Drought conditions have led to a third consecutive year of below-average food production – the Grand Sud and southwest Madagascar are the most affected areas.?

Madagascar is also prone to natural disasters such as cyclical flooding and tropical storms. The most sensitive season ranges from November to April. ?

Plague is endemic in Madagascar, with seasonal peaks from September to March.? The country’s weak health system and limited WASH infrastructure weaken the national capacity to provide public health response to seasonal plague outbreaks and address the population’s health needs.?

INFORM measures Madagascar's risk of humanitarian crisis and disaster to be medium, at 5/10. Madagascar's vulnerability is of concern, at 4.2/10.  

Latest Developments

18/10: 58 suspected cases of plague (37 bubonic; 21 pneumonic) reported between 19 August and 10 October, including five deaths (CFR: 8.6%). ?

Key priorities

Health: Over 60% of Madagascar’s people live more than 5 kilometers from a health center, often in very remote and difficult to reach areas. Health personnel are unevenly distributed, drug and medical supplies are prone to stock outs and are unavailable in some areas.?

Food security: Acute food insecurity still impacting Grand Sud in Madagascar with over 1 million people in need urgent food assistance (IPC 3 and 4). 

Water supply: An estimated 850,000 people have limited or no access to safe water for drinking, cooking and personal hygiene, particularly in southern regions. ?