Humanitarian Action for Children 2018 - Madagascar (Revised August 2018)

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Cyclones continue to be a major humanitarian concern in Madagascar with a new cyclone season beginning every November. In southern Madagascar, the effects of the El Niño drought continue to fuel food insecurity due to low agricultural output. The food insecurity situation is particularly critical in the South- Grand Sud, which has repeatedly been affected by drought and food insecurity. There is also a lack of access to safe water, sanitation and hygiene (WASH) facilities in the south with more than 475,000 people in need of WASH services. Access to health services is also limited in the south with more than 70 per cent of the population living more than 5 km away from basic health centers. Lastly, there is an eminent 'malaria season’ due to the rainy season beginning October in addition to a possibility of a new plague outbreak in August of every year. While the initial planning based on meteorological data estimated that Madagascar would be hit by eight cyclones, the country has so far only been affected by one cyclone and a tropical storm. The UNICEF targets and funding requirements have therefore been revised downwards due to the limited scale of the crises than initially anticipated.

Humanitarian strategy

UNICEF and its partners will respond to the needs of populations affected by emergencies and will mainstream resilience and early recovery strategies. UNICEF will contribute to an integrated response in affected areas through a multi-sectoral response to address the most acute needs.
SAM prevention and treatment will target children under 5 in drought-affected areas in southern Madagascar. The health system will be strengthened through logistical support and capacity building in the Ministry of Health to support preparedness and response to health emergencies and epidemics.The Vitamin A humanitarian funded response had to be dropped due to lack of funding. UNICEF will contribute to improving and sustaining access to safe water, sanitation and hygiene facilities in disaster-prone areas, and support communities affected by water-borne diseases. Cash assistance will be prioritized to facilitate a quick response to disasters and prevent families from adopting negative coping mechanisms that exacerbate malnutrition, child exploitation and school dropout. UNICEF will support continued access to basic education during disasters through the provision of temporary learning spaces and teaching and learning materials, as well as school rehabilitation and protection services for vulnerable children. UNICEF will also support the Government to strengthen institutional capacity on disaster management and social protection.

Results from 2018

As of 30 June 2018,UNICEF had received US$ 3.5 million against the revised appeal of US$13.4 million appeal. Despite significant funding gap, UNICEF leveraged propositioned health, WASH and education supplies and strong disaster resilience capacities in place after ENAWO response in 2017, reaching more than 50 per cent of the yearly targets. C4D interventions, largely radio messages, reached an estimated 80 per cent of people in the affected regions due to good coordination with partners in the Emergency Communication Network (BNGRC and Ministry of Communication).

For SAM treatment 52 per cent of the target was met through mass screening and mobile clinics using internal core resources due to limited humanitarian funding. While UNICEF did not fund specific cash transfers in the emergency context during first half of 2018, it plans on funding cash transfers in the second half while also continuing to promote the implementation of the “Madagascar Cash in Emergency Principles’’ to improve coordination and harmonization among partners implementing cash-based programming especially in preparation for the upcoming drought season. UNICEF distributed mosquito nets to a greater number of regions than usually targeted due to a recrudescence of malaria in areas hit by cyclone AVA and tropical storm ELIAKIM.

Total people in need: 1,058,5892

Total children (<18) in need: 509,744

Total people to be reached:400,0003

Total children to be reached:192,400

2018 programme targets:

Nutrition 12,500 children under 5 with SAM admitted to therapeutic treatment sites

Health 60,000 people receive insecticide-treated nets 300,000 people provided with access to essential and life-saving health care services


  • 400,000 people access the agreed quantity of water for drinking, cooking and personal hygiene
  • 200,000 people in humanitarian situations supported to adopt appropriate hygiene practices

Child protection

4,000 children reached with psychosocial support Education 50,000 children access formal and nonformal pre-school, primary or secondary education

Social protection

14,000 households receive cash transfers in emergencies to access essential goods

Communication for Development

1,000,000 people reached with key lifesaving and behavior change messages on health, nutrition and safe and appropriate sanitation and hygiene practices contextualized to the emergency scenario