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Madagascar

HI works in Madagascar to improve rehabilitation care, inclusion, mental health and the protection of vulnerable groups, and to build resilience to climate-related disasters.

Several little girls are gathered in their school playground, laughing together.

Actions in process

HI has been working in Madagascar for nearly 40 years. Following the establishment of several prosthetics centres and rehabilitation projects, the organisation is now focusing on facilitating access to rehabilitation care, education, economic inclusion services and social protection for people with disabilities and vulnerable people, by promoting their social participation and defending their rights.

HI also works in the field of mental health, supporting people experiencing psychosocial distress or suffering from mental health conditions. More specifically, the organisation implements projects within prisons to improve prisoners’ living conditions, health and reintegration. This work also aims to bring about changes in practices within prison facilities.

HI promotes and protects the rights of children in conflict with the law. It works to strengthen the quality of services and the capacities of the Ministry of Justice, including the prison service and the institutions responsible for child protection and prevention.

HI strengthens logistical capacities and optimises humanitarian access to ensure an effective response in the regions of Atsimo-Andrefana, Androy and Anosy. To achieve this, HI produces and provides logistical analyses to humanitarian and government actors to support informed decision-making. It also carries out technical assessments of road infrastructure and strengthens emergency preparedness through the pre-positioning of response kits, alongside training on road rehabilitation.

Finally, HI is strengthening the resilience of vulnerable populations to drought and associated risks in the Greater South of Madagascar by promoting, harmonising and developing an inclusive, impact-focused early warning and response mechanism. To achieve this, the programme aims to improve synergies and complementarity between early warning systems and key stakeholders in order to ensure effective, integrated and needs-based early action tailored to the needs of vulnerable communities. The organisation also aims to embed inclusion in early action and humanitarian responses, ensuring that the specific needs of all population groups are taken into account.

  • HI staff: 90
  • Direct beneficiaries supported by HI in 2025: 29,682
  • Indirect beneficiaries supported by HI in 2025: 140,020
  • Programme launch date: 1987
 

Situation of the country

Madagascar remains one of the world’s poorest countries, with a fragile economy characterised by high public debt, limited infrastructure and high vulnerability to rising food and energy prices. Poverty rates remain very high and many households continue to struggle to meet their basic needs. Living conditions are particularly difficult for vulnerable groups, notably people with disabilities, who are often victims of discrimination, have limited access to education and employment, and are excluded from social and economic life. This significantly restricts their independence and participation in society.

Madagascar is also increasingly affected by climate change and recurrent natural disasters, particularly cyclones, droughts and floods. These shocks regularly result in severe humanitarian needs, including population displacement, food insecurity and the destruction of infrastructure. Each disaster places a heavy strain on already limited national resources and slows down long-term development.

Consequently, humanitarian needs remain high and building resilience is a key priority. Efforts are increasingly focused on improving disaster preparedness, adapting to climate change and promoting inclusive development, to ensure that no one is left behind, particularly the most vulnerable populations

  • Population: 32.32 million
  • HDI: 0.487 (2023)
  • GDP: 21.19 billion dollars
  • GDP per capita: US$655
 
Map of Humanity & Inclusion's interventions in Madagascar

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© Rakotondraparany D. Njara / HI
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HI is an independent and impartial aid organisation working in situations of poverty and exclusion, conflict and disaster. We work alongside people with disabilities and vulnerable populations, taking action and bearing witness in order to respond to their essential needs, improve their living conditions and promote respect for their dignity and fundamental rights.

HI is an independent and impartial aid organisation working in situations of poverty and exclusion, conflict and disaster. We work alongside people with disabilities and vulnerable populations, taking action and bearing witness in order to respond to their essential needs, improve their living conditions and promote respect for their dignity and fundamental rights.

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