Early in the year, tropical cyclones Honde and Jude struck the southwest of the country, affecting thousands of people.1 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.

In Ikongo district, 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 healthcare is limited, malaria and malnutrition remain persistent threats. Cyclones and heavy rains worsen living conditions and prevent people from travelling to health facilities.

In the last quarter of 2025, our teams responded to two emergencies in eastern Madagascar. In Mananjary district, we distributed essentials 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 centres and 22 outpatient therapeutic feeding centres.

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. 

*UNFPA: https://madagascar.unfpa.org/fr/publications/situation-report-mois-de-mars-2025 (in French)