He has reorganized health services and hospitals around the country to make them more effective in health care de livery. He is also manager of the Fenoaviro sanitariums, a former tuberculosis facility which is now a major metropolitan hospital. His primary concerns for the future are to improve health care delivery in Madagascar, and to expand training for health care professionals. 

Mr. Ramilimanitra holds diplomas in General Law (1971) and Public Administration (1972) from the University of Madagascar.