During the year, in collaboration with local communities and partners, including Ny Tanintsika and Health in Harmony, we began providing care as part of the Fagnimbogna project in Ikongo district. The medical activities were developed based on needs that communities expressed through the project’s participatory approach. We are now working to provide care to children under 15 years old and pregnant women, reinforcing local health services.
Madagascar 2024 © Coralie Mulliez/MSF
Madagascar
Responding to the health impacts of climate change
Our work in Madagascar
Emergency response is a core activity for Doctors Without Borders/Médecins Sans Frontières (MSF) in Madagascar, a country vulnerable to extreme weather events and the associated risks of malaria and malnutrition.
What's happening in Madagascar?
Early in 2025, tropical cyclones Honde and Jude struck the southwest of Madagascar, affecting thousands of people. Severe flooding also hit the capital, Antananarivo, following heavy rains. MSF teams launched emergency responses in Toliara II and the capital, providing medical care through mobile clinics and essential items, such as hygiene kits. In Toliara II, we also donated materials to rehabilitate health facilities damaged by the cyclones.
How we're helping in Madagascar
In Ikongo district in 2025, MSF responded to an increase in malaria cases through mobile clinics, awareness-raising activities, and the distribution of mosquito nets. In this remote area, where access to health care is limited, malaria and malnutrition remain persistent threats. Cyclones and heavy rains worsen living conditions and prevent people from traveling to health facilities.
In the last quarter of 2025, our teams responded to two emergencies in southeast Madagascar. In Mananjary district, we distributed essential items to families after a major fire broke out, affecting more than 1,700 households. In Ikongo, in response to an alarming rise in malnutrition cases, we expanded our activities to nine additional health centers and 22 outpatient therapeutic feeding centers.
How we're helping
102,900
Outpatient consultations
5,250
Admissions of children to outpatient feeding programs
35,100
Malaria cases treated
3,240
Families received relief items
*Data from MSF International Activity Report 2025
More news and stories
Learn about MSF’s journalistic roots and our commitment to bear witness and speak out about the plight of the people we treat.
Learn about MSF’s journalistic roots and our commitment to bear witness and speak out about the plight of the people we treat.
How you can help
Not everyone can treat patients in the field. But everyone can do something.
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