More than 4.5 million people in southern, southeastern and northern regions, will need humanitarian assistance in 2025. This includes 1.94 million people affected by acute food insecurity. Moreover, nearly 360,000 children under 5 years old are likely to suffer from global acute malnutrition, including 83,400 severe cases. Access to water is a structural problem and is insufficient in periods of drought, which increases the prevalence of water-related diseases. Madagascar continues to experience polio and malaria epidemics, placing a burden on already weak health services
Overall economic and social structures have been impacted by years of crisis, causing internal migration and use of negative coping mechanisms; this has exacerbated social protection needs with issues of child abuse and gender-based violence, as well as increased school dropout.
Protection is a key sector that remains largely unaddressed. The level of prevention and response is currently very low.