MadagascarTuberculosis profile
Population  2016 25 million
Estimates of TB burden*, 2016 Number (thousands) Rate
(per 100 000 population)
Mortality (excludes HIV+TB) 13 (7.9–20) 54 (32–82)
Mortality (HIV+TB only) 0.61 (0.27–1.1) 2.4 (1.1–4.3)
Incidence  (includes HIV+TB) 59 (38–84) 237 (153–338)
Incidence (HIV+TB only) 1.4 (0.62–2.4) 5.6 (2.5–9.8)
Incidence (MDR/RR-TB)** 0.44 (0.081–0.79) 1.8 (0.32–3.2)
Estimated TB incidence by age and sex (thousands)*, 2016
  0-14 years > 14 years Total
Females 3.8 (2.3–5.3) 19 (11–26) 23 (14–32)
Males 3.8 (2.3–5.3) 32 (20–45) 36 (22–51)
Total 7.6 (4.6–11) 51 (31–71) 59 (38–84)
TB case notifications, 2016  
Total cases notified 29 385
Total new and relapse 29 001
          - % tested with rapid diagnostics at time of diagnosis  
          - % with known HIV status 46%
          - % pulmonary 79%
          - % bacteriologically confirmed among pulmonary 88%
Universal health coverage and social protection  
TB treatment coverage (notified/estimated incidence), 2016 49% (34–76)
TB patients facing catastrophic total costs  
TB case fatality ratio (estimated mortality/estimated incidence), 2016 0.25 (0.12–0.4)
TB/HIV care in new and relapse TB patients, 2016 Number (%)
Patients with known HIV-status who are HIV-positive 99 <1%
          - on antiretroviral therapy 97 98%
Drug-resistant TB care, 2016 New cases Previously treated
cases
Total
number***
Estimated MDR/RR-TB cases among notified
pulmonary TB cases
  210
(6–420)
Estimated % of TB cases with MDR/RR-TB 0.49% (0–1.1) 5.9% (0–15)  
% notified tested for rifampicin resistance 2% 45% 1 428
MDR/RR-TB cases tested for resistance to second-line drugs   40
Laboratory-confirmed cases MDR/RR-TB: 40, XDR-TB: 0
Patients started on treatment **** MDR/RR-TB: 15, XDR-TB:
Treatment success rate and cohort size Success Cohort
New cases registered in 2015 82% 26 216
Previously treated cases registered in 2015 71% 2 370
HIV-positive TB cases registered in 2015    
MDR/RR-TB cases started on second-line treatment in 2014 75% 12
XDR-TB cases started on second-line treatment in 2014    
TB preventive treatment, 2016  
% of HIV-positive people (newly enrolled in care) on preventive treatment 21%
% of children (aged < 5) household contacts of bacteriologically-confirmed
TB cases on preventive treatment
29% (27–32)
TB financing, 2017  
National TB budget (US$ millions) 12
Funding source: <1% domestic, 28% international, 72% unfunded
* Ranges represent uncertainty intervals
** MDR is TB resistant to rifampicin and isoniazid; RR is TB resistant to rifampicin
*** Includes cases with unknown previous TB treatment history
**** Includes patients diagnosed before 2016 and patients who were not laboratory-confirmed
***
(Rate per 100 000 population per year)
Mortality graph
   Mortality  (excludes HIV+TB)

(Rate per 100 000 population per year)
Incidence graph
   Incidence
   Notified (new and relapse)
   Incidence (HIV+TB only)

Notified cases by age group and sex, 2016
age_sex_graph
____
FemalesMales

Treatment success rate (%)
tx success graph
   
New cases
   Previously treated cases
   HIV-positive   MDR/RR-TB   XDR-TB

Total budget (US$ millions)
Budget funding Graph
__Unfunded
__Funded internationally
__Funded domestically
 
 Data are as reported to WHO. Estimates of TB and MDR-TB burden are produced by WHO in consultation with countries.
 Generated: 2017-11-19 Data: www.who.int/tb/data