Southern and eastern Madagascar continue to face persistently high levels of acute food insecurity (IPC Phase 3 or above), driven by a combination of factors, including significant climatic shocks and the impacts of the recent socio-political crisis, compounded by a reduction in humanitarian assistance.

In the current period (December 2025–January 2026), more than 1.57 million people are estimated to be experiencing high levels of acute food insecurity, including approximately 84,000 people in IPC Phase 4 (Emergency) and 1.49 million people in IPC Phase 3 (Crisis). This represents a deterioration compared to the situation originally projected in the July 2025 analysis. Populations in the greater south and greater southeast, as well as in the Atsimo Andrefana and Anosy regions, are particularly affected by these conditions.

For the projection period (February–April 2026), the overall trend points towards a further deterioration of the food security situation, with an estimated 1.8 million people likely to face high levels of acute food insecurity (IPC Phase 3 or above). This includes nearly 71,000 people expected to be in IPC Phase 4 and 1.73 million people projected to be in IPC Phase 3. This deterioration is in line with projections for the greater southeast area, where all analysed districts are expected to remain in Phase 3, driven by the combined effects of cyclone and flood risks, access constraints, and sustained health pressures. The most affected districts are projected to include Amboasary Atsimo (Anosy), Ampanihy (Atsimo Andrefana), and Mahanoro, Vatomandry and Maroantsetra.