Madagascar strategy aligned country


24.2 M
Total population in the country


10 %
Population with access to safely managed and basic service sanitation

drinking water

51 %
Population with access to safely managed and basic service drinking water
Diarrhea related under age 5 mortality rate number/1,000 live births

Drinking Water Results

387.2 K
People Gaining Access to Improved Drinking Water due to USG Assistance (FY 2008 - 2016)*

Sanitation Results

363.7 K
People Gaining Access to Improved Sanitation due to USG Assistance (FY 2008 - 2016)*


Madagascar’s unique wildlife and biodiversity have attracted both increasing numbers of tourists and significant donor investments in recent years, but it stands as the poorest nonconflict country on Earth, with 92 percent of people living on less than $2/day. The country is struggling to stabilize the government; implement economic reforms; and recover from recent natural disasters such as floods, locusts, and a drought.

Although the country’s freshwater resources are abundant, as of 2015 only 34 percent of people in rural areas had access to an improved water source, compared to 86 percent in urban areas. Sanitation is a serious problem—as of 2015 only 24 percent of the population had at least basic service (improved household latrines). USAID’s WASH efforts in Madagascar are incorporated into its health, food security, and environment programs. Activities focus on: improving local, community-based governance of water and sanitation resources; educating communities on how to use safe water and maintain proper waste disposal and sanitation measures; and promoting good hygiene at the community and the household levels.

USAID also improves access to credit for consumers and suppliers of water and sanitation services using microfinance and credit products linked to water and sanitation. Other projects are rehabilitating existing or installing new, protected water points and promoting the construction and use of family latrines.

Source: USAID Development Experience Clearing House (DEC) and specific water activity websites.  The funding level and start/end date shown here reflect the information available via the DEC or activity website at the time the activity was added to

*Includes access to both basic and safely managed services