Generating evidencetodeliverforchildren •Non-contributory socialtransfersdonotinclude support forschoolingandretirement pensions •Basic HygieneServices:availabilityofahandwashingfacilityonpremises withsoapandwater •Basic sanitationservices:improved sanitationfacilitieswhichare notshared withotherhouseholds •Basic drinkingwaterservices:animproved source, provided collectiontimeisnotmore than30minutesforaroundtrip includingqueuing Foundational numeracyskills:successfullycompletes1)anumberreadingrecognition task,2)anumberdiscrimination3)anadditionand4)pattern modelcompletion • Foundational reading skills:1)correctly reads 90%ofwords inastory(inMalagasyorFrench),• 2)answersthree literalcomprehension questions,3)answerstwoinferential comprehension questions • The4domainsofchilddevelopmentare literacy-numeracy, physical,social-emotional,andlearning • Dietarydiversity:Receivingatleast5ofthe8recommended foodgroups • Fullyimmunized:BCG,Penta1-3,PolioPCV10Rota1-2,andMeasles • Under-five mortality(5q0):Probability ofdyingbetweenbirthandthefifthbirthday • Infantmortality(1q0):Probability ofdyingbetweenbirthandfirstbirthday • Neonatalmortality(NN):Probability ofdyingwithinthefirstmonthonlife Main surveyresults MULTIPLE INDICATOR CLUSTERSURVEY: MADAGASCAR2018 Under-five mortalityrate Infant mortalityrate Neonatal mortalityrate skilled healthpersonnel Percentage ofwomenwhosebirthwasattendedby attended atleastoncebyskilledhealthpersonnel(ANC1) Percentage ofwomenage15-49yearswhoduringthepregnancy were are contraceptivemethod using(orwhosepartnerisusing)amodern Percentage ofwomenage15-49yearscurrently marriedorinunionwho Percentage ofChildren aged7-14yearsdemonstratingfoundationalnumeracyskills Percentage ofchildren aged7-14yearswhodemonstratefoundationalreading skills Primary schoolcompletionrate Net attendanceratioinuppersecondaryschool Net attendanceratioinlowersecondaryschool Net attendanceratioinprimaryschool Percentage ofchildren aged36-59monthswhoare developmentally ontrackinatleastdomains Percentage ofchildren under5yearswhosuffer from wasting Percentage ofchildren under5yearsofagewhosuffer from stunting Percentage ofchildren aged6-23monthswhoreceived theminimumdietarydiversity Percentage ofchildren aged0-5monthswhoare exclusively breastfed Percentage ofchildren aged12-23monthsfullyimmunized Percentage ofhouseholdmembersbenefitingfrom anynon-contributory socialtransferinthelastthree months Percentage ofchildren aged2-17withfunctionaldifficulty inatleastonedomain Percentage ofwomenaged15to49whoexperiencedsexualviolenceinthe12monthspreceding thesurvey Percentage ofwomenaged15to49whoexperiencedphysicalviolenceinthe12monthspreceding thesurvey Percentage ofmenaged20-24marriedbefore theageof18 Percentage ofwomenaged20-24marriedbefore theageof18 Percentage ofchildren aged5to17engaged inchildlabour Percentage ofchildren 1-14yearsoldwho haveexperiencedanymethodofviolentdiscipline Percentage ofthepopulationusingbasicsanitationservice Percentage ofpopulationpracticingopendefecation Percentage ofhouseholdmemberswithhandwashingfacilitieswhere soapandwaterare present Percentage ofhouseholdmemberswithE.coliindrinkingwater Percentage ofthepopulationusingbasicdrinkingwaterservices Percentage ofchildren underage5whose birthsare reported registered withacivilauthority FAIR CHANCEINLIFE LIVING INASAFEANDCLEANENVIRONMENT PROTECTION FROMVIOLENCEANDEXPLOITATION LEARNING AND DEVELOPMENT THRIVE -CHILDHEALTH, NUTRITION MATERNAL HEALTH THRIVE -REPRODUCTIVEAND SURVIVE

39 30 21 Analamanga

65 48 30 Vakinankaratra

50 37 20 Itasy

58 47 24 Bongolava

59 40 21 Haute Matsiatra

44 35 18 Amoron’i Mania

85 45 25 Vatovavy Fitovinany

58 39 22 Ihorombe 88 56 31

74 93 43 Atsimo Atsinanana Analamanga 42 26

7 Atsinanana 51 95 42 Vakinankaratra 64 45 23 Analanjirofo 56 94 52 Itasy 53 38 24 Alaotra Mangoro 45 92 48 Bongolava 63 42 15 Boeny 34 89 56

Haute Matsiatra 51 40 20 Sofia 43 86 41

Amoron’i Mania 87 63 30 81 48 47 68 52 18 51 82 32 48 95 Betsiboka Analamanga 5 Analamanga 25 82 41

Vatovavy Fitovinany 44 30 13 60 60 31 67 44 25 66 15 29 85 Melaky 6 3 Vakinankaratra Vakinankaratra 22 76 35 Ihorombe 76 47 15

71 45 29 39 61 Atsimo Andrefana 36 62 12 28 89 6 8 Itasy Itasy 21 72 16 Atsimo Atsinanana 56 39 24 Androy 50 52 32 52 51 29 55 18 79 11 7 30 35 50 74 4 6 33 84 14 21 97 Bongolava Bongolava 55 88 48 2 74 39 17 5 Analamanga Analamanga 9 6 Analamanga Atsinanana Anosy 75 53 14 64 36 25 58 10 23 85 16 5 23 13 31 81 47 5 31 59 86 93 49 82 42 Haute Matsiatra Haute Matsiatra 65 37 19 4

Vakinankaratra 9 6 9 Vakinankaratra Vakinankaratra Analanjirofo Menabe 63 55 16 63 24 24 56 29 80 6 40 40 93 55 6 8 55 48 32 13 34 49 92 96 Amoron’i Mania Amoron’i Mania 55 86 51 0 8 9 Itasy Itasy 7 6 Itasy Alaotra Mangoro Diana 28 59 13 44 18 53 44 19 70 32 38 27 22 22 24 16 96 51 3 9 7 12 45 40 93 89 Vatovavy Fitovinany Vatovavy Fitovinany 46 79 38 5 Bongolava Bongolava 9 7 Bongolava Boeny Sava 73 31 11 49 11 32 15 58 59 40 21 9 7 48 16 94 38 0 5 38 90 38 13 37 65 81 93 Ihorombe Ihorombe 8 8 8 Haute Matsiatra Haute Matsiatra 2 7 Haute Matsiatra Sofia Madagascar 19 69 20 15 50 11 33 13 57 3 51 90 40 25 23 15 91 27 4 4 31 54 82 95 Atsimo Atsinanana Atsimo Atsinanana 3 8

Amoron’i Mania 5 7 9 Amoron’i Mania Amoron’i Mania Betsiboka under amonthold Every hour, 6children diebefore reaching theirfifthbirthday, including2children from 72perthousandin2006to592016 Over thepast15years,mortalityrateofchildren underfivehassteadilydeclined 27 60 46 27 71 10 36 59 13 36 86 5 29 81 43 10 64 96 24 12 47 51 89 81 Atsinanana Atsinanana 8 9 6 Vatovavy Fitovinany Vatovavy Fitovinany 3 3 Vatovavy Fitovinany Melaky 49 66 31 34 51 22 76 34 87 14 35 81 30 7 85 93 24 6 6 14 51 56 72 72 Analanjirofo Analanjirofo 1 4 8 Ihorombe Ihorombe 6 3 Ihorombe Atsimo Andrefana 45 53 47 27 60 15 41 66 16 39 84 13 30 77 6 14 72 99 11 13 60 55 75 57 Alaotra Mangoro Alaotra Mangoro 4 8 4 Atsimo Atsinanana Atsimo Atsinanana 5 1 Atsimo Atsinanana Androy 18 70 34 16 52 20 41 13 24 67 54 76 36 12 9 25 25 24 86 44 6 37 41 87 88 Boeny Boeny 4 Atsinanana Atsinanana 5 7 9 Atsinanana Anosy 28 69 29 27 53 15 15 67 35 84 36 65 52 14 5 28 45 99 40 9 12 26 44 29 83 69 Sofia Sofia 1

9 Menabe Analanjirofo Analanjirofo 5 Analanjirofo 24 68 11 34 13 47 18 46 18 70 67 90 31 19 17 28 26 97 43 8 4 34 45 91 90 Betsiboka Betsiboka 0 Diana Alaotra Mangoro Alaotra Mangoro 5 7 7 Alaotra Mangoro 30 74 26 11 31 12 30 65 59 81 42 6 10 66 29 80 41 2 2 9 13 39 30 88 74 Melaky Melaky 0 7 Sava Boeny Boeny 6 7 Boeny 16 74 38 17 27 46 85 41 26 10 49 6 18 43 16 99 30 2 6 5 14 54 45 83 65 Atsimo Andrefana Atsimo Andrefana 1 9 Madagascar Sofia Sofia 4 6 Sofia 24 49 39 23 27 68 12 100 7 6 1 3 4 8 18 51 54 90 69 Androy Androy 1 65 20 32 Family planning between urban(72%)andrural(40%) personnel. Asignificantdiscrepancy isobserved Every secondbirthisassistedbyaskilledhealth Betsiboka 8 7 Betsiboka 8 Betsiboka 56 39 52 38 21 37 14 31 13 50 8 4 4 14 54 49 86 65 Anosy Anosy 2 5 72 98 20 Melaky 6 5 Melaky 4 9 Melaky 20 65 11 34 22 25 15 37 16 61 14 10 2 6 16 66 49 89 40 Menabe Menabe 72 14 94 29

Atsimo Andrefana 2 2 Atsimo Andrefana 4 1 Atsimo Andrefana 28 76 30 41 24 18 74 21 44 86 36 26 5 9 25 51 62 88 70 Diana Diana 16 59 99 26 Androy 3 3 Androy 6 Androy 40 12 87 38 21 61 25 75 38 94 11 5 4 8 25 47 56 92 83 Sava Sava 9 11 52 13 72 26

Anosy 9 8 Anosy Anosy 33 67 42 25 51 23 56 13 27 76 uses) acontraceptivemethod 40% ofwomenaged15-49yearscurrently marriedorinunionuse(orwhosepartner 15 6 7 16 10 43 53 88 70 Madagascar Madagascar 3 83 16 95 32

Menabe 6

Menabe 26,8 6 Menabe method Any modern Any traditionalmethod No method 23 24 37 28 85 91 6% ofchildren underthe ageof5are wasted 2 result ofchronic orrecurrent malnutrition. both physicallyandcognitivelyisthe his orherage.Stuntingisthefailure togrow Stunting refers toachildwhoistooshortfor Completion rate 10 58 53 86 51 Stunting:

Diana 4 6 Diana Diana 13 11 36 28 85 80 1 11 46 29 99 36

Sava 2 6 Sava Sava 76

27 56 13 12 40 47 86 79 17 40 23 87 41 6 Madagascar 6 7 Madagascar Madagascar 6

56% ofchildren aged14-16havecompletedprimaryschool Primary schoolcompletionrate: higher 27% ofchildren aged11to14attendlowersecondaryschoolor Lower secondarynetattendanceratio(adjusted): and modelcompletion recognitiondiscrimination task,3)anadditionand4)apattern successfully completes1)anumberreading task,2)anumber Foundational numeracyskills:

Boys Girls Child marriage Drinking Water, SanitationandHygiene engaged inchildlabour 47% ofchildren aged5-17are Child labour: registered atthecivilregistry office 8 outof10children under5are Birth registration: Mail: [email protected] Website: www.instat.mg Tel :(261-20)2221652 Madagascar BP 485,Anosy-101Antananarivo, Lot IIIR245,Rue,JulesRANAIVO Institut NationaldelaStatistique(INSTAT) least onedomain. functionaldifficulties inat aged 5-17have and 14.2%ofchildren 9.6% ofchildren aged2-4 Functional difficulties Vakinankaratra Bongolava Analamanga Regions ofMadagascar Basic drinkingwater 2 % Married before theageof18 Married before theageof15 height. Wasting, oracutemalnutrition,istheresult of Wasting refers toachildwhoistoothinforhisorher increased riskofdeath,buttreatment ispossible. A childwhoismoderatelyorseverely wastedhasan recent rapidweightlossorthefailure togainweight. 12 % 13 % 41 Andrefana Atsimo Melaky Menabe 40 % Androy Basic sanitation Ihorombe Boeny 17 Matsiatra Haute Anosy Betsiboka Itasy (Percentage) 2-4 yearsold www.twitter.com/unicefmada www.facebook.com/UNICEF.Madagascar www.unicef.org/madagascar [email protected] +261 202330092 BP 732Antananarivo Zone GalaxyAndraharo Maison communedesNationsUnies, United NationsChildren’s Fund Unicef Madagascar 80 47 9.6 Sofia

100 42 the ageof18. into aunionbefore married orentered 12% ofmenare of womenand age of15;40% union before the or entered intoa men are married women and2%of group, 13%of For the20-24age Diana Basic hygiene under 5are stunted 42% ofchildren 23 Sava Atsinanana Atsimo Fitovinany Vatovavy Mania Amoron’i Atsinanana Mangoro Alaotra Analanjirofo 5-17 years 14,2