Program Goals: Reduce unmet need for family planning and increase the contraceptive prevalence rate

Over the past two decades, the total fertility rate in Madagascar has decreased from 6 to 4.5 children per woman. Use of family planning has increased modestly, and the modern contraceptive rate for married women increased from 29 percent in 2009 to nearly 39 percent in 2017. The unmet need for family planning among married women decreased during this same time period from 24 to nearly 17 percent, although wide regional and income variations exist across Madagascar.