In general, availability and quality of health care is better in Antananarivo than elsewhere in Madagascar, although it remains inadequate across the country relative to that in more developed countries. One of Madagascar's two medical schools is located in Antananarivo; most medical technicians and specialists are trained there. Neonatal and antenatal care is significantly better in Antananarivo than elsewhere on the island. Despite the presence of facilities and trained personnel, the high cost of health care places it beyond the reach of most residents of Antananarivo. Pharmaceuticals are imported, making them particularly unaffordable; traditional herbal medicines remain popular and are readily available in local markets frequented by most of the population.