Introduction

As human beings, illness and health are inseparable in daily life. In the latter, there are people who are capable of saving a life; they are general practitioners or specialists. And they have their own ethics regarding sick people. There are also lawyers who never stop fighting for a fairer and more equitable society in Madagascar. However, hospitalized patients receive unequal treatment from doctors or their Technical and Administrative Staff (TAP). In this regard, being in a hospital in Madagascar is like living in a prison, especially in a public hospital.

Problems for Hospitalized Patients  

The majority of sick people are unable to afford medication due to rising prices or medications that don’t exist in a country. And, if they are related to a doctor, they are treated well. Doctors often stay in the city because of their working conditions. In this case, rural people are forced to go to the city if their illness worsens. These are nurses or midwives who work in the workplace. Many women give birth at home due to a lack of money or materials to have a baby. There are hospitalized people who have died due to inadequate care, especially from doctors, and a lack of psychological support.

The Problems for Doctors

Aside from those hospitalized, doctors face a host of problems from the beginning of their studies until they start working because they also do not receive good conditions appropriate to their role; Their salaries are very low; they buy their own medical supplies. Moreover, their numbers are so small; a doctor treats more than 20 people in a day. Consequently, their working conditions are so unfavorable. And this sometimes pushes them to disregard medical ethics.

A Way Forward for the Patients and Doctors

So, basically, whether it’s the hospitalized patients or the doctors themselves, they are victims of a state policy that fails to meet their needs. However, it is the sick who suffer the most from financial, psychological, social, and legal problems in Madagascar. However, the Malagasy government has already provided certain infrastructure and collaborates with NGOs and private companies to meet the population’s healthcare needs. But this is still insufficient.

Conclusion

Sustainable solutions are needed. The best way to combat all forms of inequality between sick people and doctors, is to recruit more and more doctors with their specialization each year, offering quality training would be a necessity for midwives, nurses, more precisely the implication of the law in an equitable manner between all Malagasy populations both in the urban environment and the peripheral. Thus, the most important thing is to initiate the medical sector in a general way from primary school to facilitate the understanding of a disease for the Malagasy. All this remains in vain if the Malagasy State does not have the possibility of changing everything in the medical field.

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