Will I need to travel to see a specialist?

"The capital city of Antananarivo is home to a wide variety of medical specialists, including general practitioners, specialists in internal medicine, cardiology, neurology, and orthopedics. The coastal city of Toamasina is also home to a number of medical specialists, including those specializing in obstetrics and gynecology, pediatrics, and dermatology. The city of Fianarantsoa is home to a variety of medical specialists, including those specializing in ophthalmology, psychiatry, and endocrinology. The city of Mahajanga is home to a variety of medical specialists, including those specializing in oncology, pulmonology, and gastroenterology. Finally, the city of Antsirabe is home to a variety of medical specialists, including those specializing in urology, nephrology, and infectious diseases," mentioned another expat when asked about moving to Madagascar.