specialiss like noelson laiafarke. his team is working to improve the digital platform for m-tomady, which records all the insurance payments and medical treatments. german physician julius emmrich is one of the founders of doctors s for madagascar. he set up the m-tomady platform two years ago. dr. emmrich: we've been totally surprised at how many have joined. we have more women and families using it than we expected, and we're also getting requests from hospitals, including ones in completely different parts of the capital and others outside the city too, all wanting to use the system. we think it is great. reporter: : m-tomadylrlready hs 6000 payining members. and now the e government o of a has also expxpressed intereresn this health insurance scheme. host: health care, secury, a sosocial networkrk -- as manys four billion people worldwide have no accecess to such b bac protection. those with the lowest levels of education are most at risk. in brazil, casual trash pickers are e now being given the chane torarain as