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Specialization in Public Health in Madagascar was created in 1994. The medical graduates of State were admitted by competition there. A Certificate of Public Health Studies (CES) their was awarded after four years of study. Given the effectiveness and efficiency of these new specialists, the training center specializing in Public and Community Health (CFSSPC) was formalized by Decree No. 98-146 of 12 February 1998. The objective was to train Doctors Inspectors health districts to become doctors Graduates of Special Studies in Public and Community Health, after two years of study. The project was supported technically and financially by several partners, including among others the WHO, UNICEF, UNFPA, GTZ, USAID, the Department of Cooperation and Cultural Action French, under the Ministry of Health and the Ministry of Higher Education of the time.

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