Health Care in Madagascar

Vaccinations & Immunisations

There are no mandatory vaccinations for entry into Madagascar (unless arriving from a yellow fever zone), but several are strongly recommended. Consult your travel clinic for the most current advice.

Malaria Prevention

Malaria is present throughout Madagascar, particularly in low-lying coastal areas and during the rainy season (November–April). The highlands (including Antananarivo) have lower risk but are not malaria-free. Preventative medication is strongly advised.

• Take antimalarial medication as prescribed (consult your doctor before departure).
• Use DEET-based insect repellent, especially at dawn and dusk.
• Wear long-sleeved shirts and trousers in the evenings.
• Sleep under a mosquito net where provided.
• Choose accommodation with screened windows or air conditioning where possible.

General Health Tips

• Drink only bottled or purified water — avoid tap water and ice.
• Eat only thoroughly cooked food or freshly peeled fruit.
• Carry a basic first-aid kit including blister plasters for walking days.
• Bring any prescription medications in sufficient supply — availability in remote areas is very limited.
• Carry sunscreen (SPF 30+), lip balm, and a hat for field days.
• Altitude: Antananarivo sits at ~1,400m — allow a day to acclimatise if flying from sea level.

Medical Facilities

Medical facilities in Madagascar vary considerably. Antananarivo has several private clinics with reasonable standards of care. Outside the capital, medical infrastructure is limited, and serious conditions may require evacuation.

Travel insurance with medical evacuation cover is essential. Our team carries first-aid supplies in the field and can assist in arranging emergency transport if needed.

We recommend carrying a personal first-aid kit, your prescription medications, and comprehensive travel insurance covering medical evacuation to South Africa or your home country.