Health Record Rights Index · country brief · this country's data as of October 1, 2026
Who holds the health record in Madagascar?
In 2026, Madagascar scores 34 out of 100 for how much say a person has over their own health record. It is tied for 132nd of 198 countries and territories, and could rank anywhere from 104th to 165th allowing for scoring error, in the Weak band (25 to 44). Who holds the keys: doctors, hospitals and insurers. Source: Health Record Rights Index, SuperTruth, this country's data as of October 1, 2026.
Doctors, hospitals and insurers decide. Its strongest right, compared with the typical country, is privacy and security (48 out of 100, against 45 for the typical country). The furthest behind is one record across your care (22 out of 100, against 38 for the typical country).
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 · this country's data as of October 1, 2026 · research tool, not legal advice
overall score · Weak band, 25 to 44
34/100
rank among 198 countries and territories; likely 104th to 165th, allowing for scoring error
In 2026, getting your full record scores 40 out of 100 in Madagascar; the typical country scores 40 to 45. 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. Source: AFAPDP, January 9, 2015, and the other sources below.
Who controls health records in Madagascar?
In 2026, doctors, hospitals and insurers hold the keys to your health record in Madagascar. Control over who sees it scores 28 out of 100 in Madagascar; the typical country scores 30. 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. Source: AFAPDP, January 9, 2015, and the other sources below.
How does Madagascar compare?
In 2026, Madagascar scores 34 out of 100, against 39 for the typical country. This brief compares it with Democratic Republic of the Congo (34 out of 100), Guinea (34 out of 100) and Senegal (34 out of 100). Source: the ranking of all 198 countries and territories.
Eight rights, compared with Democratic Republic of the Congo, Guinea, Senegal and the typical country
Scores out of 100, by right
Getting your full record20%
40
40 · 40 · 35
Control over who sees it20%
28
28 · 28 · 30
Privacy and security15%
48
45 · 45 · 45
One record across your care15%
22
28 · 25 · 28
Protection from sale and ads10%
42
42 · 40 · 42
Doctors see it when treating you10%
18
20 · 22 · 22
Your say over research use5%
49
49 · 49 · 49
Rules for AI in your care5%
22
22 · 28 · 30
Black dot: Madagascar. Hollow dots: Democratic Republic of the Congo, Guinea, Senegal (scores out of 100 on the right, same order). Gray line: the typical country of all 198. Overall: Madagascar 34 out of 100. Scores move in steps of about 5 points, so read a 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. Its two weakest rights, compared with the typical country and weighted by how much each counts, are one record across your care (22 out of 100, against 38 for the typical country) and doctors see it when treating you (18 out of 100, against 33 to 34 for the typical country). Our scoring rules give more points for:
One record across your care: Family doctors, hospitals, labs, pharmacies, insurers and public health all linked to one record that is used across the country.
Doctors see it when treating you: Doctors who treat you able to see your full record from other providers, with your consent and emergency rules in place.
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: Trial authorisation after ethics review, consent for experiments, device definition, TB and leprosy file transfer.
Décret n° 2012-0632 portant Code de déontologie médicale: Medical secrecy; computerised medical databases under a named doctor and not linked to other databases.
Doctors, waits and private care context, not part of the score
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
Real cases
We found no real cases published in the last two years.
In 2026, Madagascar scored 34 out of 100 for how much say a person has over their own health record, tied for 132nd of 198 countries and territories (could be 104th to 165th), in the Weak band. Who holds the keys: doctors, hospitals and insurers. Source: Health Record Rights Index, SuperTruth, this country's data as of October 1, 2026, https://healthrecordrights.com/brief/madagascar/
The 11 sources for Madagascar
Each source appears once, under the first right it supports. Titles are shown as our research agents recorded them, usually in the page's own language; text in square brackets is our machine translation. Links were checked on the date shown.
Getting your full record (3 sources)
“Loi n° 2014-038 sur la protection des données à caractère personnel” [Law No. 2014-038 on the protection of personal data] our machine translation
AFAPDP (law or regulation) · Title in French
Dated January 9, 2015 · Link checked October 2, 2026 (opened)
Used for: Getting your full record; Control over who sees it; Privacy and security; Protection from sale and ads; Your say over research use; Rules for AI in your care
“Madagascar franchit une étape clé dans le domaine de la protection des données personnelles” [Madagascar reaches a key milestone in the field of personal data protection] our machine translation
PREA (government guidance) · Title in French
Dated November 28, 2025 · Link checked October 2, 2026 (opened)
“Protection des données digitalisées : la Commission malagasy de l'informatique rassure” [Protection of digitised data: the Malagasy Commission on Informatics offers reassurance] our machine translation
Newsmada (news) · Title in French
Dated January 30, 2026 · Link checked October 2, 2026 (opened)
“Santé publique : le processus de digitalisation des hôpitaux enclenché” [Public health: the hospital digitalisation process under way] our machine translation
Newsmada (news) · Title in French
Dated January 21, 2025 · Link checked October 2, 2026 (opened)
“États-Unis soutient la nouvelle stratégie de Madagascar pour mieux gérer les données de santé” [United States supports Madagascar's new strategy to better manage health data] our machine translation
US Embassy (government guidance) · Title in French
Dated June 2, 2026 · Link checked October 2, 2026 (opened)
“Arrêté n° 7805/2016 portant création du Comité d'Ethique de la Recherche Biomédicale” [Order No. 7805/2016 establishing the Biomedical Research Ethics Committee] our machine translation
BWC Implementation copy (law or regulation) · Title in French
Dated April 6, 2016 · Link checked October 2, 2026 (opened)
SuperTruth Inc. · 24 S. 24th St., Philadelphia, PA 19103, USA · +1 215 918 4140 · supertruth.ai Something wrong? Tell us · Questions or a briefing: supertruth.ai/on-the-record#contact · Full index: healthrecordrights.com
OECD: Organisation for Economic Co-operation and Development (38 mostly high-income countries). DTI™: the Data Trust Index, which grades the evidence behind each score. SuperTruth makes it and publishes this index. Everything here comes from public information: laws, government and regulator pages, court decisions, published news, WHO, OECD and World Bank data. Full sources: https://healthrecordrights.com/brief/madagascar/#sources. SuperTruth built this index and sells health data verification products; no one paid to be included. Research tool, not legal advice. Our scores and our own words are CC BY 4.0; quoted law and source titles stay with their owners.
