Expanding health service delivery to the poor through access to finance - Dr. Misa Rakotoarison

Beyond his medical degree, Dr. Misa Rakotoarison also studied biology and economics. With his master’s in economics he hoped to develop an entrepreneurial spirit and one day set up his own business.


While working in a health center in Tamatave, Madagascar, Dr. Misa received his first SHOPS Plus training. “[The training] helped me to open my laboratory, LAMFE (Medical Laboratory of Fénérive Est), in Fénérive Est.”

He later received further SHOPS Plus training which helped him improve in areas such as operational and financial management.

In January 2019, Dr. Misa expanded his practice with the addition of a medical clinic. Shortly after he sought out a loan from Access Bank Madagascar to build an operating room.

“I thank Access Bank Madagascar for financing our operating room. We also thank SHOPS Plus for the business management training and coaching. And last but not least, I thank USAID for supporting the private health sector.”


Shops Plus

Resource Types
Technical Area
Provider Access to Finance
provider access to finance



Sustaining Health Outcomes through the Private Sector (SHOPS) Plus is a five-year cooperative agreement (AID-OAA-A-15-00067) funded by the United States Agency for International Development (USAID). This website is made possible by the generous support of the American people through USAID. The information provided on this website is not official U.S. government information and does not represent the views or positions of USAID or the U.S. government.

Sign-up for our newsletter to get the latest updates from SHOPS Plus