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Hassanein Hiridjee, chief executive officer of AXIAN Group, is tying the company’s footprint to everyday services in Madagascar, starting with a basic promise: clinics that work.
The Axian Foundation has completed renovations at four public health centers in Antsirabe, in the Vakinankaratra region. The facilities, known locally as Centres de Sante de Base, sit at the front line of care in communities where traveling to a larger hospital can be expensive and slow.
The centers reopened Monday, Feb. 2, 2026, according to local reporting. The upgraded sites are Ambohimanarivo, Tsivatrinikamo, Ex CSS and Atsinanantsena, serving a wide mix of neighborhoods and surrounding fokontany across Antsirabe and nearby areas.
The renovations were carried out under a program known as Salama BNI, described by organizers as a practical push to reinforce the public health system by responding to needs raised on the ground. Renovated buildings now have improved work areas, more orderly patient spaces and facilities that health workers say feel cleaner and easier to manage.
Foundation representatives say the upgrades are expected to benefit more than 185,000 people in the broader Vakinankaratra area. Even small changes at the primary care level can matter, especially for pregnant women, young children and older patients who rely on routine services. Local clinic staff said brighter rooms and better organized spaces help improve patient flow and reduce congestion during busy hours.
During a handover ceremony at the Ambohimanarivo center in Antsirabe I, community and project leaders urged health teams to use the new equipment carefully and follow the rules governing care facilities. The message was simple: infrastructure only matters if it stays usable, and supplies only help if they are managed properly.
Hiridjee has built AXIAN into a major player in telecom, energy and financial services, and he often frames social investment as part of long term economic stability. People close to the foundation describe the health work as a practical extension of that thinking, targeted at services families depend on every week rather than occasional charity.
Mialisoa Andrianasolo, the foundation’s executive director, said the aim is to reinforce what already exists, improve day to day working conditions for staff and raise the quality of care for patients. She highlighted maternal and child health as a constant pressure point where reliable local services can make the difference between an early visit and a dangerous delay.
The health program has widened in recent years. The foundation says it has helped build or rehabilitate 26 health centers across nine regions, while also supporting education projects that include 228 schools built or renovated. Supporters argue the link is obvious: children who stay healthy are more likely to attend class and succeed.
At the renovated clinics in Antsirabe, foundation staff said design choices were made to be practical, including better ventilation and clearer separation of spaces for consultations. Health workers said those changes can reduce crowding and limit infection risks when respiratory illnesses surge.
