Coordination mechanism: Cluster
Year of activation: 2018 - official IASC activation 2021.
Coordination arrangement:
- National level: Office National de Nutrition (ONN) Lead, Ministry of Health (nutrition service), Co-lead, UNICEF Co-coordinatro
- Regional level: Office Régional de Nutrition (ORN) Lead and Direction Régionale de la Santé Publique (DRSP) Co-lead in the 3 southern regions of Madagascar (Anosy, Androy and Atsimo-Andrefana) and 3 regions in South East Madagascar (Atsimo-Atsinanana, Vatovavy, Fitovinany)
- District level: Service de District de la Santé Publique (SDSP) Lead and Office Régional de Nutrition (ORN) Co-lead in 21 districts in the 6 Regions

Country Key Contacts

Perrine Loock

Nutrition Cluster Coordinator

Jonah Andreas Ndriantony


RAZAFIMAHATRATRA Fanjanomenjanahary Marie Aimée

Chef de Service Suivi-Evaluation ONN

RALAIMIADANA Andriamihamintsoa Rabenja

Chef de Service de la Nutrition Ministere de la Santé Publique

Annual Report June 2022 to December 2022

June 2022 to December 2022

Humanitarian Needs Overview (HNO)
Humanitarian Response Plan (HRP)
Current Challenges


  • Madagascar is facing a dual situation, with an improved but still fragile nutritional situation in the Great South, that require a better focus on the links between humanitarian action and resilience and development program, and a new humanitarian situation in the Southeast, with acute malnutrition rate above 15% in some districts which require the deployment of humanitarian actors, programmes and funds.

  • In the Southeast, resource mobilization is still a challenge, including to secure access in hard-to-reach health centers and community sites, and to ensure the availability of necessary data for an improved surveillance system.

  • In the Great South, as development partners are starting new program on health, food or wash systems, coordination will be key to ensure leverage on impact and reduced the negative climate change consequences on the nutrition situation in this prone to drought area. 

  • As Madagascar cluster/sector strategy focus on localization, with an increase leadership of local authorities and technical services, their capacity strengthening will have to be sustain with the support of all cluster partners at local level

  • Early warning system still needs to be improved to ensure immediate response scale up when needed, and better targeting of the most impacted area.  

Advocacy, Intersectoral Collaboration and Preparedness
Advocacy Survey
Country Advocacy Strategy developed No
Link to document  
Advocacy activities included in annual work plan No
Specific WG leading advocacy work established Yes
Contingency plan or ERP plan developed/updated Yes
Link to document  
Intersectoral Collaboration (ISC)
Intersectoral projects currently under implementation No
Clusters engaged
Discussion in progress with WASH, Health and Food Security cluster for common targeting. 

Key Figures



Number of SAM under-five children in need
Number of MAM under-five children in need
Number of children 6-23 months in need of BSFP- Blanket Supplementary Feeding Programme
Number of children 6-23 months in need of Micronutrient Powder Supplementation
Number of children 6-59 months in need of Vitamin A Supplementation
Number of PLW counselled (one-on-one) on IYCF
Number of PW in need of iron/folate supplementation
Number of moderately acutely malnourished PLW in need
Number of PLW in need Of BSFP

Total Partners


UN agencies


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