Key data for Madagascar

NCI16th HRCI3rd HANCI4th
HANCI compares 45 developing 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: 49.20% Wasting: 15.7% Proportion of population underweight: 35.80% Source: Gov. of Madagascar (DHS, 2009)

Strong Performance

  • Spending on agriculture (11.9% of public spending in 2013) meets government commitments set out in the African Union’s Maputo Declaration (10% of public spending).
  • 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.
  • Relative to other HANCI countries, Madagascar's medium/long term national development policy (Madagascar Action Plan) assigns strong importance to nutrition.
  • 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 94% of children in 2013.
  • In Madagascar, constitutional protection of the right to social security is strong.

Areas for improvement

  • Madagascar’s spending in its health sector (12.8% of public spending in 2012) is close to, yet not fully meeting government commitments set out in the African Union's Abuja Declaration (15% 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 2009.
  • Weak access to an improved source of drinking water (49.6% in 2012) and an improved sanitation facility (13.9% in 2012) prevents positive outcomes for hunger and nutrition in Madagascar.
  • In Madagascar, constitutional protection of the right to food is weak.

Hunger Reduction Commitment Index (HRCI)

Public Spending Score Year HRCI rank of 45
Public spending on agriculture as share of total public spending
?
11.90%20132nd
Public spending on health as share of total public spending
?
12.8%201211th
Policies Score Year HRCI rank of 45
Access to land (security of tenure)
?
Moderate201325th
Access to agricultural research and extension services
?
Strong20134th
Civil registration system — coverage of live births
?
83.0%2012-20139th
Functioning of social protection systems
?
Weak201422nd
Laws Score Year HRCI rank of 45
Level of constitutional protection of the right to food
?
Weak201120th
Equality of women’s access to agricultural land
?
In Law, not in Practice20144th
Equality of women’s economic rights
?
Partially Enforced20111st
Constitutional right to social security
?
Yes20061st

Nutrition Commitment Index (NCI)

Public Spending Score Year NCI rank of 45
Separate budget for nutrition
?
Yes20141st
Policies Score Year NCI rank of 45
Vitamin A supplementation coverage for children
?
94.0%201319th
Government promotes complementary feeding
?
Yes20101st
Population with access to an improved water source
?
49.6%201242nd
Population with access to improved sanitation
?
13.9%201241st
Health care visits for pregnant women
?
82.1%201032nd
Nutrition features in national development policy
?
Moderate201312th
National Nutrition Policy/Strategy
?
Yes20141st
Multisector and multistakeholder policy coordination
?
Yes20141st
Time bound nutrition targets
?
Yes20141st
National nutrition survey in last 3 years
?
No201434th
Laws Score Year NCI rank of 45
Enshrine ICBMS in domestic law
?
Fully enshrined20141st