MADAGASCAR Humanitarian Snapshot July 2019

KEY FIGURES MEASLES CASES

730.5K 188.5K 60000 151.5K Diana SEVERELY ACUTELY MEASLES FOOD INSECURE MALNOURISHED CASES 19K 50000 PEOPLE CHILDREN 40000 Sava Sofia OVERVIEW 6.2K 30000 Food security has improved across the country, but pockets 6.7K of fragility remain. An estimated 730,522 people were Number of cases 20000 severely food insecure (IPC phase 3 and 4) from June to July Boeny Analanjirofo 2019, including about 547,000 in the Grand Sud (against 16.5K 10000 Melaky 1,261,300 at the same time in 2018 incliding 833,600 in the Betsiboka 3.4K Grand Sud), according to the Integrated Food Security Phase 3.4K 1.3K 0 Classification (IPC) analysis. The districts of Beloha and Aug-18 Sept Oct Nov Dec Jan-19 Feb March April May June Analamanga. Atsinanana Epidemiological month Ampanihy, which were previously in IPC Phase 4 (Emergency), Alaotra improved to IPC Phase 3 (Crisis), including due to Bongolava 19.5K Mangoro 10K 1.2K multi-sectoral humanitarian response packages implemented Itasy MALNUTRITION SITUATION IN THE GRAND SUD through the Flash Appeal, and good rainfall during the growing 3.4K 8.4K season. However, despite improvements in food security, Vakinankaratra Extremely critical malnutrition levels in the southern districts remain of concern, Critical including due to the high prevalence of diseases (diarrhoea, 11.5K Menabe Serious malaria, respiratory infections, etc.), persistence of culinary Amoron 4.6K Vatovavy Alert 2.8K I Mania practices poor in nutritious foods, and low immunization Fitovinany Acceptable coverage. Among the 188,550 children suffering from acute Haute Matsiatra 12 (March-July 2019) malnutrition across Madagascar, 123,450 are in the Grand 5.3K xx Global Acute Malnutrition (%) Betioky Sud, 17 per cent of whom are severely malnourished. 5K Atsimo Ihorombe The downward trend in measles cases and deaths has District where the 14 Andrefana 12.5K measles is still 16 Bekily continued. Since the onset of the outbreak on 3 September Atsimo worrying Amboasary 10.5K Atsinanana 2018, 151,581 cases have been recorded in all 22 regions of Anosy Number of measles Ampanihy xx 15 11 the country. Three vaccination campaigns have been carried 25K cases by region 14 8.5K Integrated Food Security Taolagnaro out, reaching more than 7.2 million children countrywide, and 12 Phase Classification (IPC) - Ambovombe June-July 2019 28 districts have declared the end of the outbreak. However, Beloha the situation remains worrying in three districts Androy Emergency (Phase 4) 11 (Amparafaravola, Taolagnaro and Morafenobe), which 2.8K Crisis (Phase 3) Tsihombe Stressed ( Phase 2) reported two cases each in the last week of June. Minimal (Phase 1)

The boundaries and names shown and the designations used on this map do not imply official endorsement or acceptance by the United Nations. Creation date: 25 July Sources: BNGRC, Humanitarian partners, Ministry of Health, WHO, CHS IPC, IPM, Nutrition Surveillance System. Feedback: [email protected] www.unocha.org www.reliefweb.int