Madagascar continued to face a prolonged food and nutrition crisis driven by drought, cyclones, rising food prices and widespread poverty. The Grand South region was the hardest hit, with nearly one million people estimated to be experiencing severe food insecurity, and accounting for more than half of all severe acute malnutrition cases in the country. Moreover, the global decline in humanitarian funding meant only 30 per cent of requirements were met, reducing the availability of mobile Health and Nutrition services and putting treatment supplies at risk.

In 2025, Action Against Hunger supported over 20 districts in the Grand South (Androy, Anosy, Atsimo, Andrefana) and in the vulnerable neighborhoods of Antananarivo, as well as in Fitovinany, targeting children under 5 years, women, and vulnerable households.

We treated acute malnutrition with high recovery rates (90–99 per cent), helped over 34,000 people access safe water, provided cash assistance to more than 213,000 people, supported over 28,000 households to grow their own food, and delivered psychosocial and protection services to thousands more.

We also delivered the Mifampibaby project, funded by the European Union and focused on the first 1,000 days of a child’s life, improving feeding practices, supporting local food production, and women’s empowerment.

As part of our emergency response and in partnership with Doctors of the World and our long-standing national partner ASOS, we provided lifesaving nutrition, healthcare, and cash support to help families buy food and avoid harmful coping strategies. We also implemented a multisectoral emergency response to the severe drought crisis in Southern and Southeastern Madagascar, to restore access to water and agricultural production for over 195,000 people.

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