In Madagascar, breastfeeding impacts families, communities, and the economy.

There are serious health and economic consequences associated with not breastfeeding.

Globally, the World Health Assembly (WHA) has set a target to increase the exclusive breastfeeding rate to 50% by 2025. By the time these targets were set in 2012, Madagascar had already reached a national exclusive breastfeeding rate of 50%. In recent years, however, breastfeeding rates have slipped below the target. Today, 42% of children under six months are exclusively breastfed. More must be done to drive progress and ensure all children are able to thrive.

Advocacy Brief: Madagascar

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Madagascar facts

26 million (M)

$12 billion (B)

42%
The global goal: All countries reach an exclusive rate of 50% by 2025.
Madagascar 42%
Global Goal: 50%
42%
50%
Annually, inadequate breastfeeding in Madagascar results in:
3,000
décès d'enfants évitables.

Lorsqu’un enfant n'est pas allaité, il a moins de chance de survivre. Il est plus susceptible de contracter des maladies potentiellement mortelles et d'être moins capable de combattre les maladies.

2M
cas de diarrhée et de pneumonie.

Les enfants qui ne sont pas allaités (nourris au sein) sont plus susceptibles de boire de l'eau insalubre (utilisée dans la préparation du lait maternisé (lait en poudre) et ont un système immunitaire moins développé. Cela signifie qu'ils sont plus susceptibles de contracter des agents pathogènes causant la diarrhée et la pneumonie. Les effets de ces infections peuvent durer toute la vie.

$41M
en dépenses du ménage.

Lorsqu'un enfant n'est pas allaité au sein, les familles doivent acheter des substituts du lait maternel tels que les préparations pour nourrissons, ce qui est coûteux, surtout pour les familles des pays à revenu faible ou moyen.

$1M+
en coûts de traitement pour le système de soins de santé.

Lorsque les enfants ne sont pas allaités au sein, les enfants et les mères sont plus susceptibles de tomber malades et ont besoin de se faire soigner. Il en résulte des coûts de traitement importants pour les systèmes de santé.

The human costs of not breastfeeding in Madagascar

There are serious health consequences associated with not breastfeeding.

When children are not breastfed, they are at higher risk of illness and death. Later in life, mothers who do not breastfeed are more prone to develop life-altering and life-threatening cancers and Type II diabetes.

Impact of not breastfeeding on morbidity and mortality in:

 

  Preventable cases Preventable Deaths
Diarrhea 1,417,110 1,047
Acute respiratory infections/pneumonia 60,381 1,690
Obesity 0 Not Available
  Preventable cases Preventable Deaths
Breast cancer 74 16
Ovarian cancer 15 13
Type II diabetes 370 23
The economic costs of not breastfeeding in Madagascar

There are serious economic consequences to not breastfeeding.

Currently, Madagascar suffers economic losses because only 42% of children are exclusively breastfed. These economic losses are the result of:

  • Higher health systems costs, as children and mothers develop illnesses that could have been prevented by breastfeeding practices;
  • Lost productivity, as children who were not breastfed are less likely to fully develop and fully contribute to the economy, and;
  • Higher household expenditures, as families need to purchase breastmilk substitutes like formula when they do not breastfeed their children

Impact of not breastfeeding on:

 

In Madagascar, health systems incur costs when treating illnesses that could have been prevented by breastfeeding.

Type II diabetes in mothers $9,916
Diarrhea in children $1,238,005
Acute respiratory infection/pneumonia in children $153,659
Total in USD $1,401,579
Total as a % of Gross National Income (GNI) 0.014%

When families do not breastfeed their children, they need to purchase formula. This results in the following household costs.

In USD $40,668,285
Total as a % of nominal wages Not Available
Select a GDP growth rate

The health of an economy impacts a child’s earning potential. Put simply, the earning potential of a child living in a country with a low GDP will be smaller than that of a child living in a country with a high GDP. As GDP grows, a child’s lifetime earning potential grows. Yet, inadequate breastfeeding can limit a child’s development and earning potential.

See how different rates of GDP growth impact costs of not breastfeeding

Make a selection below:

Economic losses in Madagascar due to inadequate breastfeeding when the country's GDP is growing at 0%

Currently, 42% of children are exclusively breastfed in Madagascar. Explore the data below to see how the economic losses of inadequate breastfeeding at this rate change as the GDP grows more quickly or slowly.

The cost of inadequate breastfeeding due to preventable deaths.

Child mortality $$15,358,073
Maternal mortality $79,904
Combined child and maternal mortality $15,437,977
Total as % GNI 0.153%

The cost of inadequate breastfeeding due to cognitive losses

Total in USD$37,565,292
As a % GNI0.373%

The total cost of inadequate breastfeeding (combined health system, mortality, and cognitive losses)

Total in USD$54,404,848
As a % GNI0.540%

Economic losses in Madagascar due to inadequate breastfeeding when the country's GDP is growing at 3%

Currently, 42% of children are exclusively breastfed in Madagascar. Explore the data below to see how the economic losses of inadequate breastfeeding at this rate change as the GDP grows more quickly or slowly.

The cost of inadequate breastfeeding due to preventable deaths.

Child mortality $51,160,715
Maternal mortality $95,132
Combined child and maternal mortality $51,255,847
Total as % GNI 0.508%

The cost of inadequate breastfeeding due to cognitive losses

Total in USD$125,137,258
As a % GNI1.241%

The total cost of inadequate breastfeeding (combined health system, mortality, and cognitive losses)

Total in USD$177,794,684
As a % GNI1.763%

Economic losses in Madagascar due to inadequate breastfeeding when the country's GDP is growing at 5%

Currently, 42% of children are exclusively breastfed in Madagascar. Explore the data below to see how the economic losses of inadequate breastfeeding at this rate change as the GDP grows more quickly or slowly.

The cost of inadequate breastfeeding due to preventable deaths.

Child mortality $122,336,711
Maternal mortality $106,899
Combined child and maternal mortality $122,443,611
Total as % GNI 1.21%

The cost of inadequate breastfeeding due to cognitive losses

Total in USD$299,231,168
As a % GNI2.968%

The total cost of inadequate breastfeeding (combined health system, mortality, and cognitive losses)

Total in USD$423,076,358
As a % GNI4.196%

Economic losses in Madagascar due to inadequate breastfeeding when the country's GDP is growing at 7%

Currently, 42% of children are exclusively breastfed in Madagascar. Explore the data below to see how the economic losses of inadequate breastfeeding at this rate change as the GDP grows more quickly or slowly.

The cost of inadequate breastfeeding due to preventable deaths.

Child mortality $307,328,871
Maternal mortality $120,145
Combined child and maternal mortality $307,449,016
Total as % GNI 3.049%

The cost of inadequate breastfeeding due to cognitive losses

Total in USD$751,715,296
As a % GNI7.456%

The total cost of inadequate breastfeeding (combined health system, mortality, and cognitive losses)

Total in USD$1,060,565,891
As a % GNI10.519%

Economic losses in Madagascar due to inadequate breastfeeding when the country's GDP is growing at 10%

Currently, 42% of children are exclusively breastfed in Madagascar. Explore the data below to see how the economic losses of inadequate breastfeeding at this rate change as the GDP grows more quickly or slowly.

The cost of inadequate breastfeeding due to preventable deaths.

Child mortality $1,313,114,143
Maternal mortality $143,186
Combined child and maternal mortality $1,313,257,328
Total as % GNI 13.025%

The cost of inadequate breastfeeding due to cognitive losses

Total in USD$3,211,829,672
As a % GNI31.856%

The total cost of inadequate breastfeeding (combined health system, mortality, and cognitive losses)

Total in USD$4,526,488,579
As a % GNI44.895%
Next steps in Madagascar

For Madagascar to thrive at the family, community, and national levels, breastfeeding rates and practices must improve.

Building and sustaining momentum around breastfeeding requires effective policy advocacy and social behavior change that combines interpersonal communications, mass media, and community-level programming. Reliable and timely data on rates and behaviors is critical to inform an approach that positions us to achieve global breastfeeding goals.

Tools & Resources: Global

This tool can be used to help inform policy actions, such as those recommended by the Global Breastfeeding Collective.

 
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