What Doctors for Madagascar does

Doctors for Madagascar (legally Ärzte für Madagaskar e.V., founded in 2011) is a non-governmental nonprofit organization headquartered in Leipzig, Germany, with additional entities in Antananarivo, Madagascar, and Luxembourg (Médecins pour Madagascar a.s.b.l.). It operates primarily in rural southern Madagascar through mobile health clinics, community health workers, and direct partnerships with over 200 communities, 16 district health authorities, and the Malagasy Ministry of Health under a formal Accord de Siège agreement. The organization employs over 80 Malagasy nationals on the ground and serves vulnerable populations including pregnant women, children under five, tuberculosis patients, unvaccinated (zero-dose) children, and food-insecure households.

The portfolio of programs spans maternal and child health (mobile antenatal care clinics with ultrasound, free emergency ambulances), tuberculosis detection and treatment (MirayTB), vaccination outreach to zero-dose children (SOAMEVA), non-communicable disease care with a focus on stroke (MAFY), and financial inclusion via the TIA LONGO program built around the mTOMADY digital healthcare payment platform. The underlying technology stack combines mobile clinics, a digital payment platform that has scaled into Madagascar's largest health payment system, solar electrification of health facilities, and operational research collaborations with academic institutions including Charité Center for Global Health, Heidelberg Institute of Global Health, and the University of Antananarivo. Notable operational outcomes include 75,000+ safe deliveries since 2016, 295,000+ antenatal care visits, 20,000+ TB diagnoses, and 50,000+ patients supported with care costs.

The business model is donation-based: revenue derives from individual donors, charitable foundations (Bayer Foundation, Else Kröner-Fresenius Foundation, GAVI, Vitol Foundation each contributing more than 10% of 2025 revenue), government funds, and charity events. Administrative and communications costs were 11.6% of the total budget in 2024. Services are delivered free at the point of care, with financial risk protection layered through cost-coverage schemes. Governance is provided by a Board of Directors chaired by co-founder Dr. Julius Emmrich, with executive leadership including a Country Director, CFO, and Chief Impact and Growth Officer.

Name

Doctors for Madagascar

Legal name

Ärzte für Madagaskar e.V.

Website

https://doctorsformadagascar.com

Company type

Private

Founded year

2011

Operating status

Operating

Headcount range

11–50 employees

Short description

Doctors for Madagascar is a nonprofit founded in 2011 that operates mobile health clinics and community programs in rural southern Madagascar, serving pregnant women, children, TB patients, and food-insecure populations through partnerships with local communities and the Malagasy government.

Ownership category

akta.pro rank

Product category

Healthcare Services

NAICS

Offices of Physicians (except Mental Health Specialists) (621111), Other Ambulatory Health Care Services (6219)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

Rural Health Clinics (RHCs) (HLAFAGAL)

akta.pro secondary industries

Immunization & Vaccine Clinics (HLAKAGAJ), School-Based & Community Women’s/Children’s Health Clinics (HLAFAJAO)

Keywords

• Rural healthcare services
• Maternal and child health
• Tuberculosis screening programs
• Community health workers
• Vaccination outreach

Headquarters

HQ city

Leipzig

HQ country

Germany

HQ region

Europe

Offices3 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Supply Chain, Infrastructure, Marketing or Sales, Others

Revenue model

1. Charitable Donations: Funding from cash and material donations from the general public, charitable foundations, government funds, and charity events.

Go-to-market motion1 record

Distribution channels5 records

Marketing channels6 records

Core offering

Doctors for Madagascar delivers free-to-patient healthcare services in rural southern Madagascar through a portfolio of programs covering maternal and child health, tuberculosis screening and treatment, vaccination outreach, stroke/non-communicable disease care, and financial risk protection. Services are delivered via mobile clinics, community health workers, and infrastructure support to public and faith-based health centers, supported by the mTOMADY digital healthcare payment platform for financial risk protection.

Product overview

Doctors for Madagascar operates as a non-governmental organization focused on improving healthcare access in Madagascar rather than a technology product company. The organization delivers a portfolio of healthcare programs including MirayTB (tuberculosis care), SOAMEVA (vaccination outreach), MAFY (stroke/non-communicable diseases), TIA LONGO (financial inclusion), and the Maternal and Child Health Project. The organization also developed mTOMADY, a digital healthcare payment platform that has grown into Madagascar's largest digital health payment system. These programs work together through mobile clinics, community health workers, health facility support, and emergency referral systems to address healthcare gaps in Madagascar's rural southern regions.

Differentiator

Problem solved

Functional benefit

Products and services

• MirayTB Tuberculosis detection and treatment program providing mobile clinics, community-based screening, and TB care in remote villages of the Atsimo-Andrefana region. Program has supported 20,000+ TB diagnoses, 1,400+ mobile clinics for TB, and 9,000+ people enrolled for TB treatment.
• SOAMEVA Vaccination program focused on identifying and reaching zero-dose and under-immunized children in three southern regions of Madagascar (Atsimo Andrefana, Androy, and Anosy) with life-saving childhood vaccinations. Program has screened 3,500+ villages for zero-dose children.
• MAFY Non-communicable diseases program focusing on stroke prevention, emergency care improvement, and rehabilitation support for stroke survivors in Madagascar.
• TIA LONGO Financial risk protection program developing solutions to reduce financial barriers to healthcare, including health savings, transport support, transparent pricing, and medical cost assistance. Has supported over 50,000 patients with costs of care to prevent medical impoverishment.
• Maternal and Child Health Project Comprehensive maternal and child health program strengthening health workers, facilities, referral systems, and community awareness to help families access essential services before, during, and after pregnancy. Has supported 75,000+ safe deliveries since 2016, 295,000+ antenatal care visits, and 57,000+ antenatal ultrasound scans.
• mTOMADY Digital healthcare payment platform originally started as a project of Doctors for Madagascar, now the largest digital healthcare payment platform in Madagascar, facilitating financial risk protection and claims management.

Quantifiable outcome

• 75,000+ safe deliveries supported since 2016
• +5 more outcomes

Named customers4 records

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Twelve partnerships are on record, tiered core and major.

• University of AntananarivocoreStrategic or Co-development PartnerKey partner in planning and conducting research on the ground across all activities. Collaboration focuses on operational research to improve healthcare delivery in Madagascar.
• Charité Center for Global Health (CCGH)coreStrategic or Co-development PartnerForemost global health research institution in Germany based at Charité university hospital in Berlin. Collaborates on operational and impact research with Doctors for Madagascar.
• Heidelberg Institute of Global Health (HIGH)coreStrategic or Co-development PartnerLong-standing global health research institution in Germany with special expertise in health economics. Collaborates on operational research especially related to health economics.
• Digital Last Mile Health Research Lab at CharitécoreStrategic or Co-development PartnerResearch lab at Charité Universitätsmedizin Berlin focusing on digital health solutions for last-mile healthcare delivery.
• Malagasy Ministry of HealthcoreStrategic or Co-development PartnerLargest public healthcare provider in Madagascar providing leadership, policy guidance, and coordination for the Malagasy health system. Work spans all projects.
• National Institute of Public and Community Health (INSP)coreStrategic or Co-development PartnerProvides vocational training for health workers in Madagascar and is a key partner in all training and professional training activities.
• Programme national de la lutte contre la tuberculose (PNLT)coreStrategic or Co-development PartnerDivision of the Malagasy Ministry of Health spearheading the fight against tuberculosis in Madagascar. Key partner for TB-related activities.
• SALFA (Malagasy Lutheran Health Department)majorStrategic or Co-development PartnerLargest faith-based health provider in Madagascar and longstanding implementation partner of Doctors for Madagascar.
• World Food Program (WFP)majorStrategic or Co-development PartnerBranch of the United Nations providing food assistance. Collaboration focused on nutrition projects in Madagascar.
• Aga Khan FoundationmajorStrategic or Co-development PartnerCollaborates in providing goods and services in emergency situations, such as the famine that hit Madagascar in 2021.
• mTOMADYcoreStrategic or Co-development PartnerOriginally started as a project of Doctors for Madagascar but has grown into the largest digital healthcare payment platform in Madagascar. Close collaboration providing financial risk protection.
• Health Workers and CommunitiescoreOthersThe two core groups of partners in all work are healthcare providers offering frontline health services and the communities served. Work with hundreds of health workers across all levels of care.

Scale indicators20 records

Recent moves7 records

Expansion highlights5 records

Direct peers

• Partners in Health: US-based nonprofit providing comprehensive healthcare in resource-limited settings, combining clinical care, training, and infrastructure strengthening. Closely comparable model to DfM with shared focus on rural health system strengthening and academic partnerships.
• Last Mile Health: Nonprofit focused on training and deploying community health workers in last-mile rural communities, with strong M&E and government integration. Closely aligned on community health worker model, rural focus, and digital health innovation.
• Health Poverty Action: International NGO focused on health in marginalized communities, including work in Madagascar. Comparable in scale, mission, and beneficiary focus on rural extreme poverty populations.
• Amref Health Africa: Africa's largest health NGO, headquartered in Kenya, with programs across maternal/child health, TB, and community health workers. Most directly comparable peer given similar Africa-based rural health delivery and program portfolio.

Broad incumbents

• PATH: Global health nonprofit working on vaccines, maternal health, and digital health innovation across low- and middle-income countries. Comparable in mission breadth and foundation funding model, especially around vaccination and digital platforms.
• Malteser International: German-based Catholic humanitarian organization providing healthcare, disaster relief, and WASH services in developing countries. Closest German-registered peer with similar donor base and operational footprint.
• Médecins Sans Frontières (MSF): Global medical humanitarian organization delivering emergency and chronic healthcare in low-resource settings, including Madagascar. Largest comparable NGO operator with significantly broader geographic scope but overlapping mission of direct clinical care in fragile health systems.
• CARE International: Major international humanitarian organization operating in Madagascar and 90+ countries with maternal/child health and emergency response programs. Comparable on NGO scale, donor base, and multi-country ambition.
• Clinton Health Access Initiative (CHAI): Global health organization focused on market-shaping, government partnerships, and access to medicines/diagnostics in low-income countries. Comparable in government co-financing strategy and TB/vaccination program emphasis.

Others

• GAVI, the Vaccine Alliance: Public-private partnership funding childhood immunization in lower-income countries. DfM is a GAVI implementation partner for SOAMEVA; not a direct operational peer but a key funder and strategic counterpart in vaccination delivery.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/doctorsformadagascar
• LinkedInlinkedin.com/company/doctors-for-madagascar

Revenue estimate

Valuation estimate

Number of profiles

Profiles18 records

Funding overview

Funding rounds

Investors

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M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Doctors for Madagascar