ina ), ▁contrib uting ▁to ▁political ▁polar ization ▁in ▁reporting . ▁ ▁The ▁media ▁have ▁histor ically ▁come ▁under ▁varying ▁degrees ▁of ▁pressure ▁to ▁c ensor ▁their ▁criticism ▁of ▁the ▁government . ▁Re por ters ▁are ▁occasionally ▁threatened ▁or ▁har ass ed , ▁and ▁media ▁out lets ▁are ▁period ically ▁forced ▁to ▁close . ▁Acc us ations ▁of ▁media ▁c ensor ship ▁have ▁increased ▁since ▁ 2 0 0 9 ▁because ▁of ▁the ▁alleg ed ▁intens ification ▁of ▁restrictions ▁on ▁political ▁criticism . ▁Access ▁to ▁the ▁internet ▁has ▁grown ▁dram atically ▁over ▁the ▁past ▁de cade , ▁with ▁an ▁estimated ▁ 3 5 2 , 0 0 0 ▁residents ▁of ▁Mad agas car ▁accessing ▁the ▁internet ▁from ▁home ▁or ▁in ▁one ▁of ▁the ▁nation ' s ▁many ▁internet ▁c af és ▁in ▁December ▁ 2 0 1 1 . ▁ ▁Health ▁ ▁Medical ▁cent ers , ▁disp ens aries ▁and ▁hosp it als ▁are ▁found ▁throughout ▁the ▁island , ▁although ▁they ▁are ▁concentr ated ▁in ▁urban ▁areas ▁and ▁particularly ▁in ▁Ant an an ar ivo . ▁Access ▁to ▁medical ▁care ▁remains ▁beyond ▁the ▁reach ▁of ▁many ▁Mal ag asy , ▁especially ▁in ▁the ▁rural ▁areas , ▁and ▁many ▁rec ourse ▁to ▁traditional ▁he al ers . ▁In ▁addition ▁to ▁the ▁high ▁exp ense ▁of ▁medical ▁care ▁relative ▁to ▁the ▁average ▁Mal ag asy ▁income , ▁the ▁pre val ence ▁of ▁trained ▁medical ▁profession als ▁remains ▁extremely ▁low . ▁In ▁ 2 0 1 0 , ▁Mad agas car ▁had ▁an ▁average ▁of ▁three