The health results of Madagascar’s first Service Delivery Indicators survey were released in Antananarivo on 21 March 2017.

Survey implementation was preceded by extensive consultation with Government and key stakeholders on survey design, sampling, and adaptation of survey instruments. Pre‐testing of the survey instruments, enumerator training and field‐work took place in the first half of 2016. The surveys were implemented by the Madagascar’s National Statistics Institute (Institut National de la Statistique-INSTAT) with support by the World Bank and the WB‐funded nutrition Project.

Information was collected from 459 public and non-profit private health facilities and 1,820 health providers. The results provide a representative snapshot of the quality of service delivery and the physical environment within which services are delivered in public and private (non-profit) health facilities at the three levels.

Service Delivery Indicators

The Service Delivery Indicators (SDI) provides a set of key indicators that benchmark service delivery performance in the health and education sectors in Sub-Saharan Africa. The overarching objective of the SDI is to ascertain the quality of service delivery in primary education and basic health services. This would in turn enable governments and service providers alike to identify gaps and bottlenecks, as well as track progress over time, and across countries. The broad availability, high public awareness, and a persistent focus on the indicators that SDI provide, will help mobilize policymakers, citizens, service providers, donors and other stakeholders to take the necessary steps to improve the quality of service delivery, and thereby improve development outcomes.

Madagascar Education(2016)
E1: Absence from school30.735.914.431.924.341.935.2
E2: Absence from classroom37.942.224.439.330.947.741.5
Proportion of lesson spent teaching95.996.494.696.095.397.096.4
Scheduled teaching day (minutes)311.8303.0338.5310.6321.4298.1303.3
Classrooms with pupils but no teacher15.219.410.
Average score on test (English, Maths and Pedagogy)
Average score on test (English and Maths)38.036.842.336.943.241.536.2
Minimum knowledge: 100 % threshold0.
Minimum knowledge: 90 % threshold0.
Minimum knowledge: 80 % threshold0.
Minimum knowledge: 70 % threshold1.
Fraction correct on English Section23.422.227.921.632.530.921.1
Fraction correct on grammar task53.051.757.851.461.059.850.6
Fraction correct on Cloze task26.325.
Fraction correct on composition task7.86.612.46.016.914.15.7
Fraction correct on Maths Section45.043.749.744.646.945.043.5
Fraction correct on Lower Primary52.651.556.752.354.052.051.4
Fraction correct on Upper Primary30.729.136.630.133.731.828.8
Adding double digit numbers95.194.696.995.792.588.995.4
Substracting double digit numbers80.680.281.880.979.174.980.9
Adding triple digit numbers86.085.587.886.284.882.285.9
Dividing double by single64.965.264.864.367.666.064.6
Multiplying two digit numbers79.078.879.778.979.777.479.0
Adding decimals44.743.748.343.450.950.442.8
Division of two digit numbers ? Conceptual Unders64.769.063.563.968.266.963.0
Comparing fractions with different denominators19.618.324.418.923.423.917.6
Monetary units ? Multiplication36.442.834.736.635.831.835.0
Geometry ? 2D Shapes71.979.769.871.275.471.969.5
Geometry ? types of lines55.363.153.153.663.260.052.2
Time (reading a clock) ? Problem Solving29.026.637.527.
Interpreting Data on a Venn Diagram35.233.840.534.
Interpreting Data on a Graph18.416.923.817.522.521.016.3
Square root (no remainder)41.639.150.541.940.038.939.1
Subtraction of numbers with decimals44.242.650.245.339.240.342.9
Division of Fractions21.120.224.321.718.217.120.6
One Variable Algebra13.311.719.113.612.07.312.3
Geometry ? computing perimeter of a rectangle32.239.130.332.132.931.730.1
Geometry ? computing area of a rectangle28.631.827.728.529.127.727.7
Fraction correct on Pedagogy Section23.622.627.123.126.326.822.1
Fraction correct on basic Pedagogy Section25.925.128.925.328.829.624.5
Fraction correct on advanced Pedagogy Section21.920.825.821.324.424.720.3
Preparing a lesson plan34.434.036.333.937.339.033.3
Assessing children's abilities17.916.323.617.320.520.215.8
Evaluating students' progress9.18.411.78.611.911.08.1
Share of stud. with pencils92.692.094.492.593.186.892.3
Share of stud. with paper97.497.397.897.498.097.697.3
Have black board100.0100.0100.0100.0100.0100.0100.0
Sufficient contrast to read board78.579.076.877.785.188.778.5
Visibility judged by enumerator72.775.863.072.177.987.075.2
Toilet clean49.443.
Toilet private61.653.586.859.579.769.752.6
Toilet accessible63.554.790.761.
Pupils per teacher - (all classes)36.638.328.436.729.036.538.4
Students per textbook (English)
Students per textbook (Math)
Madagascar Health(2016)
H1: Absence from facility27.426.429.628.326.426.126.6
Diagnostic accuracy: Doctors34.333.435.933.335.233.936.5
Diagnostic accuracy: Clinical Officers26.522.227.324.626.723.127.3
Diagnostic accuracy: Nurses19.940.818.640.818.60.018.6
Process Quality: Doctors35.735.036.534.336.636.333.8
Process Quality: Clinical Officers27.226.831.227.326.526.926.7
Process Quality: Nurses20.119.135.419.
Clinical management of maternal and newborn complications21.922.919.222.624.523.422.7
H4: Caseload5.
H5a: Drugs available (adjusted): lower level HC246.145.848.145.551.949.545.6
H5a: Drugs available (adjusted): Health center 347.846.452.747.548.947.746.2
H5a: Drugs available (adjusted): Health center 458.550.664.575.354.850.60.0
Drugs for mothers available (Adjusted for facility type)46.647.546.150.545.444.945.5
Drugs for children available (Adjusted for facility type)45.557.559.060.158.359.458.1
H6a: Minimum equipment (adjusted): lower level HC252.861.951.995.347.738.148.3
H6a: Minimum equipment (adjusted): Health center 370.384.465.290.764.480.261.9
H6a: Minimum equipment (adjusted): Health center 428.231.313.344.
Any scale (adult, child or infant)94.495.594.095.694.098.393.3
Sterilizing equipment56.074.147.582.446.867.042.3
H7b: Minimum Infrastructure (restricted): dispensaries13.046.19.887.
H7b: Minimum Infrastructure (restricted): Health centers31.
H7b: Minimum Infrastructure (restricted): District hospitals78.473.8100.098.552.252.20.0
Clean water71.795.564.092.966.191.762.0
Parenteral antibiotics93.596.693.196.992.992.698.6
Parenteral oxytocics97.489.898.296.697.598.0100.0
Parenteral Anticonvulsants85.583.685.787.685.284.993.8
Manual placenta extraction96.793.097.196.696.797.196.9
Manual conception products extraction83.280.483.586.882.682.395.0
Instrumented birth23.147.020.650.118.817.849.0
Reanimation with bag and mask41.775.638.173.536.635.070.4
Blood transfusions75.096.647.869.5100.047.8


World Bank Service Delivery Indicator Data Site

This link connects you to the World Bank Data site for Service Delivery Indicators. Here you can access the full data set from each country survey.