Santé, inégalités et ruptures sociales à Antananarivo. Premiers résultats de l’enquête SIRS 2003

The Health, Inequalities and Social Breakdown (SIRS) survey carried out in Antananarivo in April 2003 on a representative sample of 2,807 people, is part of an international research programme designed to compare the relationships between health, inequalities and social breakdowns in different cities throughout the world. The initial assumption is that the socio-economic inequalities found within cities give rise to specific problems of health and social breakdowns and can, in certain cases, lead to deterioration in collective health security and in social cohesion within the population. The document presents the first results of this survey, with the study of the different components of social relationships in Antananarivo and the way they are related to health. Four types of relationship are distinguished: i) filiation; ii) elective participation (relationships with friends, neighbours, couple, etc.); iii) organic participation (relating to the individuals’ economic integration in the production system) and iv) citizenship (concerning all civil and political rights).