Madagascar
Madagascar is one of the poorest countries in the world and the most vulnerable to the consequences of climate change. Access to economic, social and cultural rights remains limited throughout the island, and people with disabilities often find themselves in extremely difficult situations.

Madagascar, 2023. Little girls at a special school for deaf and/or hard-of-hearing children play during break time. | © Rakotondraparany D. Njara / HI
Actions in process
HI has been present in Madagascar for over 35 years. After setting up several orthopedic-fitting centres and rehabilitation projects, the association has focused on facilitating access to healthcare for people with disabilities, promoting their social participation and defending their rights. In 2024, the team is rolling out many projects in a variety of sectors, while always placing people with disabilities and the most vulnerable at the heart of its activities.
For example, the association is committed to developing a continuum, between education and professional training, to give disabled children and young people a greater chance of success as they progress through their educational and learning pathways. At the same time, the organisation intervenes at several levels to promote inclusion, and to support the amplification of the voice of people with disabilities in the relevant bodies (economic, educational, health, civil society organisations, etc.).
HI also works in the field of mental health with people in psychosocial distress or suffering from mental health issues. More specifically, the association implements projects in prisons to improve the living conditions, health and reintegration of prisoners. This action also aims to change practices within prisons.
Finally, HI is also building capacity to prepare for and respond to climatic-related hazards using an integrated and inclusive multi-sectoral approach.
Areas of intervention
concretely
Situation of the country

In 2024, Madagascar is still one of the poorest countries in the world, and its economy remains fragile: high public debt, vulnerability due to the rising cost of energy and foodstuffs, a worrying poverty rate...
Thus, living conditions are particularly difficult for the population, especially for people with disabilities. As well as being the victims of discrimination and even violence within their communities, they suffer from a lack of opportunities, which limits their economic and social integration and their gains in independence.
Furthermore, Madagascar is still one of the countries most vulnerable to climatic shocks. Every time a climatic-related hazard strikes, the country, already weakened by past disasters, has to deploy huge resources to cope with the considerable human and economic losses. The challenge is therefore to strengthen the island's resilience over the long term and to adapt its climate action so that no one is left behind.
- Number of HI staff: 150
- Programme start date: 1987