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Our Work

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Economic growth programs help small businesses grow
Natasha Burley/USAID

USAID has been working for 32 years in Madagascar to help the Malagasy people accomplish their development goals in the face of ongoing challenges. The United States provides development assistance in the areas of health, food security, disaster assistance, democracy and governance, and the environment through non-governmental organizations, community associations, and other private groups.In 2016, the United States provided $91 million, making it one of the largest bilateral donors to Madagascar. Critical assistance in the areas of public health and food security programs touches the lives of hundreds of thousands of Malagasy throughout the country.


Global Health

We work directly with community health workers to promote the management of healthcare at the local level. We emphasize prevention and treatment of malaria; improve maternal, child and infant health; prevent sexually transmitted infections and diseases, including HIV/AIDS; and increase the availability of voluntary family planning and reproductive health services. Our water-related activities improve local community-based governance of water and sanitation resources, educate communities on the safe use of water and promotion of hygiene, and improve access to credit for users and suppliers of water and sanitation services. 

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.

Disaster Assistance

In recent years, Madagascar has been beset by floods, drought, cyclones and locust plagues, and USAID has been on the forefront of disaster relief efforts in the country. Most recently, USAID has been the leading donor of food assistance and emergency relief to families affected by a severe drought in the south, providing over $36 million in food and supplies since 2014. We have collaborated extensively with the government and our partners to ensure that our relief efforts are coordinated, targeted and helping as many people as possible.


USAID Madagascar is launching a new environment program that will improve community-based management of biodiversity and natural resources, and support the protection of Madagascar's natural capital, a fundamental component of the country's sustainable development. The program will accomplish this through improved conservation of the country's unique biodiversity, promotion of resilient livelihoods to provide alternatives to unsustainable natural resource management practices, and concrete actions to secure effective local management and ownership of natural resources.

Democracy, Human Rights and Governance

USAID has helped the government of Madagascar in its efforts to reduce incidences of human trafficking, and protect and assist the victims of trafficking. USAID is currently developing a new program that focuses on building political accountability in the country by increasing informed citizen engagement and improving the government's capacity to respond to its citizens' demands.


USAID is developing a new education program that will partner with the government to help children at the earliest stages of literacy build a strong foundation in reading and writing.

Last updated: July 21, 2017

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