{"id":6065,"date":"2024-07-19T16:49:58","date_gmt":"2024-07-19T14:49:58","guid":{"rendered":"https:\/\/www.santesud.org\/uncategorized\/entretien-avec-le-dr-mirana-rakotomalala-medecin-generaliste-a-madagascar\/"},"modified":"2025-02-24T16:46:14","modified_gmt":"2025-02-24T15:46:14","slug":"interview-with-dr-mirana-rakotomalala-general-practitioner-in-madagascar","status":"publish","type":"post","link":"https:\/\/www.santesud.org\/en\/news\/interview-with-dr-mirana-rakotomalala-general-practitioner-in-madagascar\/","title":{"rendered":"Interview with Dr Mirana RAKOTOMALALA, general practitioner in Madagascar"},"content":{"rendered":"<div id=\"field_powe46c1efad58147b0\" class=\"container-fluid px-0 flexible_section block_innertemplate\">\n   <div class=\"row flexible_section_content\">\n\n\r\n\r\n<div id=\"field_powa24a17eef46a4aed_actusheader\" class=\"container-fluid px-3 px-sm-0 flexible_section block_header_ressources block_columns bg-marron1\">\r\n\r\n\t<div id=\"field_powa24a17eef46a4aed_inner\" class=\"container flexible_section_inner\">\r\n\r\n\t\t<div class=\"row flexible_section_content\">\r\n\r\n\t\t\t<div class=\"col-sm-12 colonne colonne1\">\r\n\t\t\t\t<div class=\"colonne_inner text-left\">\r\n\t\t\t\t\t<h3 class=\"h1 white\">News<\/h1>\r\n\t\t\t\t\t<h1 class=\"h3 white\">Interview with Dr Mirana RAKOTOMALALA, general practitioner in Madagascar<\/h1>\r\n\t\t\t\t<\/div>\r\n\t\t\t<\/div>\r\n  \r\n\t\t<\/div>\r\n\r\n\t<\/div>\r\n\t\r\n\t<div id=\"shapedivider_powa24a17eef46a4aed_actusheader_bottom\" class=\"shapedivider_outer\">\r\n\t\t<svg data-name=\"Layer 1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 1200 120\" preserveAspectRatio=\"none\">\r\n\t\t\t<path d=\"M1200 120L0 16.48 0 0 1200 0 1200 120z\" class=\"shape-fill\"><\/path>\r\n\t\t<\/svg>\r\n\t<\/div>\r\n\t\r\n<\/div>\r\n\r\n\r\n\r\n  <\/div>\n\n<\/div>\n\n\n<div id=\"field_pow_66fd1e5faf94c\" class=\"container-fluid px-0 flexible_section block_columns\">\n <div id=\"field_pow_66fd1e5faf94c_inner\" class=\"container flexible_section_inner\">\n\n   <div class=\"row flexible_section_content\">\n\n   <div class=\"mb-3 mb-sm-0 col-sm-8 colonne colonne1\">\n    <div class=\"colonne_inner  text-left\">\n<p>Following the emergency medicine training organized by Sant\u00e9 Sud, we had the opportunity to interview Dr. RAKOTOMALALA Hasina Mirana Jacintha, a general practitioner in an isolated rural area. This interview was an opportunity to look back on her inspiring career, the challenges she faces in her daily practice, and the significant impact this training has had on her skills and ability to manage emergency situations. Her testimony highlights the importance of such training for healthcare professionals working in countries with limited resources.<\/p>\n<p><strong>Could you introduce yourself and tell us a little about your background?<\/strong><\/p>\n<p>My name is Dr RAKOTOMALALA Hasina Mirana Jacintha. I qualified as a general practitioner in 2018. I worked in private practice for 3 years and, in 2021, I was recruited by the PARN project, a World Bank project. I worked in the Centre de Sant\u00e9 de Base Niveau 2 in rural areas, at CSB2 Merikanjaka, which is in the extreme south of the Manjakandriana district, 80 km from Tananarive and 40 km from Manjakandriana.<\/p>\n    <\/div>\n   <\/div>\n   <div class=\"col-sm-4 colonne colonne2\">\n    <div class=\"colonne_inner  text-left\">\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-3724 size-large\" src=\"https:\/\/www.santesud.org\/wp-content\/uploads\/2024\/10\/6-1-768x1024.jpg\" alt=\"\" width=\"768\" height=\"1024\" srcset=\"https:\/\/www.santesud.org\/wp-content\/uploads\/2024\/10\/6-1-768x1024.jpg 768w, https:\/\/www.santesud.org\/wp-content\/uploads\/2024\/10\/6-1-225x300.jpg 225w, https:\/\/www.santesud.org\/wp-content\/uploads\/2024\/10\/6-1.jpg 960w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \/><\/p>\n    <\/div>\n   <\/div>\n  <\/div>\n\n <\/div>\n<\/div>\n\n\n<div id=\"field_pow7b51d918195a4c52\" class=\"container-fluid px-0 flexible_section block_columns\">\n <div id=\"field_pow7b51d918195a4c52_inner\" class=\"container flexible_section_inner\">\n\n   <div class=\"row flexible_section_content\">\n\n   <div class=\"mb-3 mb-sm-0 col-sm-6 colonne colonne1\">\n    <div class=\"colonne_inner  text-left\">\n<p><strong>What were the main difficulties you encountered working in isolated rural areas?<\/strong><\/p>\n<p>During my medical practice in isolated rural areas, I had to face some major challenges. Firstly, limited resources due to the lack of medicines and equipment; I therefore learned to make do with the means available in the center to care for and treat patients. I found it very difficult to manage patients&#8217; illnesses with limited resources, especially in life-threatening emergencies. In addition, there were the socio-cultural challenges: being a woman, everyone thought I was a midwife and not a doctor. So I had to work on my image as a doctor, so that people wouldn&#8217;t be reluctant to consult me when they were ill.<\/p>\n<p>One of my memorable experiences at the Centre de Sant\u00e9 de Base 2 (CSB2) Merikanjaka was when, two months after my arrival there, a man arrived in a state of distributive shock (anaphylactic shock). I took charge of the patient, despite the presence of traditional healers who also suggested their care. I insisted on doing my job. These experiences have enriched not only my professional life but also my personal life, making me adaptable to any situation and strengthening my ties with the community.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>You recently completed a training course in emergency medicine. Can you tell us more about this opportunity and its importance for you?<\/strong><\/p>\n<p>As I work in the southernmost part of the Manjakandriana district, I was nominated to take the emergency medicine training offered by Sant\u00e9 Sud, and I see this opportunity as the start of my ongoing learning to acquire new skills.<\/p>\n    <\/div>\n   <\/div>\n   <div class=\"col-sm-6 colonne colonne2\">\n    <div class=\"colonne_inner  text-left\">\n<p>Training in emergency medicine in countries with limited resources is divided into three parts: the online course presented by Dr Etienne KRAS with 10 different modules on the UNFSM website, practical training given by Dr Etienne, Dr Elodie and professors from the Antananarivo Faculty of Medicine, and finally the practical internship in hospitals.<\/p>\n<p>During our classroom training, we learned a great deal about the management of vital distress, suturing techniques and the application of plaster immobilization in the event of trauma. Practical training enriched our skills, and we were able to progress thanks to the many techniques taught by our masters from Sant\u00e9 Sud and the Antananarivo Faculty of Medicine.<\/p>\n<p>Training in emergency medicine is crucial for dealing with critical situations and saving lives. It enables us to acquire new skills and makes us better equipped to deal with emergencies. For me, training in emergency medicine in countries with limited resources is a great professional opportunity. I therefore encourage other doctors working in rural areas to take this training too, to keep up to date with medical practices and save many lives.<\/p>\n    <\/div>\n   <\/div>\n  <\/div>\n\n <\/div>\n<\/div>\n\n\n<div id=\"field_pow26d605d03a9940e8\" class=\"container-fluid px-0 flexible_section block_categorygrid\">\n <div id=\"field_pow26d605d03a9940e8_inner\" class=\"container flexible_section_inner\">\n\n  <div class=\"row flexible_section_title_container\"><div class=\"col-12 flexible_section_title_col\"><h2 class=\"flexible_section_title mb-5 text-left  oblique_orange \">Find out more<\/h2><\/div><\/div>\n<div class=\"container-fluid px-0\" id=\"grid_pow26d605d03a9940e8_outer\">\n<div class=\"container px-0\">\n  <div class=\"row row-cols-1 row-cols-md-3 row-cols-lg-3 flexible_section_content\" id=\"grid_pow26d605d03a9940e8\">\n   <div class=\"col-sm-12 col-md-4 col-lg-4  item mb-3 elem-1\">\n<div class=\"gridactus_content linkable h-100 bordertop-marron1 mb-3\" data-dest=\"https:\/\/www.santesud.org\/en\/news\/testimony-of-tarek-grira-project-manager-of-the-sa7et-al-mojtama3-programme\/\">\r\n<div class=\"gridactus_content_visuel\"><img decoding=\"async\" src=\"https:\/\/www.santesud.org\/wp-content\/uploads\/2025\/01\/tarek-2-aspect-ratio-4-3.jpg\" alt=\"Testimony of Tarek GRIRA, Project Manager of the Sa7et Al Mojtama3 programme\" \/><\/div>\r\n<div class=\"gridactus_content_metas my-2\"><span class=\"date white bg-bleu\">15 January 2025<\/span> <span class=\"pays white bg-bleu\">Tunisia<\/span><\/div>\r\n<h3 class=\"h5\">Testimony of Tarek GRIRA, Project Manager of the Sa7et Al Mojtama3 programme<\/h3>\r\n<div class=\"gridactus_content_excerpt\">Interview with Tarek GRIRA, presenting the SAM community health project currently underway in Tunisia.<\/div>\r\n<div class=\"gridactus_more\"><a href=\"https:\/\/www.santesud.org\/en\/news\/testimony-of-tarek-grira-project-manager-of-the-sa7et-al-mojtama3-programme\/\" class=\"morelink morelink-marron1\">Lire la suite<\/a><\/div>\r\n<\/div>   <\/div>\n   <div class=\"col-sm-12 col-md-4 col-lg-4  item mb-3 elem-2\">\n<div class=\"gridactus_content linkable h-100 bordertop-orange1 mb-3\" data-dest=\"https:\/\/www.santesud.org\/en\/programs\/vigie-totorossa\/\">\r\n<div class=\"gridactus_content_visuel\"><img decoding=\"async\" src=\"https:\/\/www.santesud.org\/wp-content\/uploads\/2025\/04\/4.7-Seance-de-sensibilisation-maison-1-aspect-ratio-4-3.png\" alt=\"Petite Terre\" \/><\/div>\r\n<div class=\"gridactus_content_metas my-2\"><span class=\"date white bg-bleu\">14 January 2025<\/span> <span class=\"pays white bg-bleu\"><span>YT<\/span> <\/span><\/div>\r\n<h3 class=\"h5\">Petite Terre<\/h3>\r\n<div class=\"gridactus_content_excerpt\">A benchmark local healthcare structure to help reduce inequalities in people&#8217;s access to healthcare over the long term.<\/div>\r\n<div class=\"gridactus_more\"><a href=\"https:\/\/www.santesud.org\/en\/programs\/vigie-totorossa\/\" class=\"morelink morelink-orange1\">Lire la suite<\/a><\/div>\r\n<\/div>   <\/div>\n   <div class=\"col-sm-12 col-md-4 col-lg-4  item mb-3 elem-3\">\n<div class=\"gridactus_content linkable h-100 bordertop-marron2 mb-3\" data-dest=\"https:\/\/www.santesud.org\/en\/programs\/bien-naitre\/\">\r\n<div class=\"gridactus_content_visuel\"><img decoding=\"async\" src=\"https:\/\/www.santesud.org\/wp-content\/uploads\/2025\/04\/2.2-Consultation-sage-femme-aspect-ratio-4-3.png\" alt=\"Bien na\u00eetre (phase 2)\" \/><\/div>\r\n<div class=\"gridactus_content_metas my-2\"><span class=\"date white bg-bleu\">14 January 2025<\/span> <span class=\"pays white bg-bleu\"><span>MG<\/span> <\/span><\/div>\r\n<h3 class=\"h5\">Bien na\u00eetre (phase 2)<\/h3>\r\n<div class=\"gridactus_content_excerpt\">Promoting health, sexual and reproductive rights and child health in rural areas of Analamanga.<\/div>\r\n<div class=\"gridactus_more\"><a href=\"https:\/\/www.santesud.org\/en\/programs\/bien-naitre\/\" class=\"morelink morelink-marron2\">Lire la suite<\/a><\/div>\r\n<\/div>   <\/div>\n  <\/div>\n<\/div>\n<\/div>\n <\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":5026,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[16],"tags":[],"class_list":["post-6065","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Interview with Dr Mirana RAKOTOMALALA, general practitioner in Madagascar - Sant\u00e9 Sud<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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