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.
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. ?