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Our Work

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Economic growth programs help small businesses grow
Natasha Burley/USAID

Following free and fair elections in late 2013 and the installation of a democratically elected Government in early 2014, the United States Government removed all restrictions on assistance to the Government of Madagascar on May 27, 2014.

USAID provides assistance in health, food security, water and environment through nongovernmental organizations, community associations, and other private groups.

Global Health

As the leading health donor in Madagascar, the U.S. Government has contributed substantially to improved health for underserved rural and urban populations throughout Madagascar. The 2008-09 demographic and health survey showed a significant decrease in infant and child mortality over the previous five years—from 92 child deaths per 1,000 live births to 72.

Agriculture and Food Security

USAID helps food-insecure, vulnerable smallholder farmers improve production and expand productivity with environmentally friendly techniques and through innovative agri-business activities. USAID also works with communities to rehabilitate farm-to-market roads, which improves economic opportunities, as well as access to health and other services.


More than 58 percent of the population in Madagascar does not have access to safe drinking water and nearly half of all households live without sanitation facilities. USAID is increasing access to clean water by promoting water, sanitation and hygiene. Five years of crises and conflict as well as the effects of severe rains and flooding, have affected households in major urban centers and devastated Madagascar’s economy. To counter these negative trends, USAID is helping households in 544 communities to develop and implement plans aimed at mitigating the effects of disasters. Measures include interventions such as food-for-work programs that rehabilitate dikes and drainage systems and reforestation efforts that control soil erosion.


Unless significant and strong actions are taken to stop the unsustainable and illegal logging and exploitation of other natural resources, the ultimate risk may be irreversible loss of forest and biodiversity for Madagascar. USAID will provide local organizations with the means to combat the illegal exploitation of Madagascar's natural resources. 

Democracy, Human Rights and Governance

USAID supports the Government of Madagascar in its efforts to reduce incidences of human trafficking, and protect and assist the victims of trafficking. USAID work focuses on four different but interconnected objectives, including improving national coordination on human trafficking, achieving greater awareness about human trafficking, strengthening victims’ protection, primarily women and children, and supporting coordination between Madagascar, destination and in-transit countries.

Last updated: September 23, 2015

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