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</html><description>Despite its natural resources and strong tourism potential, Madagascar is one of the poorest countries in the world. Madagascar is the only country in the world where the standard of living has declined in 60 years (30% drop in GDP per capita in constant dollars). In a very fragile situation, the population has few sustainable prospects for development.  Paying for health care is a challenge for workers in the informal sector and for agricultural producers. The deteriorating health status affects their livelihoods.&#xA0; This situation is aggravated by the rudimentary nature of health services, particularly in rural areas.</description></oembed>
