Key data for Madagascar

NCI16th HRCI6th HANCI4th
HANCI-Africa compares 45 African countries for their performance on 22 indicators of political commitment to reduce hunger and undernutrition. All the countries compared in the index have high rates of hunger and undernutrition. The comparative approach of the index means that country scores are calculated in relation to the political commitment of the other countries in the index.
Existing rates of: Stunting: 47% Wasting: % Proportion of population underweight: % Source: Government of Madagascar (ENSOMD, 2008-09)

Strong Performance

  • The Government encourages varied agricultural research and extension services, and local farmer organisations are involved in setting policy priorities. The extension system is effective and properly reaches out to poor farmers. Government policies, strategies and mechanisms seek to ensure gender equity in access to extension services.
  • Madagascar instituted a separate budget line for nutrition, enabling transparency and accountability for spending.
  • The National Nutrition Policy/Strategy identifies time bound nutrition targets and a multisectoral and multistakeholder policy coordination mechanism has been set up.
  • The Government has fully enshrined the International Code of Marketing of Breastmilk Substitutes into domestic law.
  • The Government of Madagascar promotes complementary feeding practices and has achieved two high doses of vitamin A supplementation for 97% of children in 2015.
  • In Madagascar, constitutional protection of the right to social security is strong.

Areas for improvement

  • Spending on agriculture (1.9% of public spending in 2016), does not meet government commitments set out in the African Union’s Maputo Declaration (10% of public spending).
  • In Madagascar, the law gives women and men equal economic rights and equal legal access to agricultural land. However, these laws are not effectively enforced and discriminatory practices against women continue, increasing their vulnerability to hunger and undernutrition.
  • Policymakers in Madagascar do not benefit from regular nutrition surveys that are statistically representative at national level. The last survey was published in 2012-2013.
  • Weak access to an improved source of drinking water (53.3% in 2015) and an improved sanitation facility (9.7% in 2015) prevents positive outcomes for hunger and nutrition in Madagascar.
  • Social safety nets in Madagascar are basic and only cover few risks for a limited number of beneficiaries.

Hunger Reduction Commitment Index (HRCI)

Public Spending Score Year HRCI rank of 45
Public spending on agriculture as share of total public spending
?
1.9%2016Joint 39th
Public spending on health as share of total public spending
?
15.6%20152nd
Policies Score Year HRCI rank of 45
Access to land (security of tenure)
?
Moderate2016Joint 19th
Access to agricultural research and extension services
?
Strong2013Joint 5th
Civil registration system — coverage of live births
?
83%2012-201313th
Functioning of social protection systems
?
Weak2016Joint 21st
Laws Score Year HRCI rank of 45
Level of constitutional protection of the right to food
?
Moderate2016Joint 8th
Equality of women’s access to agricultural land
?
In Law, not in Practice2014Joint 1st
Equality of women’s economic rights
?
In Law, not in Practice2014Joint 1st
Constitutional right to social security
?
Yes2006Joint 1st

Nutrition Commitment Index (NCI)

Public Spending Score Year NCI rank of 45
Separate budget for nutrition
?
Yes2017Joint 1st
Policies Score Year NCI rank of 45
Vitamin A supplementation coverage for children
?
97%2015Joint 8th
Government promotes complementary feeding
?
Yes2010Joint 1st
Population with access to an improved water source
?
53.3%201545th
Population with access to improved sanitation
?
9.7%201543rd
Health care visits for pregnant women
?
82.1%2012-201337th
Nutrition features in national development policy
?
Moderate2015-201919th
National Nutrition Policy/Strategy
?
Yes2017Joint 1st
Multisector and multistakeholder policy coordination
?
Yes2017Joint 1st
Time bound nutrition targets
?
Yes2017Joint 1st
National nutrition survey in last 3 years
?
No2012-2013Joint 36th
Laws Score Year NCI rank of 45
Enshrine ICBMS in domestic law
?
Fully Enshrined2016Joint 1st