World Bank2013-02-122013-02-122012-05https://hdl.handle.net/10986/12324The report is divided into two volumes. The first volume includes the fundamental content of the report. It is organized as follows. Chapter one provides a conceptual framework to analyze risk and vulnerability and provides a definition of social protection. Chapter two assesses the main risks faced by the Malagasy population as well as its vulnerability profile. Chapter three reviews Madagascar's social protection policies, the institutions responsible for social protection and the financial resources allocated to social protection by the government, donors and Non-Governmental Organizations (NGOs). Chapter four proceeds with a description and analysis of the main social protection programs presently under implementation in Madagascar. Chapter five builds on the previous chapters but also on the experience of other low income countries, especially in Africa. It outlines the main principles of a social protection strategy and recommends priority actions for implementation including in the immediate aftermath of a resolution to the current political crisis. As such, this report is intended to contribute to future governments' own formulation and implementation of a social protection strategy. The second volume includes a number of background papers that were commissioned during the preparation of this report. These papers are as follows: strategic directions for social protection in Madagascar by Anthony Hodges; Poverty, Vulnerability and Sources of Risks by Tiaray Razafimanantena; vulnerability analysis by INSTAT; Review of Social Protection Programs by Julia Rachel Ravelosoa; analysis of public spending on social protection in Madagascar by Maminirinarivo Ralaivelo; description and Analysis of the Tsena Mora Program by Maminirinarivo Ralaivelo; review and analysis of spending on social protection by NGOs by Francis Hary Soleman Kone; case study: cash transfer and other forms of education support for children of poor households by Brigitte Lalasoa Randrianasolo and payment mechanisms to transfer cash to the Poor in Madagascar by Josiane Robiarivony Rakotomanga.Depuis février 2009, Madagascar est en proie à une crise politique, causée par le passage du pouvoir des mains de Marc Ravalomanana (qui s’est vu contraint à l’exil) à celles d’Andry Rajoelina (alors maire de la capitale Antananarivo). La communauté internationale a rejeté ce changement anticonstitutionnel du pouvoir. En mars 2009, la Banque Mondiale a décidé d’agir selon la Politique Opérationnelle OP 7.30 « Relations avec les gouvernements de facto ». La crise a interrompu la mise en œuvre de la Stratégie d’Aide-Pays (SAP) lancée en avril 2007 et destinée à couvrir la période de juin 2007 à juin 2011 ; à l’exception du Financement Additionnel du Projet d'Appui au Troisième Programme Environnemental, aucun nouveau projet n’a été approuvé depuis début 2009, tandis que l’évaluation des activités économiques et l’assistance technique fournies par la Banque Mondiale dans le cadre de ses Activités d’Analyse et de Conseil (AAC) ont été adaptées pour rendre compte du nouveau contexte politique. L’objectif global du rapport est d’évaluer l’impact de trois ans de crise sur la protection sociale et de contribuer à définir la stratégie de protection sociale qu’un gouvernement proprement élu pourrait chercher à développer, une fois la crise politique résolue. Plus précisément, les objectifs sont les suivants : (i) analyser les risques et la vulnérabilité à Madagascar ; (ii) passer en revue les conséquences des trois dernières années de crise sur les prestations de protection sociale du gouvernement malgache, de la communauté internationale des organismes donateurs et des ONG ; (iii) identifier les contraintes-clés pesant sur l’offre et la demande en protection sociale ; et (iv) exposer les principes phares d’une stratégie de protection sociale comprenant des possibilités d’intervention à court terme ainsi qu’une fois la crise politique résolue, quand les bailleurs de fonds devraient pouvoir de nouveau s’engager pleinement à Madagascar.en-USCC BY 3.0 IGOAGEDAID DISBURSEMENTAID EFFECTIVENESSBASIC FOOD COMMODITIESBASIC HEALTHBASIC INFRASTRUCTUREBREASTFEEDINGCALORIC INTAKECASH TRANSFER PROGRAMCASH TRANSFERSCASH-FOR-WORKCENTRAL GOVERNMENT INSTITUTIONSCHILD LABORCHILD MORBIDITYCHILD MORTALITYCHILD MORTALITY RATECHILD PROSTITUTESCHILDBIRTHCHRONIC ILLNESSCHRONIC MALNUTRITIONCHRONIC POVERTYCITIZENCITIZENSHIPCOMMUNITY PARTICIPATIONCONSUMPTION EXPENDITURESCURRENT POPULATIONDEATHS OF CHILDRENDECLINES IN MORTALITYDIETDISABILITIESDISABILITYDISASTERSDISCRIMINATORY PRACTICESDISSEMINATIONDISTRIBUTION OF LANDDRINKING WATERDROUGHTEARLY CHILDHOODEARLY MARRIAGEEARLY PREGNANCYEARTHQUAKEECONOMIC SHOCKSELDERLYENERGY CONSUMPTIONESSENTIAL DRUGSEXTREME POVERTYEXTREME POVERTY LINEFAMILIESFAMILY HEALTHFAMILY MEMBERSFAMINEFARMERSFINANCIAL CONSTRAINTSFISCAL CONSTRAINTSFOOD BASKETFOOD COMMODITIESFOOD CONSUMERSFOOD CONSUMPTIONFOOD PRICEFOOD PRICESFOOD SECURITYFORMAL EDUCATIONFUTURE GENERATIONSGENDER DISCRIMINATIONGROSS DOMESTIC PRODUCTHEALTH CAREHEALTH CARE SERVICESHEALTH CENTERSHEALTH FACILITIESHEALTH INDICATORSHEALTH INSURANCEHEALTH SERVICESHIVHOSPITALHOUSEHOLD SIZEHOUSEHOLD SURVEYHOUSEHOLD SURVEYSHOUSINGHUMAN CAPITALHUMAN DEVELOPMENTHYGIENEILLNESSILLNESSESIMMUNIZATIONIMPACT OF SHOCKSINCIDENCE OF POVERTYINCOMEINCOME QUINTILEINCOME-GENERATING ACTIVITIESINFANTINFANT MORTALITYINFANT MORTALITY RATEINHERITANCEINSURANCE MARKETSINTERNATIONAL COMMUNITYINTERNATIONAL LABOR ORGANIZATIONINTERVENTIONIRONLABOR MARKETLAND OWNERSHIPLAWSLEGAL STATUSLEVELS OF VULNERABILITYLIFE EXPECTANCYLIVE BIRTHSLIVING CONDITIONSLOCAL DEVELOPMENTLOCAL GOVERNMENTSMACROECONOMIC STABILITYMAJORITY OF CHILDRENMALARIAMALNOURISHED CHILDRENMANDATESMARKET FAILURESMATERNAL HEALTHMATERNAL MORTALITYMATERNAL MORTALITY RATEMICRO-FINANCEMIGRATIONMINISTRY OF EDUCATIONMINISTRY OF HEALTHMINISTRY OF POPULATIONMINORITYMODERNIZATIONMORBIDITYMORTALITYMORTALITY RATENATIONAL COUNCILNATIONAL LEVELSNATIONAL POLICYNATIONAL POVERTYNATIONAL POVERTY LINESNATURAL DISASTERNATURAL DISASTERSNEED FOR PROTECTIONNEEDS ASSESSMENTNET FOOD CONSUMERSNEWBORNNEWBORNSNUMBER OF CHILDRENNUMBER OF DEATHSNUMBER OF HOUSEHOLDSNUMBER OF PEOPLENUTRITIONNUTRITIONAL DEFICIENCYNUTRITIONAL INTAKESNUTRITIONAL STATUSOLD AGEORPHANSPARASITIC DISEASESPEACEPENSIONSPERSONS WITH DISABILITIESPOLICY FRAMEWORKPOLITICAL PROCESSPOORPOOR HOUSEHOLDSPOPULATION GROUPSPOPULATION GROWTHPOVERTY GAPPOVERTY GROUPSPOVERTY LINEPOVERTY MEASURESPOVERTY RATEPOVERTY REDUCTIONPREGNANCYPREGNANT WOMENPRIMARY EDUCATIONPRIMARY SCHOOLPROGRESSPROSTITUTESPROSTITUTIONPUBLIC SERVICESPUBLIC SPENDINGPUBLIC WORKSPUBLIC WORKS PROGRAMSQUALITATIVE DATARECIPROCITYREMITTANCESREPEATED SHOCKSREPRODUCTIVE HEALTHRESPECTRISK MANAGEMENTRULE OF LAWRURALRURAL AREASRURAL POPULATIONSANITATIONSAVINGSSCHOOL ATTENDANCESCHOOL YEARSCHOOL-AGE CHILDRENSECONDARY EDUCATIONSERVICE DELIVERYSEXSEX TRAFFICKINGSINGLE MOTHERSOCIAL AFFAIRSSOCIAL CAPITALSOCIAL EXPENDITURESSOCIAL NORMSSOCIAL POLICIESSOCIAL PROGRAMSSOCIAL PROTECTIONSOCIAL SECURITYSOCIAL SERVICESSTORAGE FACILITIESSTREET CHILDRENSTRUCTURAL REFORMSSUSTAINABLE ECONOMIC GROWTHTARGETINGTARGETING MECHANISMSTRADITIONAL SOCIETIESUNEMPLOYMENTUNFPAUNITED NATIONS POPULATION FUNDURBAN AREASURBAN CENTERSURBAN POPULATIONURBANIZATIONVACCINATIONVULNERABILITYVULNERABILITY TO POVERTYVULNERABLE GROUPSVULNERABLE HOUSEHOLDSWOMANWORKERSWORLD HEALTH ORGANIZATIONYOUNG CHILDRENWorld Bank10.1596/12324