PayPal works by allowing users to connect their bank account to their PayPal account. This allows anyone in Madagascar who has a bank account to start transacting with PayPal.
Once a user has connected their bank account to their PayPal, it's then possible to transfer funds to another user's PayPal account or make payments to businesses and merchants who accept it. A user can also attach a credit or debit card to their PayPal account to further facilitate payments.