Who Holds the Record · country brief · data as of 2026-10-01Who holds the health record in Madagascar?
In 2026, Madagascar scores 34 of 100 on a person's right to see, control and share their own health record: rank 130= of 196 countries (likely range 103 to 163), in the Weak band (25 to 44). Who holds the keys: Institutional. Source: Who Holds the Record, SuperTruth, data as of 2026-10-01.
A 2015 data law gives patients a free right to their file, but records stay local and the regulator only started in 2025.
Published · updated · data as of 2026-10-01 · research tool, not legal advice
Can I get my health records in Madagascar?
Access to the full record scores 40 of 100 in Madagascar, against a median of 43 across 196 countries. Article 23 of Law 2014-038 gives a free right to all your data and a copy, directly or through a doctor you choose. It must be met "without delay" but no number of days is set, and there is no patient portal, so 40.
Can I control who sees my health record in Madagascar?
Control and consent scores 28 of 100 in Madagascar, against a median of 30 across 196 countries. Health data may be processed without consent when a health professional bound by secrecy uses it for care, so patients have no say over routine use. There is no shared record, no opt-out and no access log a patient can read.
Eight rights, against Democratic Republic of the Congo, Guinea, Senegal and the EU
| Patient access to the full record20% | 40 | 40 · 40 · 35 | |
|---|---|---|---|
| Patient control and consent20% | 28 | 28 · 28 · 30 | |
| Privacy and security15% | 48 | 45 · 45 · 45 | |
| Connected care journey15% | 22 | 28 · 25 · 28 | |
| Protection from commercial use10% | 42 | 42 · 40 · 42 | |
| Clinician access at the point of care10% | 18 | 20 · 22 · 22 | |
| Research and trial consent5% | 49 | 49 · 49 · 49 | |
| Clinical AI governance5% | 22 | 22 · 28 · 30 |
Black dot: Madagascar. Hollow dots: Democratic Republic of the Congo, Guinea, Senegal (scores on the right, same order). Grey line: median of all 196 countries. Dashed teal line: EU median. Overall: Madagascar 34, EU median 61. Scores move in steps of about 5; read the rank with its likely range.
What would Madagascar need to change to score higher?
Madagascar sits in Weak (25 to 44); Mixed starts at 45. The two rights furthest below the 196-country median, weighted, are connected care journey (22, median 38) and clinician access at the point of care (18, median 34). The published rubric reads:
- Connected care journey: Primary care, hospitals, labs, pharmacy, claims and public health linked to one record and used at national scale.
- Clinician access at the point of care: Treating clinicians able to see the full record across providers, under consent and emergency rules.
Which laws give health record rights in Madagascar?
- Loi n° 2014-038 sur la protection des données à caractère personnel (2015): Health data is sensitive; free access and copy; care and research exceptions; CMIL regulator; prison and fines.
- Loi n° 2011-002 portant Code de la Santé (2011): Trial authorisation after ethics review, consent for experiments, device definition, TB and leprosy file transfer.
- Décret n° 2012-0632 portant Code de déontologie médicale (2012): Medical secrecy; computerised medical databases under a named doctor and not linked to other databases.
Strain and split context, not scored
- Doctors per 10,000
- 1.0 2024
- Nurses and midwives per 10,000
- 2.7 2024
- Private insurance + out-of-pocket
- 28.5% 2023
- Record reaches private care?
- unknown
Published stories
- none published in the last two years
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