Madagascar

Country in Africa

In brief

Health spending per person: $17 (2023). World rank 193 of 193; in Africa, 54 of 54. Overweight adults: 17% (2022). World rank 4 of 196 (1 = best); in Africa, 3 of 54. Access to basic sanitation: 15.4% (2024). World rank 199 of 203 (1 = best); in Africa, 48 of 52. From 2014 to 2024: primary school enrolment 137% → 133%, children vaccinated against measles 66% → 46%, and infant deaths per 1,000 births 43.8 → 43.

Education

Adult literacy: 74.7% 2021
Primary school enrolment: 133% 2024
Secondary school enrolment: 34.1% 2021
Higher education enrolment: 6.2% 2023
Public spending on education, share of GDP: 3.1% 2023

Healthcare

Health spending, share of GDP: 3.4% 2023
Health spending per person: $17 2023
Out-of-pocket health spending, share of total: 27.4% 2023
Doctors per 1,000 people: 0.2 2022
Nurses and midwives per 1,000 people: 0.3 2022
Hospital beds per 1,000 people: 0.3 2014
Children vaccinated against measles: 46% 2024

Public health

Infant deaths per 1,000 births: 43 2024
Deaths under age 5 per 1,000 births: 62.4 2024
Maternal deaths per 100,000 births: 445 2023
HIV prevalence, ages 15–49: 0.5% 2024
Diabetes prevalence, ages 20–79: 4.6% 2024
Overweight adults: 17% 2022
Adults who use tobacco: 25.6% 2024

Living conditions

Access to safe drinking water: 55.3% 2024
Access to basic sanitation: 15.4% 2024
Access to clean cooking fuels: 2% 2024