• Crisis Severity ?
    2.5
    0 Very low
    Very high 5
  • Impact ?
    3.9
    0 Very low
    Very high 5
  • Humanitarian Conditions ?
    2.5
    0 Very low
    Very high 5
  • Complexity ?
    1.6
    0 Very low
    Very high 5
  • Access Constraints ?
    1.0
    No constraints
    Extreme constraints

Key figures

  • 26,700,000 People exposed [?]
  • 4,268,000 People affected [?]
  • 1,307,000 People in Need [?]

Overview

24/05/2019

Madagascar is one of the most vulnerable countries to natural disasters, including drought. The Grand Sud region has suffered several consecutive years of rain shortfalls, further aggravated by El Niño weather events in 2016 and 2017.?This deficit mainly affected harvests of major foodstuffs, which declined significantly.?Almost 80% of the Malagasy population is engaged in agriculture, dominated by rain-fed small-scale subsistence farming.?The food security situation remains fragile: 1.3 million people from 15 districts in the drought-affected south and cyclone-affected southeast were projected to be severely food insecure until March 2019, with some 366,000 classified as Emergency (IPC 4). 24,700 children are acutely malnourished including 2,300 severely malnourished.?

A measles outbreak since 3 September 2018 has resulted in a total of 139,550 suspected cases, including 902 deaths (CFR 0.6%) as of 21 April 2019.?The individuals most affected are aged nine months to nine years. Some 95 districts out of 114 districts and all 22 regions have reported cases.?Madagascar last experienced measles outbreaks in 2003 (62,233 cases) and 2004 (35,558 cases).?A decreasing trend in incidence of measles cases continues to be observed following the reactive vaccination campaign.?

INFORM measures Madagascar's risk of humanitarian crisis and disaster to be high, at 5.1/10.?

Latest Developments

20/06/2019

16/06: No new measles cases have been reported by WHO since 11 May. A decreasing trend in incidence of suspected cases of measles had been observed since 17 February, following the series of reactive mass vaccination campaigns conducted in January and February. The third and last phase of the vaccination campaign took place in April. Since 3 September 2018, 146,277 cases and 910 deaths (CFR 0.62%) have been registered. The total number of cases could be higher as cases often go under-reported.?

Key Priorities

24/05/2019

Nutrition: About 47% of municipalities (73 out of 154) face a “nutrition emergency” while 16% are on “nutrition alert”.?

Water supply: The southern regions have the country’s lowest water supply coverage and are highly vulnerable to drought. Access to potable drinking water us a major challenge for the local population. In rural areas, only 36% of households utilize improved water facilities.?

Health: Over 60% of Madagascar’s people live more than 5km 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.?