The service provision of PRM was dramatically improved by the establishment of a trained cohort of PRM doctors in 2013 following training in 2011–2013 for a Diplome Universitaire and the immediate establishment of the Association of Physical and Rehabilitation Medicine of Madagascar (AMPR Madagascar). The Ministry of Health database then used was not helpful to the development and planning of rehabilitation services having little about disabilities and rehabilitation.During training those doctors developed and refined e a data -base built on their knowledge of their patients. Data included demographic, diagnostic and treatment information. This database was then used systematically in all major Rehab centres where participants worked, nationwide. Data were then sent monthly to the author, the vice chair of AMPR, and the Ministry of Health, presented regularly at AMPR meetings and made available for the up-dating of the national Rehab plan for Madagascar.Initially in 2012, in the first month, 351 patients were seen in six centres, numbers increasing thereafter with 6148 persons being entered in 2014. Data for 2015 were incomplete. By 2016 data collection was complete, 5373 patients being entered, 1568 of these referred by other hospital departments; 51.2% were female, 46,8% were under the age of 15. The total numbers of patients seen yearly has increased substantially from 2012. Five main diagnoses were common to all centres, for children: cerebral palsy, clubfoot, acute respiratory disease; for adult lumbo-sacral pain and hemiplegia.The database has helped in the planning of rehabilitation services at national level where it is increasingly recognised that databases are of great importance for planning, surveillance and acquiring epidemiological data. It has informed the regular national teaching of AMPR which now concentrates on major pathologies.