecology, the hospital handles a high volume of deliveries and complicated pregnancies. It also has well-established pediatric and neonatal intensive care units. The hospital has recently expanded its surgical capabilities and now offers laparoscopic procedures. Soavinandriana is recognized for its efforts in reducing maternal mortality rates through improved obstetric care.

Popular treatments: High-risk pregnancies, neonatal care, gynecological surgeries, and family planning services.

3. Institut Malagasy de la Réhabilitation (IMR)

The Malagasy Rehabilitation Institute in Antananarivo is Madagascar's premier center for physical medicine and rehabilitation. Established with support from international partners, IMR specializes in helping patients recover from injuries, surgeries, and chronic conditions affecting mobility.

IMR offers comprehensive rehabilitation programs including physiotherapy, occupational therapy, speech therapy, and prosthetic/orthotic services. The institute is particularly known for its work with landmine victims, polio survivors, and children with congenital disabilities. Their multidisciplinary approach combines modern rehabilitation techniques with locally-adapted solutions to serve Madagascar's diverse population.

Popular treatments: Physical rehabilitation, prosthetic fitting, spinal cord injury therapy, and pediatric developmental therapy.

4. Centre Hospitalier de Toamasina

As the main referral hospital for eastern Madagascar, the Toamasina Hospital Center serves the large port city and surrounding coastal regions. This public hospital has particular expertise in tropical medicine and infectious diseases, given the region's climate and population density.

The hospital features specialized units for treating malaria, tuberculosis, and other parasitic infections common in tropical areas. It also operates a busy emergency department handling industrial and maritime accidents from the port area. Recent upgrades have expanded its surgical capacity, particularly in general and trauma surgery. The hospital collaborates with international health organizations on disease surveillance and outbreak response.

Popular treatments: Tropical disease management, trauma surgery, infectious disease control, and emergency medicine.

5. Clinique des Sœurs Franciscaines

This Catholic mission hospital in Fianarantsoa has served southern Madagascar since 1952. Operated by Franciscan sisters, the clinic provides compassionate care with an emphasis on serving the rural poor. Despite its modest size, it offers surprisingly comprehensive services for a regional facility.

The clinic specializes in primary care, chronic disease management, and basic surgical services. It has developed particular expertise in treating malnutrition and running community health programs. The facility includes a nursing school that trains healthcare workers for southern Madagascar. The sisters' holistic approach combines medical treatment with spiritual and social support for patients and their families.

Popular treatments: Nutritional rehabilitation, diabetes management, primary healthcare, and community health education.

6. Polyclinique d'Ilafy

Located in the upscale Ilafy neighborhood of Antananarivo, this private polyclinic is known for its high-quality outpatient services and specialist consultations. The facility attracts both local residents and expatriates seeking Western-standard medical care in Madagascar.

The clinic offers a wide range of specialist services including cardiology, dermatology, endocrinology, and gastroenterology. It features modern diagnostic equipment and laboratory services. The polyclinic has particular strengths in preventive medicine and executive health check-ups. Many of its physicians have trained abroad and maintain international certifications in their specialties.

Popular treatments: Comprehensive health screenings, specialist consultations, chronic disease management, and travel medicine.

7. Centre Hospitalier Universitaire d'Antsiranana

This university teaching hospital serves as the main referral center for northern Madagascar. Located in Antsiranana (Diego Suarez), the hospital provides tertiary care services to the entire Diana region and neighboring areas.

The hospital has developed particular expertise in marine medicine and diving-related health issues, given its coastal location near popular diving sites. It also operates busy internal medicine and surgical departments. As a teaching hospital, it plays a crucial role in training healthcare professionals for northern Madagascar. The facility has recently expanded its infectious disease unit to better handle regional health challenges.

Popular treatments: Diving medicine, general surgery, internal medicine, and infectious disease management.

8. Clinique Metropole

Clinique Metropole in Antananarivo is one of Madagascar's most modern private hospitals, offering international-standard healthcare services. Established in 2005, the facility was designed to meet growing demand for high-quality private medical care in the capital.

The clinic specializes in minimally invasive surgeries, diagnostic imaging, and comprehensive laboratory services. It has particular strengths in orthopedics, ophthalmology, and cosmetic surgery. The hospital features state-of-the-art operating theaters and recovery rooms designed for patient comfort. Many of its specialists have trained in Europe or South Africa and maintain international practice standards.

Popular treatments: Laparoscopic surgeries, orthopedic procedures, eye surgeries, and cosmetic procedures.

9. Hôpital Be

Hôpital Be (literally "Big Hospital") in Toliara is the main referral hospital for southwestern Madagascar. This public facility serves a vast and often remote region, dealing with unique health challenges of the semi-arid south.

The hospital has developed particular expertise in managing malnutrition cases and drought-related health issues. It also operates a busy pediatric ward and maternity unit. Despite resource constraints, the hospital has made significant progress in reducing child mortality rates through improved neonatal care. Hôpital Be works closely with international NGOs to address regional health disparities and train community health workers.

Popular treatments: Nutritional rehabilitation, pediatric care, obstetric services, and primary healthcare.

10. Centre de Santé Maternelle et Infantile

This specialized maternal and child health center in Antananarivo focuses exclusively on women's and children's health services. Operated by the Ministry of Health, it serves as a model facility for reproductive and pediatric healthcare in Madagascar.

The center offers comprehensive prenatal care, family planning services, well-baby checkups, and childhood immunization programs. It has particular expertise in high-risk pregnancies and neonatal intensive care. The facility also operates training programs for traditional birth attendants to improve delivery safety in rural areas. Its community outreach programs have significantly improved maternal and child health indicators in its catchment area.

Popular treatments: Prenatal care, pediatric vaccinations, family planning, and neonatal care.

11. Hôpital Militaire d'Antananarivo

The Military Hospital of Antananarivo serves active-duty military personnel and their families, but also accepts civilian patients. This well-equipped facility is known for its trauma and emergency services, drawing on military medical expertise.

Specializing in trauma surgery, orthopedics, and emergency medicine, the hospital has particular strengths in handling complex injuries. It maintains advanced surgical capabilities and a blood bank that serves the wider community during emergencies. The hospital also operates specialized units for aviation medicine and tropical disease research. Its disciplined approach to healthcare delivery ensures efficient patient management even during crises.

Popular treatments: Trauma surgery, orthopedic procedures, emergency care, and aviation medicine.

12. Centre Hospitalier Régional de Mahajanga

This regional hospital serves as the main healthcare facility for northwestern Madagascar, covering the Boeny region from its base in Mahajanga. The hospital handles a diverse range of medical cases from coastal, rural, and urban populations.

The facility has developed particular expertise in managing respiratory conditions and heat-related illnesses common in the hot coastal climate. It operates busy pediatric and maternity wards, as well as a growing surgical department. The hospital plays a key role in disease surveillance for the region, particularly for malaria and other vector-borne illnesses. Recent upgrades have improved its diagnostic imaging and laboratory capabilities.

Popular treatments: Pediatric care, respiratory medicine, obstetric services, and general surgery.

13. Clinique Saint Jean

This private Catholic hospital in Antsirabe specializes in long-term care and chronic disease management. Operated by the Sisters of Charity, the clinic provides compassionate care with an emphasis on dignity for all patients.

The clinic has particular strengths in geriatric care, palliative medicine, and rehabilitation services. It offers comfortable facilities for patients requiring extended recovery periods. The sisters have developed innovative programs combining medical treatment with occupational therapy and spiritual support. The clinic also operates mobile health units serving remote communities in the Vakinankaratra region.

Popular treatments: Geriatric care, chronic pain management, palliative care, and rehabilitation services.

14. Hôpital de Moramanga

This district hospital serves the important agricultural and mining region of Moramanga, located along the Route Nationale 2 between Antananarivo and Toamasina. The hospital handles a mix of occupational health cases and general medical needs.

The facility has developed expertise in treating mining-related injuries and occupational lung diseases. It also operates busy maternity and pediatric services for the surrounding rural communities. The hospital plays a key role in emergency response along the busy highway corridor. Recent investments have improved its surgical capacity and laboratory services to better serve the growing population.

Popular treatments: Occupational health services, emergency trauma care, obstetric services, and pediatric care.

15. Centre de Dialyse d'Antananarivo

This specialized nephrology center is Madagascar's premier facility for kidney disease treatment and dialysis services. Established through a partnership between the Malagasy government and international donors, it has significantly improved access to renal care.

The center offers hemodialysis, peritoneal dialysis, and comprehensive kidney disease management. It has particular expertise in managing diabetic nephropathy and hypertension-related kidney damage. The facility also operates education programs for patients and healthcare workers about kidney disease prevention. While based in Antananarivo, it serves patients from across Madagascar requiring specialized renal care.

Popular treatments: Hemodialysis, kidney disease management, electrolyte imbalance treatment, and renal transplantation evaluation.

16. Hôpital de Mananjary

This coastal hospital serves the Vatovavy region of southeastern Madagascar, an area frequently affected by cyclones and flooding. The hospital has developed particular expertise in disaster medicine and emergency response.

The facility operates robust trauma and emergency departments capable of handling mass casualty events. It also maintains specialized units for managing waterborne diseases and flood-related health issues. The hospital plays a key role in regional disaster preparedness training and coordinates with international relief organizations during emergencies. Despite resource challenges, it provides essential medical services to a large and often isolated population.

Popular treatments: Emergency trauma care, disaster medicine, infectious disease management, and primary healthcare.

17. Centre Hospitalier de Antsirabe

This regional hospital serves Madagascar's third-largest city and surrounding highland areas. The facility benefits from Antsirabe's cooler climate, which historically made it a health retreat during colonial times.

The hospital has developed particular strengths in respiratory medicine (serving the region's mining workforce) and rheumatology (treating arthritis in the cool highland climate). It also operates comprehensive maternal and child health services. The facility has recently expanded its surgical capabilities with new operating theaters. The hospital collaborates with local thermal spas on rehabilitation programs combining medical treatment with hydrotherapy.

Popular treatments: Respiratory medicine, rheumatology, obstetric care, and general surgery.

18. Clinique de l'Espérance

This private clinic in Antananarivo specializes in women's health and fertility services. Established in 1998, it has become one of Madagascar's leading centers for reproductive medicine.

The clinic offers comprehensive gynecological care, fertility treatments, and assisted reproductive technologies. It has particular expertise in managing high-risk pregnancies and gynecological cancers. The facility maintains modern ultrasound and laparoscopic equipment for diagnostic and therapeutic procedures. The clinic's success rates for fertility treatments are among the highest in Madagascar, attracting patients from across the country and neighboring islands.

Popular treatments: Fertility treatments, high-risk pregnancy care, gynecological surgeries, and reproductive health services.

19. Hôpital Psychiatrique de Manakara

This specialized psychiatric hospital serves as Madagascar's main facility for mental health treatment outside the capital. Located in the coastal city of Manakara, it provides inpatient and outpatient psychiatric care for southern and eastern regions.

The hospital treats a wide range of mental health conditions including schizophrenia, mood disorders, and substance abuse issues. It has developed community-based rehabilitation programs that help patients reintegrate into society. The facility also conducts mental health awareness campaigns to reduce stigma in surrounding communities. Despite limited resources, the hospital provides essential psychiatric services to a large underserved population.

Popular treatments: Psychiatric care, substance abuse treatment, mental health counseling, and community rehabilitation programs.

20. Centre de Traumatologie et d'Orthopédie

This specialized trauma and orthopedic center in Antananarivo focuses exclusively on musculoskeletal injuries and disorders. Established with international support, it has significantly improved access to specialized orthopedic care in Madagascar.

The center offers comprehensive services including fracture management, joint replacements, spinal surgery, and sports medicine. It has particular expertise in treating road traffic injuries, which are prevalent in urban areas. The facility maintains modern operating theaters equipped for complex orthopedic procedures. The center also operates mobile clinics providing follow-up care and rehabilitation services to patients across the island.

Popular treatments: Fracture repair, joint replacement, spinal surgery, and sports injury management.