Crisis Severity The severity score from 1 to 5 is based on 31 indicators aggregated into 3 pillars (impact, conditions, and complexity)2.50 Very lowVery high 5
Impact This measures the impact of the crisis itself, in terms of the scope of its geographical, and human effects.3.90 Very lowVery high 5
Humanitarian Conditions This measures the conditions and status of the people affected, including info about the distribution of severity.2.50 Very lowVery high 5
Complexity This measures the complexity of the crisis, in terms of factors that affect its mitigation or resolution.1.60 Very lowVery high 5
Access Constraints This measures the level of humanitarian constraints.1.0No constraintsExtreme constraints
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.?
26/05: A total of 145,136 suspected measles cases and 909 deaths (CFR 0.6%) have been reported since 3 September 2018. 54% of cases are amongst children are aged nine months to nine years. The overall disease trend continues to decline following the vaccination campaign conducted in February.?
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.?