The Menabe region and the Belo and Tsiribihina districts


In late 2008, a major political crisis shook Madagascar. The crisis triggered the withdrawal of international aid, and the consequences for living conditions were disastrous. The crisis appears to be over but it has seriously damaged both the economy and the efficiency of the government. Economic growth remains weak. The primary sector has shrunk, affected by natural disasters that hit the country and damaged agriculture. This weak GDP growth (2.4% in 2013) does not suffice to compensate demographic growth, resulting in the constant decline of GDP per capita. Madagascar has become one of the poorest countries in the world, with 82.4% of the population surviving on less than $1.25 a day.

Indicators MADAGASCAR Belgium
Population (thousands) 23 201 926 11 203 992
Surface area (km2) 587 041 30 528
Density (people/km2) 39,52 367
Infant mortality (per 1,000 live births) 44,88 4,18
Life expectancy (in years) 66 81
Human Development Index (HDI) out of 100 49,8 88,1
Number of doctors (per 1,000 people) 0,16 4,2
Literacy rate (%) 57,1 99
GDP per capita (PPP – $) 1 398 40 760

Food and Economic Security

securite_red_rondThe most fragile populations live on the coast as their basic diet does not provide them with a stable income or food supply. Education levels are also very weak, as indicated by very low literacy and schooling rates. Madagascar suffers from a double problem: on the one hand, declining agricultural production, and on the other hand, a lack of technical and financial support from aid structures and institutions.

Key figures
  • 1,000 households were able to store food supplies
  • 450 people have benefited from literacy courses, 43% of them women
  • 19 Solidarity Savings Groups have been created, with a total of 225 members. This encouraged communities to renew their ties with each other
Partners in the South
  • Saragne
  • OPCI



soin_red_rondThe political crisis also brought about a degradation of the country’s healthcare situation. Many medical facilities are dilapidated and damaged. The material and equipment are in worrying condition and are in urgent need of maintenance. Moreover, the average age of medical staff is over 50, and this leads to demotivation.

Key figures
  • The mortality rate of children under five has reduced by 75% in 3 years
  • 89% of children under five now sleep under a mosquito net
  • 7 medical centers say they now have twice as many consultations
  • The Belo hospital is now functional and equipped with a delivery room, an operation theatre, a lab and a clinic
Partners in the South
  • Fanoitra
  • Saragne
  • Amadia
  • EMAD