Certified healers and community health: Analyzing legislative impacts on traditional medicine in Madagascar

This phenomenological study investigates the impact of legislative recognition and certification of traditional healers on healthcare access, trust, and the perceived legitimacy of traditional medicine in Madagascar. Conducted in Andasibe, Morondava, and Antananarivo, the study involved local respondents that included hospital staff, traditional healers, vendors, and citizens. Despite the 2007 legislation recognizing traditional practitioners, findings suggest minimal changes in public trust, access, and financial barriers. Traditional medicine remains integral to Malagasy culture, especially in rural areas. The study underscores the need for greater integration and support to enhance healthcare access and trust in traditional practices. Limitations include a small sample size, geographical constraints, and translation challenges.