Maximum Alerts / Madagascar

MadagascarLevel 2/4

Level published by the State Department on 04.12.2025 · read 16 October 2026 · source checked daily

Madagascar — official level as of 16 October 2026: Level 2/4 ("Exercise Increased Caution"), from the U.S. Department of State. Maximum Insurance covers this country: hospital settled directly, unlimited repatriation, EUR 1.5M, certificate on payment.

Four official readings
United StatesState Departmentsource ↗Our reference level — the one shown across this site
Is the whole country advised against?Nono restriction on the whole country
Level 2/4 — “Exercise Increased Caution”levels 1 and 2 are advice to be careful, not travel restrictions
FranceFrance Diplomatiesource ↗Added on top of the U.S. level, under its own rules: red or orange AREAS
Is the whole country advised against?Nono restriction on the whole country+ red areas
our reading: some areas are classified red (formally advised against)
United KingdomFCDOsource ↗Added on top of the U.S. level, under its own rules: travel statuses
Is the whole country advised against?Nono restriction on the whole country
our reading: no travel advised against
source reviewed 9 September 2026
SwitzerlandFDFAsource ↗Advisory cited by the Maximum policy
Is the whole country advised against?Nono restriction on the whole country
our reading: the FDFA advises against no travel
The four readings on record agree: no restriction on the whole country — France still flags red areas.Our comparison reading: 27 September 2026

All 207 countries compared, advisory by advisory →

How we read these four advisories

Every country has its own scale, so we ask them all the same question: is the whole country advised against?

An advisory covering only areas of the country does not raise the answer: it stays “No”, and the area is shown in the relevant column.

The level shown on this page — and across this site — is the one published by the U.S. State Department, from 1 (normal precautions) to 4 (do not travel). France and the United Kingdom publish their own advisories, with their own rules: they add to that level, they do not replace it.

Get covered — €990/yr
Regional map…
Level 2/4 — Exercise Increased Caution Checked on 16 October 2026 · U.S. State Department
Country briefing
Get the PDF

Where are you right now in Madagascar?

List read from OpenStreetMap on 03.10.2026, not read again since: these facilities may have changed.

Hospitals and clinics — Antananarivo
+Centre Médical Claym0.2 km24/7
emergency department0.2 km from the centre of Antananarivo
Google MapsDirections
+Dispensaire Havozo0.4 km24/7
emergency department0.4 km from the centre of Antananarivo
Google MapsDirections
+Centre de Neurologie d'Antananarivo0.5 km24/7
emergency department0.5 km from the centre of Antananarivo
Google MapsDirections
+Clinique Saint Thomas0.6 km24/7
emergency department0.6 km from the centre of Antananarivo
Google MapsDirections
+Clinique Aina, orthoptie0.6 km24/7
emergency department0.6 km from the centre of Antananarivo
Google MapsDirections
+Amadia Annexe0.6 km24/7
emergency department0.6 km from the centre of Antananarivo
Google MapsDirections
+Centre médical de Diagnostiques et d'Urgences0.7 km24/7
emergency department0.7 km from the centre of Antananarivo
Google MapsDirections
+Centre AMADIA0.8 km24/7
emergency department0.8 km from the centre of Antananarivo
Google MapsDirections
+Centre Médical Ambohijatovo CeMA0.9 km24/7
emergency department0.9 km from the centre of Antananarivo
Google MapsDirections
+AROVY1.0 km24/7
emergency department1.0 km from the centre of Antananarivo
Google MapsDirections
+Centre Medical Andrilalaina1.2 km24/7
emergency department1.2 km from the centre of Antananarivo
Google MapsDirections
+Gileada Santé au Naturel1.3 km24/7
emergency department1.3 km from the centre of Antananarivo
Google MapsDirections
+Clinique Saint-Paul Ambatoroka1.4 km24/7
emergency department1.4 km from the centre of Antananarivo
Google MapsDirections
+Centre Médico Social GN1.4 km24/7
emergency department1.4 km from the centre of Antananarivo
Google MapsDirections
+HOMI Tana1.5 km24/7
emergency department1.5 km from the centre of Antananarivo
Google MapsDirections
+Centre Médical de Tsiazotafo1.5 km24/7
emergency department1.5 km from the centre of Antananarivo
Google MapsDirections
+CHUGOB Centre Hopital Befelatanana Gynecology Obstetric1.5 km24/7
emergency department1.5 km from the centre of Antananarivo
Google MapsDirections
+IFIRP1.5 km24/7
emergency department1.5 km from the centre of Antananarivo
Google MapsDirections
+Maternité Befelatanana1.5 km24/7
emergency department1.5 km from the centre of Antananarivo
Google MapsDirections
+Hôpital des Enfants1.6 km24/7
emergency department1.6 km from the centre of Antananarivo
Google MapsDirections
+Centre de Stomatologie de Befelatanana1.6 km24/7
emergency department1.6 km from the centre of Antananarivo
Google MapsDirections
+Hôpital Général de Befelatanana1.6 km24/7
emergency department1.6 km from the centre of Antananarivo
Google MapsDirections
+Institut Pasteur de Madagascar1.7 km24/7
emergency department1.7 km from the centre of Antananarivo
Google MapsDirections
+Établissement universitaire de soins et de santé publique d'Analakely1.7 km24/7
emergency department1.7 km from the centre of Antananarivo
Google MapsDirections
+Siége De l'AM1.8 km24/7
emergency department1.8 km from the centre of Antananarivo
Google MapsDirections
+Hôpital Joseph Ravoahangy Andrianavalona1.9 km24/7
emergency department1.9 km from the centre of Antananarivo
Google MapsDirections
+Polyclinique Behoririka1.9 km24/7
emergency department1.9 km from the centre of Antananarivo
Google MapsDirections
+Centre Hospitalier de Soavinandriana1.9 km24/7
emergency department1.9 km from the centre of Antananarivo
Google MapsDirections
+Centre de Soins et de Santé1.9 km24/7
emergency department1.9 km from the centre of Antananarivo
Google MapsDirections
+Hoptital d'Ambohimiandra2.0 km24/7
emergency department2.0 km from the centre of Antananarivo
Google MapsDirections
+Pavillon Sainte Fleur2.0 km24/7
emergency department2.0 km from the centre of Antananarivo
Google MapsDirections
+Centre d'Imagerie Médicale2.0 km24/7
emergency department2.0 km from the centre of Antananarivo
Google MapsDirections
+CMA HOSPITAL2.0 km24/7
emergency department2.0 km from the centre of Antananarivo
Google MapsDirections
+Institut Médical de Madagascar2.0 km24/7
emergency department2.0 km from the centre of Antananarivo
Google MapsDirections
+Telemedicine Center_ PanAftican e-Netework2.0 km24/7
emergency department2.0 km from the centre of Antananarivo
Google MapsDirections
+Hôpital Joseph Ravoahangy-Andrianavalona2.0 km24/7
emergency department2.0 km from the centre of Antananarivo
Google MapsDirections
+Angeline Medical Institute2.1 km24/7
emergency department2.1 km from the centre of Antananarivo
Google MapsDirections
+Partenaire AROVY (Clinic Ankadifotsy)2.1 km24/7
emergency department2.1 km from the centre of Antananarivo
Google MapsDirections
+Clinique des sœurs Ankadifotsy2.1 km24/7
emergency department2.1 km from the centre of Antananarivo
Google MapsDirections
+Clinique des soeurs2.3 km24/7
emergency department2.3 km from the centre of Antananarivo
Google MapsDirections
+Centre de Santé de Base II Maternité2.3 km24/7
emergency department2.3 km from the centre of Antananarivo
Google MapsDirections
+Clinique La Sérénité2.4 km24/7
emergency department2.4 km from the centre of Antananarivo
Google MapsDirections
+Cabinet medical Aina2.5 km24/7
emergency department2.5 km from the centre of Antananarivo
+Cabinet d'accouchement & Échographie Fi Salohy2.5 km24/7
emergency department2.5 km from the centre of Antananarivo
Google MapsDirections
+CSA2.6 km24/7
emergency department2.6 km from the centre of Antananarivo
Google MapsDirections
+FUNHECE | Antanimena2.6 km24/7
emergency department2.6 km from the centre of Antananarivo
Google MapsDirections
+Clinique Fidy2.7 km24/7
emergency department2.7 km from the centre of Antananarivo
Google MapsDirections
+Centre medical Aina: Docteur fabrice . Sage femme Niaina2.8 km24/7
emergency department2.8 km from the centre of Antananarivo
Google MapsDirections
+Espace Santé Saint Michel II2.9 km24/7
emergency department2.9 km from the centre of Antananarivo
Google MapsDirections
+Smart Medical3.0 km24/7
emergency department3.0 km from the centre of Antananarivo
Google MapsDirections
+Cabinet Médical Gynécologie et Pédiatrie 67 Ha3.0 km24/7
emergency department3.0 km from the centre of Antananarivo
Google MapsDirections
+Hôpital luthérien des 67ha3.1 km24/7
emergency department3.1 km from the centre of Antananarivo
Google MapsDirections
+Caam-PMI3.2 km24/7
emergency department3.2 km from the centre of Antananarivo
Google MapsDirections
+CMA3.6 km24/7
emergency department3.6 km from the centre of Antananarivo · Làlana Nanisana
+Clinique Dentaire Adventiste4.0 km24/7
emergency department4.0 km from the centre of Antananarivo
Google MapsDirections
+Sage-femme Miora4.0 km24/7
emergency department4.0 km from the centre of Antananarivo
Google MapsDirections
+Clinique Médicale Mahefa4.2 km24/7
emergency department4.2 km from the centre of Antananarivo
Google MapsDirections
+Centre Médical et Maternité Mimosa (C3M)4.4 km24/7
emergency department4.4 km from the centre of Antananarivo
Google MapsDirections
+Centre Médical Ma Vie Ma Santé4.5 km24/7
emergency department4.5 km from the centre of Antananarivo
Google MapsDirections
+Medical Center HE4.6 km24/7
emergency department4.6 km from the centre of Antananarivo
Google MapsDirections
+Clinique Marie Stella4.7 km24/7
emergency department4.7 km from the centre of Antananarivo
Google MapsDirections
+Centre Medical Coliseum4.7 km24/7
emergency department4.7 km from the centre of Antananarivo
Google MapsDirections
+Dispensaire AMCM ECAR Analamahitsy4.7 km24/7
emergency department4.7 km from the centre of Antananarivo
Google MapsDirections
+Centre de Diagnostic Neuro Psycho4.9 km24/7
emergency department4.9 km from the centre of Antananarivo
Google MapsDirections
+Clinique Imaho 3A5.0 km24/7
emergency department5.0 km from the centre of Antananarivo
Google MapsDirections
+Clinique Imaho5.0 km24/7
emergency department5.0 km from the centre of Antananarivo
Google MapsDirections
+Cabinet Medical NOHAVY5.1 km24/7
emergency department5.1 km from the centre of Antananarivo
Google MapsDirections
+CLINIQUE HANITRA5.2 km24/7
emergency department5.2 km from the centre of Antananarivo
Google MapsDirections
+Clinique NOA5.6 km24/7
emergency department5.6 km from the centre of Antananarivo
Google MapsDirections
+CSB II Alasora5.7 km24/7
emergency department5.7 km from the centre of Antananarivo
Google MapsDirections
+Maison de La Charité Tongarivo6.0 km24/7
emergency department6.0 km from the centre of Antananarivo
Google MapsDirections
+Clinique FANANTENANA6.4 km24/7
emergency department6.4 km from the centre of Antananarivo
Google MapsDirections
+Dispensaire et Maternité Mahatsara6.6 km24/7
emergency department6.6 km from the centre of Antananarivo
Google MapsDirections
+Polyclinique d'Ilafy6.7 km24/7
emergency department6.7 km from the centre of Antananarivo
Google MapsDirections
+Ivokoloaina6.7 km24/7
emergency department6.7 km from the centre of Antananarivo
Google MapsDirections
+cabinet du docteur Gilbert RAKOTONIRINA9.4 km24/7
emergency department9.4 km from the centre of Antananarivo
Google MapsDirections
+Espace médical Ambohibao9.7 km24/7
emergency department9.7 km from the centre of Antananarivo
Google MapsDirections
+FUNHECE | Ambohibao9.8 km24/7
emergency department9.8 km from the centre of Antananarivo
Google MapsDirections
+Centre Médical SAINT GODEFROI10.1 km24/7
emergency department10.1 km from the centre of Antananarivo
Google MapsDirections
+clinique medico-chirurgical andrindra1.3 km
1.3 km from the centre of Antananarivo · Miandrarivo ambanidia
✈️ Aéroport International d'IvatoTNR14.4 kmNearest evacuation airport from Antananarivo — unlimited medical evacuation and repatriation included.
💱 Currency: MGA Ar · 🗣 Language: French, Malagasy
In an emergency from Antananarivo, your reflex remains +41 22 ••• •• •• — Full number in your client area.

Country dial code: +261

OpenStreetMap list read on 03.10.2026, straight-line distances. In an emergency: +41 22 ••• •• ••.

Doctors — Antananarivo19
DrMédecin0.7 km

II U54F Ambaranjana

0202224226Directions
DrCSB II Ampasanimalo0.8 km

near Làlana Vittori François

Google MapsDirections
DrMpitsabo Mikambana0.8 km

near Làlana Vittori François

Google MapsDirections
DrClinique Appolon1.1 km
Google MapsDirections
DrCSB II Mahamasina1.4 km

near Làlana Andriba

Google MapsDirections
DrDocteur RASOANAIVO Andrimihaja Sylvain1.8 km

near Làlana Printsy Kamamy
Mo-Sa 08:30-18:30

Google MapsDirections
DrCSS/CSB 2 Tsaralalana1.8 km

Rue Radama 1er
Mo-Fr 08:00-12:00, 02:00-16:00

Google MapsDirections
DrFunhece Andrefan'Ambohijanahary1.8 km
Google MapsDirections
DrFunhece Service Médical Inter-Entreprises1.8 km
Google MapsDirections
DrCentre de Santé Manampisoa2.0 km

near Arabe Lenine

Google MapsDirections
DrClinique et maternité de Manakambahiny2.2 km

near Làlana Printsy Kamamy
10:00-20:00

DrCSB II Antanimena2.4 km

near Làlana Rainizanabololona

Google MapsDirections
DrCSB II Antsahamamy2.5 km
Google MapsDirections
DrEspace Médical Ambodivona2.6 km

near Làlana Massignon
24/7

22-625-66Directions
DrMédecin2.7 km

Làlana Ampanjaka Toera

DrCSB II Ambohipo2.8 km
Google MapsDirections
DrDispensaire Fianakaviana Masina Ecar Anatihazo CSB II2.8 km
Google MapsDirections
DrMédecin3.4 km

III J 16 Ter K

DrMédecin3.6 km

G14 Village des Jeux
24/7

Pharmacies — Antananarivo40
+Vaniala0.2 km

near Làlana Rabesahala Hugues

Google MapsDirections
+Pharmacie Hanitra0.3 km

near Làlana Damantsoha

Google MapsDirections
+Pharmacie d'Ankazotokana0.3 km

near Làlana Rabibisoa Marc

Google MapsDirections
+Pharmacie d'Ambanidia0.6 km

near Làlana Damantsoha

Google MapsDirections
+Pharmacie Ampandrana0.9 km
Google MapsDirections
+La Providence1.0 km

near Làlana Razanatseheno Henri

Google MapsDirections
+Pharmacie de la Pergola1.0 km

near Làlana Ratsimilaho
Mo-Sa 08:00-12:00

22-237-17Directions
+Pharmacie Métropole1.1 km

7 Làlana Ratsimilaho
Mo-Fr 08:00-12:30, 14:00-18:30; Sa 08:00-12:00

22-200-25Directions
+Pharmacie du Progrès de l'Île Rouge1.1 km

near Araben'ny 26 Jona 1960

Google MapsDirections
+Pharmacie Razafimandranto1.2 km

near Araben'ny 26 Jona 1960

Google MapsDirections
+Pharmacie d'Analakely1.2 km

near Araben'ny 26 Jona 1960

Google MapsDirections
+Pharmacie Ambodifilao1.3 km

near Làlana Rabezavana

Google MapsDirections
+Pharmacie de Mahamasina1.5 km

near Làlana Andriba

Google MapsDirections
+Pharmacie Isoraka1.5 km

near Arabe Jeneraly Ramanantsoa Gabriel

Google MapsDirections
+Pharmacie Rakotoarivony1.5 km

near Arabe Andrianampoinimerina

Google MapsDirections
+Pharmacie Ny Aina1.5 km

near Làlana Ratsimba

Google MapsDirections
+Pharmacie Andravoahangy1.6 km

near Làlana Rafiringa Paul

Google MapsDirections
+Pharmacie de l'Océan Indien1.7 km

near Araben'ny Fahaleovantena

Google MapsDirections
+Pharmacie Toky1.7 km

near Làlana Pasitora Rainitsimba

Google MapsDirections
+Pharmacie1.7 km

near Làlana Boundry Robert

0202225551Directions
+Pharmacie1.7 km

near Rue Randriambahiny

+Pharmacie Iarivo1.8 km

near Arabe Andrianampoinimerina

Google MapsDirections
+Pharmacie Itokiana1.8 km

near Làlana Printsy Kamamy

Google MapsDirections
+Miaro1.9 km

near Làlana Andrianaivoravelona Joseph

+Pharmacie Rabarisoa2.0 km

near Raccourci Parking to Bassin

Google MapsDirections
+Pharmacie Ampefiloha2.1 km

near Làlana Andrianaivoravelona Joseph

Google MapsDirections
+Pharmacie Croix du Sud2.2 km

near Làlana Ampanjaka Toera

Google MapsDirections
+D'Antanimena2.2 km

Làlana Rabemanantsoa Naka

0202220000Directions
+Pharmacie Météo2.2 km
Google MapsDirections
+Pharmacie Herizo2.2 km

near Làlana Dokotera Rahamefy

+Pharmacie Ralison2.4 km

near Làlana Ravoninahitriniarivo

Google MapsDirections
+Pharmacie Ambodivona2.4 km

near Làlana Massignon

0340722898Directions
+Pharmacie Mamy2.8 km
Google MapsDirections
+AICHA2.9 km
Google MapsDirections
+Pharmacie Andavamamba2.9 km

near Làlana Ny Avana Ramanantoanina

Google MapsDirections
+Pharmacie Tsara Andavamamba2.9 km

near Làlana Ny Avana Ramanantoanina

Google MapsDirections
+Pharmacie des 67ha sud3.0 km
Google MapsDirections
+Pharmacie d'Amboditsiry3.0 km

near Ambatomainty
24/7

22-528-21Directions
+Pharmacie Nanisana3.0 km

near Làlana Nanisana

Google MapsDirections
+Pharmacie Tsaramasay3.1 km

near Làlana Ampanjaka Toera

Google MapsDirections
Official — Antananarivo16
Consulates and embassies 11
AAmbassade du Royaume-Uni0.5 km

149 Làlana Rainandriamampandry

AConsulat Honoraire du Royaume du Maroc0.8 km

near Làlana Razanakombana

Google MapsDirections
AAmbassade de Lybie1.1 km
Google MapsDirections
AConsulat d'Autriche1.5 km

near Làlana Ravelontsalama Elysée

Google MapsDirections
AAmbassade du Japon1.6 km

near Rue Raveloary

Google MapsDirections
AAmbassade de Suisse1.6 km

77 Làlana Solombavambahoaka Frantsay 77 Antanarivo

AAmbassade d'Afrique du Sud3.1 km

68bis Rainivoninahitriniarivo

ABritish Embassy3.3 km

Làlana Ravoninahitriniarivo Antananarivo
open "By appointment only";PH off

AAmbassade du Japon4.4 km

Mo-Fr 08:00-12:00, 13:00-16:45

AAmbassade du Maroc5.2 km
Google MapsDirections
AAmbassade de Turquie9.4 km

6ter Andranomena
Mo-Fr 08:30-12:30,13:30-16:30

Town halls 5
AFiraisana faha-20.7 km

near Paositra Ambanidia

Google MapsDirections
AMairie IIIe arrondissement1.4 km

near Arabe Dokotera Andriamanana

Google MapsDirections
AFiraisana Voalohany1.7 km

near Arabe Andrianampoinimerina

Google MapsDirections
AFokontany3.0 km

near Rainivoninahitriniarivo

Google MapsDirections
AFokontany Andranomahery Ankorondrano3.9 km
Google MapsDirections
Police — Antananarivo12
PCommissariat de Police du IIe Arrondissement0.5 km

Làlana Dokotera Raharinosy

Google MapsDirections
PCommissariat de police du IIIe arrondissement1.4 km

near Arabe Dokotera Andriamanana

Google MapsDirections
PCamp Gendarme1.4 km

near Arabe Rabozaka

Google MapsDirections
PPréfecture de Police1.7 km

near Làlana Kasanga Fernand

Google MapsDirections
PCommissariat central de Tsaralalàna1.9 km

near Làlana Radama I

Google MapsDirections
PPoste de police Manakambahiny1.9 km

near Làlana Printsy Kamamy

Google MapsDirections
PPoste de Police Andohanimandroseza2.1 km

near Làlana Ambohipo

Google MapsDirections
PPoste de Police Ampefiloha2.2 km
Google MapsDirections
PCommissariat de Police des 67ha2.8 km
Google MapsDirections
PPoste de police Ambatomaro2.9 km
Google MapsDirections
PPoste de police Ankorondrano3.5 km
Google MapsDirections
PPoste de Police Ilanivato3.9 km

near Làlana Ny Avana Ramanantoanina

Google MapsDirections
Transport — Antananarivo1
Taxis 1
TTerminus de Taxi Mausolée1.2 km

near Làlana VVS

Google MapsDirections

The next 7 days around Antananarivo Indian/AntananarivoMET Norway ↗read 16.10.2026

Fri 16 Oct15–23°partly cloudy
Sat 17 Oct13–22°overcast · 0.1 mm
Sun 18 Oct14–25°overcast · 0.4 mm
Mon 19 Oct15–29°overcast
Tue 20 Oct14–31°showers · 1.7 mm
Wed 21 Oct16–31°showers · 2.0 mm
Thu 22 Oct16–30°showers · 0.5 mm

Forecast: MET Norway (Norwegian Meteorological Institute, CC BY 4.0), grouped by day and formatted by Maximum.

Nearest river dischargeOpen-Meteo ↗updated 16.10.2026 · read 16.10.2026

10-16 0.0 · 10-17 0.0 · 10-18 0.0 · 10-19 0.0 · 10-20 0.0 · 10-21 0.0 · 10-22 0.0 m³/s

Simulated discharge: Open-Meteo.com (CC BY 4.0), data rounded and formatted by Maximum. Contains modified Copernicus Emergency Management Service information 2026. For information only: this is not a flood warning; only national or regional authorities issue those.

No geolocated event in this country at this reading.

No geolocated UCDP incident in this country.

No news located around Antananarivo in this reading.

The country feed →

National numbers (Wikidata, 2026 reading). On site, call local emergency services first, then Maximum: the insurer sends its payment guarantee to the hospital.

Recommended vaccines and medicines11

Routine vaccinesCDC ↗

Make sure you are up-to-date on all routine vaccines before every trip. Some of these vaccines include Chickenpox (Varicella) Diphtheria-Tetanus-Pertussis (DTaP, Tdap, or Td) Flu (influenza) Measles-Mumps-Rubella (MMR) Polio Shingles

COVID-19CDC ↗

All eligible travelers should be up to date with their COVID-19 vaccines. Please see  Your COVID-19 Vaccination  for more information.

ChikungunyaCDC ↗

All travelers should take steps to prevent mosquito bites. Chikungunya vaccination is generally not recommended. Travelers who wish to consider vaccination can visit “What to consider before traveling” on the chikungunya vaccines page to learn more.

Hepatitis ACDC ↗

Recommended for unvaccinated travelers one year old or older going to Madagascar. Infants 6 to 11 months old should also be vaccinated against Hepatitis A. The dose does not count toward the routine 2-dose series. Travelers allergic to a vaccine component should receive a single dose of immune globulin, which provides effective protection for up to 2 months depending on dosage given.

Hepatitis BCDC ↗

Recommended for unvaccinated travelers younger than 60 years old traveling to Madagascar. Unvaccinated travelers 60 years and older may get vaccinated before traveling to Madagascar.

MalariaCDC ↗

CDC recommends that travelers going to certain areas of Madagascar take prescription medicine to prevent malaria. Depending on the medicine you take, you will need to start taking this medicine multiple days before your trip, as well as during and after your trip. Talk to your doctor about which malaria medication you should take.

MeaslesCDC ↗

Cases of measles are on the rise worldwide. Travelers are at risk of measles if they have not been fully vaccinated at least two weeks prior to departure, or have not had measles in the past, and travel internationally to areas where measles is spreading.

MonkeypoxCDC ↗

Monkeypox vaccination is recommended for any adult who anticipates any of the following activities during travel: Sexual or intimate contact with a new partner Sexual or intimate contact at a commercial sex venue, like a sex club or bathhouse Sexual or intimate contact in exchange for money, goods, drugs, or other trade Sexual or intimate contact in association with a large public event, such as a rave, party, or…

RabiesCDC ↗

Dogs infected with rabies are commonly found in Madagascar. If rabies exposures occur while in Madagascar, rabies vaccines may only be available in larger suburban/urban medical facilities.

TyphoidCDC ↗

Recommended for most travelers. Typhoid vaccine is not 100% effective. Practicing safe food and water habits , including washing hands at key times , can also help prevent typhoid fever .

Yellow FeverCDC ↗

CDC recommendations: Vaccine is not recommended. Country entry requirements: Direct travel from United States: Vaccine is not required. Travel from countries with risk for YF virus transmission: Vaccine is required for travelers ≥9 months old; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission. 3 Updated April 23, 2025 See footnotes

CDC Travelers' Health, re-read weekly — the recommendation depends on your age, vaccines and itinerary: confirm it with a doctor or a travel clinic 4 to 6 weeks before departure.CDC ↗read 10.10.2026

Diseases without a vaccine — how they spread

Avoid contaminated food and water
  • Leptospirosis — Touching urine or other body fluids from an animal infected with leptospirosis Swimming or wading in urine-contaminated fresh water, or contact with urine-contaminated mud Drinking water or eating foo
  • Melioidosis — Contact with contaminated fresh water, mud, or soil, especially after heavy rains   Drinking contaminated water Breathing in contaminated dust or water droplets, especially during severe weather
Avoid bugs
  • African Tick-Bite Fever — Tick bite
  • Crimean-Congo Hemorrhagic fever — Tick bite  Touching the body fluids of a person or animal infected with CCHF
  • Dengue — Mosquito bite
  • Plague (Bubonic, Pneumonic, Septicemic) — Flea bite Contact with infected people (pneumonic) or animals
  • Zika — Mosquito bite An infected pregnant woman can spread it to her unborn baby
Avoid animals
  • Rift Valley Fever — Touching blood, body fluids, or tissue of infected livestock Mosquito bite
Airborne & droplet
  • Hantavirus — Breathing in air or accidentally eating food contaminated with the urine, droppings, or saliva of infected rodents Bite from an infected rodent Less commonly, being around someone sick with hantavirus
  • Tuberculosis (TB) — Breathe in TB bacteria that is in the air from an infected and contagious person coughing, speaking, or singing.

Risks in figures

Children vaccinated against measles (%)
Madagascar46 2024
Switzerland96 2024
France95 2024

Coverage too low to stop the virus circulating: check your two MMR doses before leaving.

Malaria — cases per 1,000 people at risk
Madagascar255.4 2024

Strong transmission: discuss preventive treatment with a doctor before leaving; bed net and repellent on site.

World Bank — latest published valuedata.worldbank.org ↗read 10.10.2026

The official advice, in full

Source: France Diplomatie (health advice, in French).

In brief
  • French nationals should consult a doctor or international vaccination centre for health advice and vaccinations, including routine French immunisations against diphtheria, tetanus, polio, and whooping cough, and measles. France Diplomatie
  • Carry necessary medications in their original packaging with an international common name prescription, and verify their legality in the destination country before travel. France Diplomatie
  • Travellers should consider vaccinations for yellow fever (if coming from an endemic zone), Hepatitis A, typhoid fever, Hepatitis B, tuberculosis, rabies, chikungunya, dengue, and mpox based on their travel plans. France Diplomatie
  • Tap water in Madagascar is unsafe; travellers must drink and use only boiled or bottled water and avoid ice in drinks, and be aware of high syphilis levels. Foreign Office
  • Basic medical care may not be guaranteed, and hospitals often require financial guarantees; serious medical issues may necessitate treatment outside the country. DFAE
  • Ensure adequate travel insurance for local treatment or unexpected medical evacuation, especially if you have a health condition or are pregnant, and contact your insurer quickly if referred for treatment. Foreign Office

Faithful summary of the official texts below, which prevail.

WHO: no outbreak reported for this country in the last 24 months (Disease Outbreak News).who.int ↗read 15.10.2026

FDFA (Switzerland) — medical care, in French

Medical care

Les soins médicaux de base ne sont pas toujours assurés. Les hôpitaux exigent en règle générale une garantie financière avant de commencer un traitement. En cas de maladie ou de blessure grave, il est préférable de se faire soigner hors du pays (Afrique du Sud, la Réunion ou Europe). Si vous prenez régulièrement des médicaments , emportez-en une quantité suffisante avec vous. N’oubliez toutefois pas que l’importation de médicaments contenant des stupéfiants (p. ex. méthadone) ou l'importation de substances utilisées pour traiter des troubles psychiques est soumise à des prescriptions spéciales dans de nombreux pays. Le cas échéant, renseignez-vous à ce sujet, avant le départ, auprès de la représentation étrangère compétente (ambassade ou consulat) et consultez la rubrique Liens voyages , où vous trouverez, entre autres, de plus amples informations sur ce thème ainsi que sur la médecine du voyage en général. Les informations concernant la propagation de maladies et les éventuelles mesures de protection à prendre sont fournies par le personnel médical et les centres de vaccination. Liens voyages

France Diplomatiesource ↗updated 15.09.2026 · read 15.10.2026

Recommandations pour la santé

Consulter si besoin son médecin traitant ou un centre de vaccinations internationales (médecine des voyages) pour faire une évaluation de son état de santé et bénéficier de recommandations sanitaires, notamment sur les vaccinations. Consulter éventuellement son dentiste avant le départ.

Constituer sa pharmacie personnelle en conséquence et n’emporter dans ses bagages que les médicaments strictement nécessaires ; ne jamais consommer de médicaments achetés dans la rue (risque de contrefaçons). Les médicaments doivent être dans leur emballage d’origine avec les étiquettes originales, accompagnés d’une ordonnance portant le nom des médicaments en dénomination commune internationale (DCI). Il est indispensable de vérifier que les médicaments concernés sont autorisés dans le pays visité : pour plus d’informations, consulter la fiche Informations pratiques .

Vaccinations

Les vaccins recommandés en France sont également indispensables lors d’un séjour à l’étranger : les maladies qu’ils préviennent circulent partout dans le monde, parfois même plus fréquemment qu’en France. Avant tout départ, le voyageur (adulte et enfant) doit donc d’abord s’assurer d’être à jour du calendrier vaccinal français, en particulier des vaccins contre la diphtérie, le tétanos, la poliomyélite, la coqueluche mais aussi contre la rougeole. Le carnet de vaccination peut être demandé à l’arrivée de certains pays.

Des vaccinations complémentaires peuvent être nécessaires :

  • Fièvre jaune : obligatoire pour les voyageurs en provenance de zones d’endémie ;
  • Hépatite A : en fonction des conditions et de la durée de séjour ;
  • Fièvre typhoïde : en fonction des conditions et de la durée de séjour ;
  • Hépatite B : en cas de séjours fréquents ou prolongés ;
  • Tuberculose : chez les enfants de moins de 15 ans en cas de séjours fréquents ou prolongés ;
  • Rage : notamment enfants en bas âge, séjour en milieu rural ou éloigné des villes principales ;
  • Chikungunya : en cas d’épidémie ou de séjour prolongé ;
  • Dengue : en cas d’épidémie active ou de séjour prolongé en zone endémique ;
  • Mpox : en cas d’exposition à risque.

Il est donc conseillé de consulter son médecin traitant ou un centre de vaccinations internationales (médecine des voyages) suffisamment de temps avant le voyage.

Maladies transmises par les moustiques

Chikungunya

La chikungunya est une maladie virale transmise par l’intermédiaire de moustiques infectés. Cette maladie se manifeste par l’apparition de symptômes grippaux (fièvre, douleurs musculaires et articulaires). En cas de signes cliniques, il est impératif de consulter immédiatement un médecin ; le traitement est uniquement symptomatique. Les moyens de prévention reposent sur la vaccination et la protection contre les piqûres de moustiques. Il est conseillé avant le départ de se référer à son médecin traitant et/ou à un centre de vaccination internationale.

Pour plus d’informations , consulter la rubrique risques sanitaires .

Dengue

La dengue est une maladie virale transmise par piqûres de moustiques. Les symptômes sont de type grippal (fièvre, maux de tête, courbatures, parfois éruption cutanée). En cas de signes cliniques, il est impératif de consulter immédiatement un médecin. Il n’existe pas de traitement curatif. La prise en charge médicale repose uniquement sur le traitement des symptômes. Il faut impérativement éviter la prise d’anti-inflammatoire. La prévention individuelle repose essentiellement sur les moyens de protection contre les piqûres de moustiques. La vaccination des voyageurs peut être indiquée dans certains cas. Il est conseillé de se référer, avant son départ, à son médecin traitant et /ou à un centre de vaccination internationale.

Pour plus d’informations, consulter le site du ministère de la Santé et le site de l’Organisation mondiale de la Santé .

La transmission du chikungunya ou de la dengue est possible (transmission par la piqure de moustique). Comme dans d’autres pays de l’océan Indien, de nombreux cas de fièvre évoquant le virus de la dengue sont recensés sur la côte nord-est de Madagascar, notamment à Antalaha et Sambava…

Autres maladies

Fièvre typhoïde

La fièvre typhoïde est une maladie infectieuse causée par des bactéries présentes dans l’eau contaminée par des matières fécales d’origine humaine. L’infection résulte le plus souvent de l’ingestion d’eau ou d’aliments contaminés, ou d’une transmission directe de personne à personne. Les symptômes surviennent en moyenne 3 semaines après la contamination et associent fièvre, maux de tête, perte d’appétit, douleurs abdominales avec diarrhée ou constipation, fatigue et parfois, éruption cutanée. Dans les formes plus graves, la fièvre typhoïde peut être fatale en l’absence de traitement.

Les mesures de prévention reposent sur les règles élémentaires d’hygiène générale vis-à-vis de l’eau, des aliments et du lavage des mains ainsi que sur la vaccination.

Pour plus d’informations , consulter le site de l'Institut Pasteur .

Hépatite A

L’hépatite A est une maladie virale du foie provoquée par l’ingestion d’eau ou d’aliments contaminés. La prévention repose sur la vaccination et le respect de règles d’hygiène alimentaire.

MPOX

Le mpox (anciennement variole du singe) est une maladie virale qui se transmet par contact rapproché avec une personne infectée via notamment des lésions cutanées, des fluides corporels, des objets contaminés ou encore des gouttelettes respiratoires (postillons). La maladie est caractérisée le plus souvent par l’association de fièvre, de courbatures et d’une éruption cutanée. Des formes graves voire mortelles sont possibles, notamment chez les enfants, les femmes enceintes et les personnes immunodéprimées.

Avant le départ en zone endémique, la vaccination peut être indiquée pour les voyageurs les plus à risques. L’application des mesures de prévention est essentielle : hygiène des mains, évitement de contacts physiques…

Mesures générales de prévention des piqûres de moustiques
  • Porter des vêtements longs et couvrants ;
  • Appliquer des produits répulsifs cutanés sur les zones découvertes du corps ;
  • Protéger son logement (moustiquaires imprégnées d’insecticide, diffuseurs électriques, serpentins à l’extérieur, climatisation, etc.) ;
  • Détruire les sites potentiels de reproduction des moustiques (récipients d’eau stagnante comme les soucoupes sous les pots de fleurs, les gouttières, les pneus, etc.).

Pour plus d’informations, consulter le site du ministère en charge de la Santé et le site de l'Assurance Maladie .

Règles d'hygiène alimentaire
  • Se laver les mains régulièrement avec de l’eau et du savon ou des solutions de lavage hydroalcooliques, surtout avant et après les repas et le passage aux toilettes ;
  • Veiller à la qualité des aliments et surtout à leur bonne cuisson ;
  • Éviter la consommation de produits alimentaires (poisson, viande, volaille, lait) crus ou peu cuits ;
  • Peler les fruits et légumes ou les laver soigneusement (à l’eau saine) ;
  • Éviter les crudités, coquillages, plats réchauffés et buffets froids ;
  • Ne boire que de l’eau ou des boissons encapsulées ou de l’eau rendue potable (filtration, ébullition ou à défaut produit désinfectant).

Pour plus d’informations, consulter le site du ministère en charge de la Santé .

Health — Foreign OfficeForeign Office ↗updated 09.09.2026 · read 15.10.2026

Health — Foreign Office

Before you travel check that:

  • your destination can provide the healthcare you may need
  • you have appropriate travel insurance for local treatment or unexpected medical evacuation

This is particularly important if you have a health condition or are pregnant.

Emergency medical number

Call 117 from a mobile or 17 from a landline and ask for an ambulance.

Contact your insurance company quickly if you’re referred to a medical facility for treatment.

Vaccine recommendations and health risks

At least 8 weeks before your trip:

  • check the latest vaccine recommendations for Madagascar
  • see where to get vaccines and whether you have to pay on the NHS travel vaccinations page

See what health risks you’ll face in Madagascar including:

  • malaria
  • dengue
  • schistosomiasis
  • mpox

Altitude sickness is a risk in parts of Madagascar. Read more about altitude sickness on TravelHealthPro .

Tap water in Madagascar is unsafe. You should drink and use only boiled or bottled water and avoid ice in drinks. There are high levels of syphilis in Madagascar.

Medication

The legal status and regulation of some medicines prescribed or bought in the UK can be different in other countries.

Read best practice when travelling with medicines on TravelHealthPro .

Healthcare in Madagascar

Although there are public and private hospitals in Antananarivo, they can only handle routine operations. For complex surgery, patients are flown to Mauritius, South Africa or Réunion. Make sure you have adequate travel health insurance and accessible funds to cover the cost of any medical treatment abroad and repatriation.

FCDO has a list of medical providers in Madagascar where some staff will speak English.

Travel and mental health

Read FCDO guidance on travel and mental health . There is also mental health guidance on TravelHealthPro .

TravelHealthPro ↗

Places read from OpenStreetMap, within a circle of about 12 km: phone, email, address, website and hours when the source publishes them. No customer reviews, that source has none. Straight-line distances.

The comparator

What is your current insurance?

The verdict
No area exclusion at this level — but three written limits: deductible and prior approval, 90-day cap, advance under conditions.
Exact wording (official French text): « Des Voyages vers des pays où Votre gouvernement a conseillé de ne pas voyager » — general exclusion n° 11, applying to ALL travel covers.
Line by line
Cover
With your Amex Platinum
Territorial exclusion at this level
No territorial exclusion at this level — the clause targets countries your government advised against travelling to
Covered — the core of the Maximum contract
Medical expenses cap abroad
€2M — but 10% deductible (€150–500), insurer's prior approval, trip paid with the Card
EUR 1.5M emergency medical expenses
Hospital deposit before admission
Advance possible — prior approval required before care
Direct payment guarantee: the insurer settles the hospital
Trip duration covered
Maximum 90 consecutive days per trip
12 months, unlimited trips
Visa certificate (incl. Schengen)
Not provided
Official named certificate, issued on payment

Notices vary by bank and vintage — yours prevails. On the right: the Maximum contract (public documents).

Where to go, where not to

No region is advised against by the official readings checked (Global Affairs Canada, Foreign Office and France Diplomatie): the national advice applies everywhere.

In brief
  • National level “Exercise a high degree of caution”; no region named (advisory of 13.10.2026). Global Affairs Canada
  • Advises against neither the country nor any area (reviewed 09.09.2026). Foreign Office
  • The security page lists no red or orange area (page of 10.03.2026). France Diplomatie
  • Level 2 of 4: exercise increased caution (advisory of 04.12.2025). State Department

The levels each government publishes, unsummarised: their texts, linked below, prevail.

Antananarivo is in no region these official readings advise against.The red dot on the map. Change the city at the top of the page to read the map from another point.
Boeny — Country-wide vigilanceSofia — Country-wide vigilanceDiana — Country-wide vigilanceSava — Country-wide vigilanceToamasina — Country-wide vigilanceToamasina — Country-wide vigilanceVatovavy-Fitovinany — Country-wide vigilanceAtsimo-Atsinanana — Country-wide vigilanceAnosy — Country-wide vigilanceAndroy — Country-wide vigilanceAtsimo-Andrefana — Country-wide vigilanceMenabe — Country-wide vigilanceMelaky — Country-wide vigilanceAntananarivo — Country-wide vigilanceBetsiboka — Country-wide vigilanceAntananarivo — Country-wide vigilanceAntananarivo — Country-wide vigilanceAmoron'i Mania — Country-wide vigilanceToamasina — Country-wide vigilanceIhorombe — Country-wide vigilanceHaute Matsiatra — Country-wide vigilanceAntananarivo — Country-wide vigilanceAntananarivo
Country-wide vigilanceAntananarivoNone of the readings checked (Global Affairs Canada, Foreign Office and France Diplomatie) names a region: the whole country keeps the “country-wide vigilance” colour. Boundaries: Natural Earth.
Country-wide vigilance
the whole country, including Antananarivo
So:

no region is advised against by these readings; the trip follows the national advice. A new regional advisory would call for a new, written decision.

US04.12.2025
Level 2 of 4Exercise increased caution
FR10.03.2026
No red or orange areaThe security page lists no red or orange area.Your region (Antananarivo): not covered
GB09.09.2026
No area coveredYour region (Antananarivo): not covered
CA13.10.2026
Exercise a high degree of cautionYour region (Antananarivo): not covered
Maximum excludes no area of the country.The VIP Pack covers care and repatriation there. Still enforceable: sanctions and embargoes, and a country already at war at departure. Extraction and security belong to the VIP Pack Extreme, upon eligibility. See My cover

Global Affairs Canada — Open Government Licence – Canada (13.10.2026) · Foreign Office — Open Government Licence v3.0 · France Diplomatie (10.03.2026) · Natural Earth

No located event in this reading.

Last change: Addition of information on Ebola entry requirements (‘Entry requirements’ page)

Madagascar - Level 2: Exercise Increased CautionState Department ↗updated 04.12.2025 · read 16.10.2026

Updated 04.12.2025

Exercise increased caution to Madagascar due to crime , unrest , and health . Some areas have increased risk.

Crime

Violent crime, such as armed robbery and assault, occurs throughout Madagascar, particularly after dark, in remote areas, and along major national roads in the south and western areas of the country. Petty crime is common, especially in tourist locations. Stay aware of your surroundings.

Unrest

Strikes and other protest activity related to political and economic conditions occur regularly, particularly in periods near elections.

Violent confrontations between the Dahalo (criminal gangs that steal cattle) and security forces have increased in several regions of Madagascar, particularly in areas south and west of the capital.

Health

Medical infrastructure is very limited in populated areas of Madagascar and is extremely limited in rural areas of Madagascar. Serious medical emergencies in Madagascar require medical evacuation. Review the Health section of the Travel Guidance on this page for more information.

Tropical Cyclone Gezani - Feb 2026ReliefWeb ↗read 16.10.20262026-02-10

Tropical Cyclone Fytia - Jan 2026ReliefWeb ↗read 16.10.20262026-02-02

Madagascar: Mpox Outbreak - Dec 2025ReliefWeb ↗read 16.10.20262026-01-28

Tropical Cyclone Jude - Mar 2025ReliefWeb ↗read 16.10.20262025-03-10

Tropical Cyclone Honde - Feb 2025ReliefWeb ↗read 16.10.20262025-03-04

Source: ReliefWeb (OCHA), via HDX — CC BY

Nearest river dischargeOpen-Meteo ↗updated 16.10.2026 · read 16.10.2026

10-16 0.0 · 10-17 0.0 · 10-18 0.0 · 10-19 0.0 · 10-20 0.0 · 10-21 0.0 · 10-22 0.0 m³/s

Simulated discharge: Open-Meteo.com (CC BY 4.0), data rounded and formatted by Maximum. Contains modified Copernicus Emergency Management Service information 2026. For information only: this is not a flood warning; only national or regional authorities issue those.

Where, exactly?

What the national level does not tell you

The level is national. Risk areas are in the state advisories below.

  • U.S. State Department — the full advisory details the regions concerned and the reasons (crime, terrorism, kidnapping, civil unrest) (read the advisory)
  • Foreign, Commonwealth & Development Office (United Kingdom) — the United Kingdom advises against no travel to this country · reviewed 9 September 2026
    Last announced change : « Addition of information on Ebola entry requirements (‘Entry requirements’ page) » (read the advisory)
  • France Diplomatie — France classifies no area of this country as red or orange (see the Security page)

No major event in progress is located in this country at this morning's check.

Safety in figures
Road traffic deaths per 100,000 people
Madagascar29.2 2019
Switzerland2.2 2019
France5.1 2019

Reading: On the road, 13 times more deaths than in Switzerland: road crashes are the leading cause of death of healthy travellers (CDC) — seat belt, no night driving, a driver or a taxi from a rank.

World Bank (UNODC for homicides, WHO for roads) — latest published valuedata.worldbank.org ↗read 10.10.2026

What we locate on the map are events in progress that have real coordinates: USGS earthquakes, GDACS disasters, NOAA storms and open NASA EONET events. Hover a dot for details, click to open it in this briefing.

I travel on a passportEach government writes for its own nationals. The advisory that counts for you — and for your policy's clauses — is your country's.

French passport — France Diplomatie

In brief
  • The entire territory of Madagascar is under enhanced vigilance, and travelers should avoid isolated areas without a tour operator.
  • Travelers should verify that their accommodation has backup water and electricity, as shortages are common and can lead to protests.
  • Night travel on national roads is strongly discouraged due to high crime rates, and using planes or rental cars with drivers is recommended.
  • Women, especially those traveling alone, should exercise caution and avoid isolated or poorly lit areas, particularly after dark.
  • During the rainy season from January to April, travelers should be aware of cyclones, heavy rains, and potential road blockages.
  • In the Anosy region near Betroka, travel is discouraged due to large-scale cattle theft and violent clashes, with night travel strictly prohibited.

Faithful summary of the official texts below, which prevail.

The security page lists no red or orange area.France Diplomatie ↗updated 15.09.2026 · read 15.10.2026

Madagascar

- Présentation de Madagascar

-

-

-

-

-

-

-

-

-

-

Zones de vigilance

Dernière actualisation le 10/03/2026, information toujours valable à la date du jour

L’ensemble du territoire est en vigilance renforcée (en jaune).

De manière générale, il est déconseillé de s’aventurer seul et sans structure accompagnatrice de type agence de voyages dans des régions et endroits isolés à Madagascar. Toute forme de camping sauvage non organisée par un opérateur de tourisme agréé est ainsi à éviter.

Par ailleurs, Madagascar est régulièrement confrontée à des difficultés d’approvisionnement en eau et en électricité. Les voyageurs sont par conséquent invités à vérifier que la structure d’hébergement choisie possède les équipements nécessaires pour pallier ces potentielles pénuries.

Ces difficultés d’approvisionnement sont à l’origine de manifestations, parfois accompagnées de barrages sur la voie publique, observées le plus souvent après la tombée de la nuit dans divers quartiers de la capitale. Il est conseillé de faire preuve de prudence dans ses déplacements et de se tenir éloigné de tout rassemblement.

Anjozorobe

A la suite de plusieurs enlèvements survenus dans cette zone et de l’action des forces de l’ordre qui s’en est suivie, il est conseillé de faire preuve d’une prudence toute particulière en cas de déplacement dans cette zone et de se renseigner sur les conditions de sécurité dans la région avant tout déplacement.

Nosy Be

Bien que la situation sécuritaire se soit améliorée, il convient de rester vigilant.

Tananarive

Aucune zone n’est épargnée par la délinquance. Les lieux fréquentés par les touristes sont particulièrement visés (escaliers menant au Rova, avenue de l’Indépendance, marché d’Analakely, restaurants). Certains quartiers, comme ceux de 67ha, doivent faire l’objet d’une vigilance toute particulière.

Diego-Suarez

Dans la montagne d’Ambre et la montagne aux Français, faire systématiquement appel à un guide officiel malgache et rester vigilant.

Région d’Anosy / Betroka (sud-est du pays)

Des vols de bétail organisés à grande échelle génèrent, de façon récurrente, des affrontements entre forces de l’ordre et bandes armées. Les déplacements dans la région sont à éviter. En raison du risque d’agressions violentes et régulières contre les véhicules et leurs passagers, les déplacements de nuit sont à proscrire.

L’excursion du Pic Saint-Louis est déconseillée en raison du risque d’agressions.

Tuléar

Il est déconseillé de se rendre seul sur la plage de la Batterie, située au nord de la ville de Tuléar, et d’y passer la nuit.

Massif de l’Isalo

Les randonnées dans les canyons de ce massif sont déconseillées, tout particulièrement l’après-midi, durant la saison des pluies. Des averses subites sont en effet susceptibles de provoquer de fortes crues potentiellement mortelles.

Tamatave

La baignade sur les plages de la ville est déconseillée compte tenu des forts courants occasionnés par les travaux d’extension du port.

Saison des pluies

Madagascar connaît entre janvier et avril une période où peuvent apparaître de violents cyclones, arrivant le plus souvent par la côte est. Les cyclones et/ou tempêtes tropicales sont fréquents et doivent inciter à la plus grande prudence en cas d’évènements venteux et pluvieux sévères. La saison des pluies peut entrainer d’importantes perturbations et dégradations sur le réseau routier ainsi que des glissements de terrain. Pendant cette période, le risque d’inondations est important. Il convient d’être vigilant lors de la pratique d’activités sportives en plein air.

Lors de la période cyclonique, il est recommandé de suivre les sites officiels, comme Météo-France La Réunion ou Meteo Madagascar , et de se conformer aux consignes données par l’Ambassade de France sur son site ou sa page Facebook.

Il est recommandé de respecter les consignes de la fiche thématique Risques naturels .

Délinquance - Criminalité

Les risques liés à la criminalité de droit commun sont élevés. Les zones inhabitées, y compris les parcs nationaux ou les plages, sont propices aux agressions par des bandes armées, parfois d’une grande violence.

Dans les principales agglomérations, les conditions de sécurité sont précaires. La délinquance sur la voie publique (agressions, vols à la tire, vols dans les véhicules) et les cambriolages de résidences sont très répandus.

Il est instamment déconseillé de circuler la nuit sur les routes nationales. En cas de déplacement dans le pays, il est fortement recommandé de privilégier l’avion et/ou des voitures de location avec chauffeur, de ne pas se trouver seul à bord du véhicule et de ne pas s’écarter des principaux itinéraires. Pour les hébergements, il est recommandé de privilégier des hôtels ou des résidences de tourisme gardés. En ville, il est formellement déconseillé de circuler à pied la nuit. En cas de déplacement à pied de jour, le port d’objets susceptibles d’attirer l’attention tels que bijoux, sacs, téléphones portables, casques audio, etc.) est à proscrire. En voiture, il est très fortement recommandé de rouler vitres fermées et portes verrouillées. Il est recommandé de ne pas emporter, lors des déplacements à pied en ville, portefeuille et portemonnaie et de ne se munir que de la quantité d’argent liquide nécessaire à d’éventuels achats.

En cas de retrait d’argent à un distributeur automatique, les DAB situés dans des endroits protégés (type centres commerciaux ou supermarchés) sont à privilégier.

Plus généralement il est vivement conseillé de se renseigner sur la situation sécuritaire des zones visitées avant de s’y rendre. Les randonnées doivent être accompagnées par un guide professionnel. Certains lieux ne bénéficiant pas d’une couverture…

Agressions sexuelles

Des cas de harcèlements ou d’agressions sexuelles ciblant les femmes (attouchements, comportements déplacés, viols) sont de plus en plus régulièrement signalés. Il est donc essentiel, particulièrement pour les femmes, et a fortiori celles voyageant seules, de prendre certaines précautions :

  • Il est recommandé de faire preuve de prudence et de rester vigilante dans ses relations avec la population locale que l’on peut être amené à côtoyer en voyage ou dans la vie quotidienne ;
  • Il est fortement conseillé d’éviter de se déplacer dans des lieux isolés ou peu fréquentés, notamment dès la nuit tombée (rues peu animées ; ruelles de villages ; parcs, plages, etc.). De même, éviter de se retrouver seule avec des personnes que l’on ne connaît pas (dans les transports, les hôtels, lors de randonnées ou d’évènements festifs, etc). De récentes agressions ont eu lieu par exemple sur des plages.

Plus généralement, conserver une prudence élémentaire afin de ne pas se mettre en danger.

Risques liés aux transports

La route présente à Madagascar des situations de risques permanents.

Il convient de faire preuve de la plus grande vigilance (notamment en cas d’utilisation d’un deux-roues), particulièrement en temps de pluie, et d’éviter les déplacements de nuit. Il est recommandé de respecter une vitesse raisonnable car les obstacles peu ou pas signalés sont fréquents (route dégradée, piétons et cyclistes, véhicules en panne, véhicules lents, troupeaux de bovidés, charrettes, etc.). Les chauffeurs de taxis et de transports en commun adoptent une conduite particulièrement dangereuse. En cas d’utilisation d’un deux-roues, il convient de faire preuve d’une très grande prudence, des accidents graves étant fréquemment observés.

L’état des routes est très aléatoire à Madagascar. Sur les pistes, les ornières sont parfois très profondes et pas toujours comblées. Un véhicule 4x4 est indispensable hors des agglomérations. Il convient de veiller à toujours prendre la route avec un véhicule en bon état de marche.

Les routes sont parfois impraticables pendant la saison des pluies, de janvier à avril. L’approvisionnement en carburants peut être ponctuellement interrompu.

Par ailleurs, les attaques sur les axes de communication par des bandes organisées (coupeurs de route) constituent un phénomène récurrent à Madagascar. Les attaques augmentent considérablement du fait de la sécheresse qui sévit dans le grand Sud de l’île et de l’extrême pauvreté généralisée dans ces zones. Elles sont conduites notamment, mais pas exclusivement, sur les grands axes du quart sud de l’île. Il est par conséquent vivement recommandé de faire preuve d’une vigilance particulière sur l’ensemble des axes routiers situés hors des agglomérations et de ne pas les emprunter après la nuit tombée.

Full text of the Security pagediplomatie.gouv.fr ↗updated 15.09.2026 · read 15.10.2026

Swiss passport — FDFA (Switzerland), in French

In brief
  • Political tensions on September 25, 2025, led to violent clashes and looting, but the situation has since calmed with normalized air traffic, though internal tensions persist.
  • Armed groups operate in the Ankazobe and Anjozorobe districts, with attacks on roads RN4 and RN3, and clashes with security forces causing casualties.
  • Violent confrontations between armed groups and security forces occur in the South and Southeast, with foreign nationals also victims of assaults and burglaries.
  • Petty crime, street crime, armed robberies, and burglaries are widespread, particularly in Antananarivo and tourist areas, with violence including homicide.
  • Roads are in poor condition, and dangerous driving, unlit vehicles, and livestock increase accident risks; travel at night is strongly discouraged.
  • Heavy rains and cyclones can cause floods and landslides, disrupting transport and supplies, especially in Antananarivo.

Faithful summary of the official texts below, which prevail.

FDFA update note — Le chapitre Situation générale a été actualisé. Il n'est désormais plus déconseillé de se rendre à Madagascar pour des voyages touristiques ou autres voyages non urgents. (published 24.10.2025)

General assessment

Le 25 septembre 2025, des tensions politiques ont déclenché des manifestations dans tout le pays. Plusieurs villes, dont Antananarivo, ont eu lieu des affrontements violents, des pillages et des incendies criminels. Il s'en est suivi un bouleversement politique qui a abouti, le 17 octobre 2025, à la prestation de serment d'un nouveau président du gouvernement de transition. Depuis lors, la situation à Madagascar s'est largement calmée. Le trafic aérien international s'est normalisé. Malgré ces développements, la situation politique intérieure reste tendue. Il n'est pas exclu que de nouvelles manifestations, grèves ou barrages routiers aient lieu, en particulier dans la capitale Antananarivo. Ceux-ci peuvent éclater à court terme et entraîner des restrictions dans la vie publique et la circulation routière. Des actes de violence peuvent être commis dans certains cas. Il n'est pas exclu que l'accès à Internet et aux réseaux sociaux soit partiellement restreint. Suivez l'évolution de la situation sécuritaire actuelle au travers des médias et par le biais de vos personnes de contact. Évitez les grands rassemblements et les manifestations de tout genre et conformez-vous aux directives des forces de l’ordre (couvre-feu, etc.). Faites preuve de la prudence. Le risque d'attentats terroristes ne peut pas être exclu à Madagascar non plus. La rubrique terrorisme et enlèvements attire l'attention sur les risques liés au terrorisme. Terrorisme et enlèvements

Specific regional risks

La description des zones à risques repose sur des données approximatives; les risques ne peuvent se restreindre à des zones délimitées. Districts d'Ankazobe et d'Anjozorobe (région d'Analamanga) Des bandes armées sévissent dans ces districts. Des attaques ont lieu, y compris sur les principaux axes routiers RN4 et RN3. En outre, des affrontements entre les bandes et les forces de sécurité font régulièrement des victimes. Avant et pendant votre voyage dans les districts mentionnés, renseignez-vous sur la situation sécuritaire actuelle dans les médias et auprès de votre tour-opérateur. Faites preuve de la plus grande prudence et ne traversez en aucun cas ces districts la nuit. Sud et Sud-est Des affrontements violents entre bandes armées et forces de sécurité ont lieu régulièrement. En outre, des agressions violentes, parfois mortelles sont commises. Dans la région d’Anosy, des personnes ont été blessées ou tuées à plusieurs reprises. Les personnes étrangères sont également victimes de ces violences. Plusieurs cambriolages ont par exemple été commis à la Batterie Beach (au nord de Toliara). Avant les voyages à destination du Sud et du Sud-est et pendant la durée du séjour, informez-vous au travers des médias et par le biais de votre tour-opérateur sur la situation sécuritaire actuelle et faites preuve de la plus grande prudence. Il est recommandé de ne pas quitter les grands axes et de ne pas séjourner en dehors des villes. Région de Menabe Des attaques à main armée contre des véhicules sur les routes interurbaines ainsi que sur des bateaux de la rivière Tsiribihina ont eu lieu dans le passé. Faites preuve d’une grande prudence dans cette région.

Crime

La petite criminalité, la criminalité de rue, les attaques à main armée et les cambriolages sont répandus dans l'ensemble du pays, surtout à Antananarivo et dans les lieux et régions communément fréquentés par les touristes (plages, parcs nationaux, etc.). Le recours à la violence est fréquent et les assaillants ne reculent pas devant l'homicide. Des viols et d’autres délits sexuels se produisent. Les enlèvements contre rançon de personnes étrangères peuvent se produire. Fréquemment, les victimes travaillent pour des entreprises locales ou internationales. Il convient notamment d'observer les précautions suivantes:

  • les taux de criminalité peuvent fortement varier d'une ville ou d'un quartier à l'autre. Renseignez-vous sur la situation sur place et, en particulier, sur les quartiers à éviter, auprès de votre guide de voyage ou auprès du personnel de l'hôtel.
  • ne portez pas d'objets de valeur sur vous (bijoux, montre, etc.) ni de grosses sommes d'argent.
  • dans la rue, où les vols à l’arraché sont fréquents, il est recommandé d’utiliser son téléphone portable le moins possible.
  • gardez les vitres de votre véhicule relevées et les portières verrouillées. Les vols dans des voitures parquées ou bloquées dans un embouteillage sont fréquents.
  • renoncez aux promenades à pied et aux voyages la nuit.
  • évitez les zones et les plages peu fréquentées.
  • évitez le camping sauvage.
  • faites preuve d’une grande méfiance si des personnes inconnues ou de vagues connaissances (y compris des jeunes) vous proposent leur aide, pour trouver un taxi par exemple. Elles sont fréquemment impliquées dans des vols.
  • n'opposez aucune résistance en cas d'agression, car les assaillants n’hésitent pas à recourir à la violence.

Une certaine insécurité juridique règne. En raison du manque de confiance de la population envers les autorités judiciaires et celles chargées de la sécurité, des cas de lynchage peuvent se produire. Il est recommandé aux investisseurs potentiels de prendre contact avec le Secrétariat à l'économie (SECO), 3003 Berne ou avec l'Ambassade de Suisse à Antananarivo avant de nouer des relations d'affaires. Dans le passé, des actes de piraterie ont été commis à de multiples reprises dans l'océan Indien et parfois dans les eaux malgaches. Consultez les informations spécifiques: Risques maritimes et piraterie

Natural hazards

Des fortes pluies et des cyclones peuvent provoquer des inondations ainsi que des glissements de terrain et endommager les infrastructures. La circulation et l'approvisionnement des villes (surtout Antananarivo) peuvent s’en trouver temporairement perturbés. Consultez les prévisions météorologiques et suivez les avertissements et les instructions des autorités locales. Meteo Madagascar Bureau National de Gestion des Risques et des Catastrophes World Meteorological Organization Des tremblements de terre se produisent parfois. Les tsunamis qui sont provoqués par des tremblements de terre dans les régions d’Asie du sud-est, peuvent également toucher Madagascar. Si une catastrophe naturelle devait se produire durant votre séjour, prenez immédiatement contact avec vos proches et suivez les instructions des autorités locales. En cas d’interruption des communications avec l’étranger, vous pouvez vous mettre en liaison avec l’Ambassade de Suisse à Antananarivo.

FDFA travel advice, in French, valid on 15.10.2026eda.admin.ch ↗updated 24.10.2025 · read 15.10.2026

British passport — Foreign Office (UK)

In brief
  • British nationals should research destinations and obtain appropriate travel insurance covering their itinerary and emergency expenses.
  • In Central Madagascar, seek local advice before travelling to Ankazobe District due to past fatal criminal attacks on villages.
  • In Southern Madagascar, avoid rural areas without security and use a recognised tour operator, especially between Ihosy, Toliara, and Fort Dauphin.
  • When travelling between Besalampy and Morombe in Western Madagascar, use a recognised tour operator due to highway robbery risks, particularly at night.
  • British nationals should avoid walking alone in city centres after dark and never resist if attacked in a vehicle.
  • Be aware of potential terrorist attacks globally, and avoid large political gatherings in Madagascar as protests can turn violent.

Faithful summary of the official texts below, which prevail.

Warnings — Foreign OfficeForeign Office ↗updated 09.09.2026 · read 15.10.2026

Before you travel

No travel can be guaranteed safe. Read all the advice in this guide. You may also find it helpful to:

  • see general advice for women travellers
  • read our guide on disability and travel abroad
  • see general advice for LGBT+ travellers
  • read about safety for solo and independent travel
  • see advice on volunteering and adventure travel abroad
Travel insurance

If you choose to travel, research your destinations and get appropriate travel insurance . Insurance should cover your itinerary, planned activities and expenses in an emergency.

Regional risks — Foreign OfficeForeign Office ↗updated 09.09.2026 · read 15.10.2026

Regional risks — Foreign Office

This section has safety advice for regions of Madagascar. It only covers regions where FCDO has specific advice.

You should also read FCDO ’s overall travel advice and safety and security advice .

Central Madagascar

In 2022, over 30 people were killed when criminals (often referred to as ‘dahalo’) set fire to buildings in a village in Ankazobe District, north-west of Antananarivo. Armed forces are active in the area. Dahalo have not targeted tourists but you should seek local advice before travelling there.

Northern Madagascar

Use an official local guide if you’re visiting the Montagne des Français protected area. Take local advice if visiting beaches as there have been opportunistic attacks on tourists.

Southern Madagascar

Violent incidents involving cattle rustlers (‘dahalo’) in southern Madagascar have resulted in fatalities. Tourists have not been targeted, but you should avoid staying in rural areas without security arrangements. Madagascar’s armed forces are active in southern Madagascar.

In 2021, a large-scale attack on 3 villages in Midongy District resulted in the deaths of 17 civilians and 2 military officers. Other attacks have taken place:

  • to the north of Fort Dauphin
  • around the township of Betroka
  • along the west coast between Belo sur Tsiribihina and Toliara (Tuléar)
  • in the Commune of Ilakakabe (near Isalo National Park)

The security situation in the southern triangle between Ihosy, Toliara (Tuléar) and Fort Dauphin remains tense, the risks are greater at night and the roads are in a poor condition. Use a recognised tour operator when travelling in this area. If you are travelling to Fort Dauphin, you should travel by air.

Criminal gangs have attacked vehicles travelling in convoy on the RN7 (between Antananarivo and Toliara (Tuléar).

Be vigilant when visiting night clubs in Toliara (Tuléar).

In July 2023, demonstrations in the Lanirano area to the east of Fort Dauphin turned violent with reports of gunfire and injury to civilians

Western Madagascar

Due to the risk of violent highway robberies, particularly at night, use a recognised tour operator when travelling in the region between Besalampy and Morombe, including the RN35 and RN1 (between Tsiroanomandidy and Maintirano). You should also maintain a high level of vigilance if you travel on the following roads: RN7, RN27, RN10 and RN34.

Safety — Foreign OfficeForeign Office ↗updated 09.09.2026 · read 15.10.2026

Safety — Foreign Office

This guide also has safety advice for regions of Madagascar .

Terrorism

There is a high threat of terrorist attack globally affecting UK interests and British nationals, including from groups and individuals who view the UK and British nationals as targets. Stay aware of your surroundings at all times.

UK Counter Terrorism Policing has information and advice on staying safe and what to do in the event of a terrorist attack. Find out how to reduce your risk from terrorism while abroad .

Terrorism in Madagascar

Although there’s no recent history of terrorism in Madagascar, attacks cannot be ruled out.

Terrorist attacks could be indiscriminate, including in places frequented by foreign nationals.

Political situation

In late September and early October 2025, significant protests took place in Antananarivo and other parts of Madagascar, which included incidences of violence and looting. A new transitional government was formally established on 17 October. Politically linked rallies are possible and occur in any parts of the country. Avoid large gatherings and political demonstrations as protests can sometimes turn violent. Roads may be closed in response to demonstrations as clashes have been known to occur between security forces and the community.

Crime

Robberies and thefts are commonplace throughout Madagascar. Foreigners are targets for pickpockets and muggers.

Beaches and islands

There have been violent robberies and assaults even in the daytime, be aware of this risk if you visit isolated and remote beaches, especially alone. Get local advice or use an experienced travel operator when visiting any beach. This could happen in many popular coastal locations including:

  • Nosy Be island
  • Ankify Port
  • Ambanja
  • beaches to the south and north of Toliara (Tuléar)
Protecting yourself and your belongings

To reduce the risk of street crime:

  • do not walk alone in city centres or poorly lit urban areas after dark
  • use pre-booked taxis or hotel transport
  • be alert even in nature reserves, national parks and beaches
  • be wary of people approaching you in an over-friendly manner
  • be on the alert for criminals acting in pairs
  • do not use your mobile or show cash while on the street
Vehicle crime

There are frequent armed robberies on main roads, particularly at night and outside major towns. Where possible, drive in a convoy . Either use a recognised tour operator or ask your hotel to arrange transport. Always keep car doors locked and windows closed, particularly in Antananarivo.

See regional risks to find out which roads are particularly dangerous.

Due to the risk of robbery, avoid using multi-passenger taxi vans (‘taxi-brousses’ or ‘bush taxis’). If you’re attacked in any vehicle, do not resist or argue as the criminal could be armed. Stay calm and agree to their demands.

If you are stopped by security personnel or police, ask for ID as there have been reports of criminals falsely claiming to be police.

Report any incident to the police if possible. Take a copy of the police report if you need it for an insurance claim.

Criminal kidnaps

There have been occasional instances of criminal kidnapping for ransom in Madagascar, targeting individuals (normally Malagasy nationals) perceived to be wealthy.

When arranging business meetings use a secure location. Be aware of your surroundings and always let someone you trust know your whereabouts, especially after dark. If you are a victim of kidnapping, follow the kidnapper’s instructions.

American passport — U.S. Department of State

In brief
  • Exercise increased caution in Madagascar due to crime, unrest, and health concerns.
  • Violent crime, including armed robbery, is prevalent, especially after dark and in remote areas.
  • Petty crime is common in tourist locations; remain aware of your surroundings.
  • Protests and strikes related to political and economic conditions occur regularly.
  • Violent confrontations between criminal gangs and security forces have increased in southern and western regions.
  • Medical infrastructure is very limited, and serious emergencies require medical evacuation.

Faithful summary of the official texts below, which prevail.

Madagascar - Level 2: Exercise Increased Caution 2025-12-04travel.state.gov ↗updated 04.12.2025 · read 16.10.2026

Advisory summary

Exercise increased caution to Madagascar due to crime , unrest , and health . Some areas have increased risk.

Crime

Violent crime, such as armed robbery and assault, occurs throughout Madagascar, particularly after dark, in remote areas, and along major national roads in the south and western areas of the country. Petty crime is common, especially in tourist locations. Stay aware of your surroundings.

Unrest

Strikes and other protest activity related to political and economic conditions occur regularly, particularly in periods near elections.

Violent confrontations between the Dahalo (criminal gangs that steal cattle) and security forces have increased in several regions of Madagascar, particularly in areas south and west of the capital.

Health

Medical infrastructure is very limited in populated areas of Madagascar and is extremely limited in rural areas of Madagascar. Serious medical emergencies in Madagascar require medical evacuation. Review the Health section of the Travel Guidance on this page for more information.

Global Affairs Canada — additional reading

Exercise a high degree of caution

Open Government Licence – Canada · October 13, 2026 10:58 EDTtravel.gc.ca ↗updated 13.10.2026 · read 16.10.2026

In brief
  • You must carry your passport with you at all times, as police will not accept certified copies during random checks.
  • Civilians are prohibited from wearing camouflage or military-style clothing, which can lead to detention and fines.
  • Penalties for drug possession, use, or trafficking are severe, with potential for lengthy jail sentences and heavy fines.
  • An export permit is required for items such as precious stones, gold, wooden sculptures, vanilla, and protected plants or animals.
  • Photography of military and government installations is prohibited, and security personnel may react firmly to perceived provocations.
  • While same-sex sexual acts are not prohibited for those over 21, homosexuality is not socially tolerated, and 2SLGBTQI+ persons should consider the risks.

Faithful summary of the official texts below, which prevail.

Global Affairs Canada — written for Canadian travellers, valid for all

Local laws

You must abide by local laws. Learn about what you should do and how we can help if you are arrested or detained abroad.

Drugs

Penalties for possession, use or trafficking of illegal drugs are severe. Convicted offenders can expect lengthy jail sentences and heavy fines. Drugs, alcohol and travel

Dress and behaviour

To avoid offending local sensitivities:

  • dress conservatively, including on some beaches
  • avoid kissing in public
  • behave discreetly
  • respect religious and social traditions
  • seek advice from locals on customs and traditions, as they can vary from one area to another
  • seek permission from locals before photographing them
Camouflage clothing

It is an offence for civilians to wear camouflage or other military-style clothing. Wearing military-style clothing can lead to detention and fines.

Child sex tourism

It's a serious criminal offence to have sex with minors in Madagascar. Travelling for the express purpose of having sex with children or prostitutes in Madagascar is punishable by prison sentences of 5 to 10 years and heavy fines. Canadians may also be subject to criminal proceedings in Canada for acts of this nature committed while abroad. Child Sex Tourism: It’s a Crime

Exports

An export permit is required for the following items:

  • precious or semi-precious stones and gold
  • jewels
  • wooden sculptures, including funerary statues
  • hewed stones
  • vanilla
  • rare fossils
  • food
  • protected plants and animals, including butterflies and crocodile products

If you need more information on customs requirements, contact the Embassy of the Republic of Madagascar Articles to declare – Madagascan customs (in French) Foreign Representatives in Canada

Photography

Photography of military and government installations is prohibited.

Identification

You must carry your passport with you at all times. If you are stopped by police, they will not accept certified copies.

2SLGBTQI+ persons

Madagascar’s law doesn’t prohibit sexual acts between individuals of the same sex. However, homosexuality is not socially tolerated. 2SLGBTQI+ persons should carefully consider the risks of travelling to Madagascar. Travel and your sexual orientation, gender identity, gender expression and sex characteristics

International Child Abduction

The Hague Convention on the Civil Aspects of International Child Abduction is an international treaty. It can help parents with the return of children who have been removed to or retained in certain countries in violation of custody rights. It does not apply between Canada and Madagascar. If your child was wrongfully taken to, or is being held in Madagascar by an abducting parent:

  • act as quickly as you can
  • consult a lawyer in Canada and in Madagascar to explore all the legal options for the return of your child
  • report the situation to the nearest Canadian government office abroad or to Global Affairs Canada by calling the Emergency Watch and Response Centre

If your child was removed from a country other than Canada, consult a lawyer to determine if The Hague Convention applies. Be aware that Canadian consular officials cannot interfere in private legal matters or in another country's judicial affairs.

Driving

You can drive in Madagascar with your Canadian driver’s licence or with an international driving permit (IDP) for up to 3 months. For stays longer than 3 months, you can apply for a local driving licence at the Ministry of the Interior. To do so, you must present an IDP or Canadian driver’s licence. Traffic drives on the right. Yield the right of way to vehicles coming from the left. Penalties for driving under the influence of alcohol or drugs are severe. An accident causing injury or death leads to a mandatory court case. The losing party is required to pay all costs. If you are involved in such an incident, you must stay in Madagascar at your own expense until the case is resolved. International Driving Permit

Money

The currency is the Malagasy ariary (MGA). Euros are widely accepted. United States dollars are sometimes accepted in Antananarivo, major cities, and tourist areas. Madagascar has a cash-based economy. You can make cash withdrawals from a limited number of ATMs in Antananarivo. Some credit cards are accepted at major hotels, some restaurants and shops. There is a shortage of foreign currency in Madagascar due to an ongoing economic crisis. Some banks will not reconvert local currency to hard currency. Upon arrival, you must declare your foreign currency in excess of 10,000 euros. You may not export MGAs.

Open Government Licence – Canada · October 13, 2026 10:58 EDTtravel.gc.ca ↗updated 13.10.2026 · read 16.10.2026

Foreign Office — laws and cultural differences

Local taboos (‘fady’)

In many parts of Madagascar, aspects of daily life are regulated by taboos, known as ‘fady’. These vary from one region to another. Fady can range from forbidden foods to restrictions on clothing. If you plan to visit remote rural areas, get advice from your tour operator or a local guide. They can advise you about how to behave in certain locations. If you plan a longer stay in a village, first check if you should inform the head of the local authority (‘Fokontany’) and the village head or wise man (‘Ray aman-dreny’).

Personal ID

Always carry your passport with you, as police randomly make ID checks and do not always accept copies. Keep a copy of your passport’s photo page, visa and insurance details somewhere safe, and leave further copies with family or friends in the UK.

Public offences

Paying for sex is illegal. The penalty is a fine of 1,500 to 7,000 euros and possibly a prison sentence of up to 10 years. The law against sexual abuse of underage children (aged 17 and under) is strictly enforced, especially for incidents that involve foreign tourists. Underage sex workers may carry fake identity cards. In this situation, you could be prosecuted, or an attempt could be made to extort a bribe from you.

Illegal drugs and prison sentences

Drug smuggling is a serious offence. Punishments can be severe and prison conditions are harsh and life-threatening.

Security personnel and police

Security personnel are known for their firm responses to what might be perceived as relatively minor issues. Avoid actions that might provoke them, such as taking photographs of them. If you’re stopped by the police, show respect and stay calm.

LGBT+ travellers

Same-sex sexual activity is legal among persons of at least 21 years old. However public attitudes are less tolerant than in the UK and showing affection in public may receive negative attention. Read more advice for LGBT+ travellers.

Wildlife, animal products and souvenirs

It’s illegal to collect, buy or export protected animals, plants or products made from them. This includes certain woods such as items made of rosewood. If you buy anything made of wild animal skin or shell, check with the vendor exactly what information you can give to customs if they ask for details.

Stadiums and venues

Security and safety standards at stadiums and venues in Madagascar may be lower than in the UK. If you go to a large-scale event, make sure you know the location of fire exits and check exit routes.

Open Government Licence v3.0gov.uk ↗updated 09.09.2026 · read 15.10.2026

FDFA (Switzerland) — laws and customs, in French

Specific legal provisions

Entre autres, sont punissables:

  • photographier des installations militaires et des bâtiments publics (aéroports, bâtiments du gouvernement, ponts, etc.);
  • l'importation et le port de tenues de camouflage militaire;
  • les actes à caractère homosexuel pour les personnes de moins de 21 ans;
  • l’atteinte aux us et coutumes locales, p. ex. le non-respect du culte des ancêtres.

L'exportation d'animaux et de plantes protégés est sévèrement punie. Les infractions à la loi sur les stupéfiants, y compris la détention de minimes quantités de drogue quelle qu'elle soit, sont passibles de lourdes peines de prison. Les conditions de détention sont extrêmement précaires (nourriture et soins médicaux insuffisants/inexistants, grand potentiel de violence). La détention provisoire peut durer des années.

Cultural specificities

De nombreuses traditions sont encore conservées à Madagascar. Il convient d'adapter son comportement aux usages locaux et de respecter tout particulièrement les lieux saints, la hiérarchie dans les villages ainsi que les rituels funéraires, qui peuvent varier d'une région à l'autre. Renseignez-vous dans les guides de voyages, auprès de votre agence ou directement sur place, sur les codes de conduite.

FDFA travel advice, in Frencheda.admin.ch ↗updated 24.10.2025 · read 15.10.2026

Air: Fair 27/100PM2.5 4.3 µg/m³ · PM10 6.0 µg/m³
UV very high today max 9.1Right now 5.3 · WHO scale 0–11+

What it changes for you: Air acceptable at this hour: nothing special to plan. Very high UV: sunscreen, hat and shade between 11 am and 4 pm; sunstroke and dehydration are travellers' first reasons to see a doctor.

Reading 09:00 (Indian/Antananarivo)Open-Meteo ↗updated 16.10.2026 · read 16.10.2026

Air quality and UV: Open-Meteo.com (CC BY 4.0), data rounded and formatted by Maximum. Contains modified Copernicus Atmosphere Monitoring Service information 2026. Neither the European Commission nor ECMWF is responsible for any use that may be made of the Copernicus information or data it contains.

Physicians per 1,000 people
Madagascar0.2 2022
Switzerland4.5 2022
France3.3 2022
Health spending per person (USD)
Madagascar17 2023
Switzerland11,784 2023
France5,327 2024
Life expectancy (years)
Madagascar63.8 2024
Switzerland84.4 2024
France83.0 2024

No value published by the World Bank in the last eight years for Madagascar: hospital beds per 1,000 people.

Reading: With 0.2 physicians per 1,000 people (96% fewer than Switzerland), the nearest hospital does not always have the capacity for a serious case: evacuation to an adequate centre is the rule, not the exception — that is what unlimited evacuation and repatriation cover. Health spending of 17 USD per person (Switzerland: 11,784) goes with private hospitals that bill foreigners in hard currency and ask for a guarantee before admission: the direct payment guarantee is what avoids the deposit.

World Bank — latest published value, year per indicatordata.worldbank.org ↗read 10.10.2026

I travel on a passportVisa, passport validity, entry form: the rules depend on your passport. Each government describes them for its own nationals.

French passport — France Diplomatie

In brief
  • A visa is free for stays under 15 days, but a 10 euro administrative fee applies for border controls.
  • Visas for 15 to 60 days cost between 35 and 40 euros and must be placed in a passport valid for at least six months.
  • A 90-day tourist stay requires an extension application at the Anosy migration service for 80,000 Ar.
  • French-Malagasy dual nationals must present a Malagasy passport with a French ID or a French passport when flying to France.
  • Airport authorities do not charge taxes or duties on passengers, only on commercial goods upon arrival.
  • Travellers should verify current visa information with Malagasy diplomatic or consular representations.

Faithful summary of the official texts below, which prevail.

Madagascar

- Présentation de Madagascar

-

-

-

-

-

-

-

-

-

-

Visas

Le visa est gratuit pour les séjours de moins de 15 jours, mais les voyageurs devront alors s’acquitter de frais administratifs d’un montant de 10 euros pour les formalités de contrôles aux frontières. Le visa est en revanche payant pour les séjours dont la durée est comprise entre 15 et 60 jours (durée maximum du visa pouvant être obtenu à l’aéroport – Visa 30 jours : 35 euros ; visa 60 jours : 40 euros). Dans tous les cas, le visa ne peut être apposé que sur un passeport valide au moins 6 mois après la date d’arrivée sur le territoire malgache.

Ce visa dit de non-immigration peut être délivré soit par une représentation diplomatique ou consulaire malgache, soit à l’arrivée à l’aéroport. Ce visa n’est ni prorogeable ni transformable en visa de long séjour et ne donne pas droit à l’exercice d’une activité rémunérée.

Il n’est pas possible d’acheter un visa pour 90 jours (durée maximale du séjour touristique) à la frontière. Les 30 jours supplémentaires font l’objet d’un traitement au service des migrations à Anosy (formulaire à remplir sur place en fournissant attestation hébergement ou réservation hôtel, 2 photos d’identité et en s’acquittant d’un montant de 80 000 Ar). L’ensemble de ces informations étant susceptibles d’évolution, les voyageurs sont invités à vérifier leur actualité auprès des représentations diplomatiques ou consulaires malgaches.

Les autorités aéroportuaires de Madagascar et les compagnies aériennes exigent, lors de l’embarquement d’un vol à destination de la France métropolitaine ou Outre-Mer (La Réunion, Mayotte) que les passagers binationaux (français et malgaches) présentent soit un passeport malgache avec une carte d’identité nationale française valide, soit un passeport français.

Il est à noter que toute infraction liée à l’entrée et au…

Règlementation douanière

Les autorités aéroportuaires ne perçoivent aucune taxe ni de droit sur les personnes mais seulement sur les marchandises commerciales à l’arrivée à Madagascar.

Pour toute information relative aux visas d’entrée et de séjour à Madagascar, consulter le site web de l’ ambassade de Madagascar à Paris .

Entry and stay pagediplomatie.gouv.fr ↗updated 15.09.2026 · read 15.10.2026

Swiss passport — FDFA (Switzerland)

The FDFA does not publish entry requirements: they are set out by the destination's embassy or consulate in Switzerland — check them before booking, passport in hand. As a guide, the French and British requirements below describe the same rules as seen by two other governments.eda.admin.ch ↗updated 24.10.2025 · read 15.10.2026

British passport — Foreign Office (UK)

In brief
  • British citizens must have a passport valid for at least six months beyond arrival, with two blank pages, to enter Madagascar.
  • Visas are not required for stays up to 15 days, but a 10-euro fee and onward/return tickets are mandatory.
  • Tourist visas for 30 or 60 days can be purchased on arrival, and all visas can be extended to a maximum of 90 days.
  • Children aged 17 or under leaving Madagascar without one or both parents need written authorization from the absent parent(s).
  • Proof of yellow fever vaccination is required if arriving from a country with transmission risk; polio vaccination may also be necessary.
  • Travellers arriving from cholera-affected countries may be required to take an anti-cholera drug, with alternatives for specific groups.

Faithful summary of the official texts below, which prevail.

Entry requirements — rules for a British passportForeign Office ↗updated 09.09.2026 · read 15.10.2026

Entry requirements — rules for a British passport

This information is for people travelling on a full ‘British citizen’ passport from the UK. It is based on the UK government’s understanding of Madagascar’s current rules for the most common types of travel.

The authorities in Madagascar set and enforce entry rules. If you’re not sure how these requirements apply to you, contact the Embassy of Madagascar in London .

Passport validity requirements

To enter Madagascar, your passport must have an ‘expiry date’ at least 6 months after the date you arrive. It must also have at least 2 blank pages.

Check with your travel provider that your passport and other travel documents meet requirements. Renew your passport if you need to.

You will be denied entry if you do not have a valid travel document or try to use a passport that has been reported lost or stolen.

Dual nationals

When returning to the UK, British citizens must carry a valid British passport or certificate of entitlement . See Dual citizenship .

Visa requirements

You can visit Madagascar for up to 15 days without a visa. You must pay a 10-euro administration fee on arrival and be ready to show your onward or return tickets.

Applying for a visa

If you want to stay longer than 15 days, you can buy a 30- or 60-day single-entry tourist visa on arrival at the airport with US dollars, euros or Malagasy ariary.

You can also apply in advance to the Embassy of Madagascar in London for a tourist or immigrant visa.

Make sure you get your passport stamped.

You can extend either of these visas to a maximum total stay of 90 days while you are in Madagascar. If you overstay, you may be detained or deported.

Travelling with children

A child aged 17 or under, travelling without one or either parent must carry written authorisation from the absent parent or parents when leaving Madagascar.

Vaccine requirements

To enter Madagascar, you must have a certificates to prove you’ve had:

  • a yellow fever vaccination if you’re coming from a country listed as a transmission risk
  • a polio vaccine in some circumstances

For full details about medical entry requirements and recommended vaccinations, see TravelHealthPro’s Madagascar guide .

Cholera

If you are entering Madagascar from a Cholera-affected country , you may be asked by airport authorities to take an anti-cholera drug (Doxcyline). Anyone who is unable to take Doxcyline should be offered an alternative medication by the health authorities.

Alternative medication will be provided to those that:

  • are pregnant
  • are under 8 years old
  • have a pre existing medical condition

You are likely to be asked to leave contact details with the health authorities and they may follow up with you after 3-5 days.

Ebola

Madagascar has introduced additional health measures in response to the Ebola outbreak:

- if you have been in, or transited through, a country affected by Ebola in the last 21 days, you may not be allowed to enter Madagascar unless you are exempt

- Malagasy nationals, foreign residents, people with valid work or student visas, diplomats, and staff of international organisations and Non-Governmental Organisations can enter Madagascar…

American passport — U.S. Department of State

The State Department publishes the requirements ("Entry, Exit and Visa Requirements") on its country page, which our servers cannot read. Read it before you go; as a guide, the French and British requirements below describe the same rules as seen by two other governments.travel.state.gov ↗updated 04.12.2025 · read 16.10.2026

Living on site

For each risk, the official texts themselves: what is happening, then, where they say so, what to do.

CrimeHIGH

What the texts say · Violent crime, such as armed robbery and assault, occurs throughout Madagascar, particularly after dark, in remote areas, and along major national roads in the south and western areas of the country. Armed gangs are known to commit home invasions, carjackings, robberies, and kidnappings.

What they advise:
  • If you’re attacked in any vehicle, do not resist or argue as the criminal could be armed.
  • If you are stopped by security personnel or police, ask for ID as there have been reports of criminals falsely claiming to be police.
  • Always keep car doors locked and windows closed, particularly in Antananarivo.
State Department · Global Affairs Canada · Foreign Office
TransportHIGH

What the texts say · There are frequent armed robberies on main roads, particularly at night and outside major towns. Road conditions vary greatly and are often poor.

What they advise:
  • Either use a recognised tour operator or ask your hotel to arrange transport.
  • Avoid driving at night as vehicles often have no lights and few roads are lit.
  • Use pre-booked taxis or hotel transport.
Foreign Office
Nature and climateMODERATE

What the texts say · The cyclone season in Madagascar normally runs from November to April.

What they advise: Monitor local news and check World Meteorological Organization weather warnings for Madagascar, Meteo Madagascar (French) or Cyclone Océan Indien (French, Malagasy).
Foreign Office
Laws and customsTO KNOW

What the texts say · You must carry your passport with you at all times. It is an offence for civilians to wear camouflage or other military-style clothing.

What they advise:
  • Report any incident to the police if possible.
  • Photography of military and government installations is prohibited.
Global Affairs Canada · Foreign Office
Crowds and calendarMODERATE

What the texts say · In late September and early October 2025, significant protests took place in Antananarivo and other parts of Madagascar, which included incidences of violence and looting. Demonstrations are frequent in Madagascar.

What they advise: Avoid large gatherings and political demonstrations as protests can sometimes turn violent.
Foreign Office · Global Affairs Canada

Sentences copied word for word from the official texts cited, chosen for the destination; the level is our reading. The full texts, at each source:State Department ↗updated 04.12.2025 · read 16.10.2026 (updated 04.12.2025 · read 01.10.2026)Global Affairs Canada ↗updated 13.10.2026 · read 16.10.2026 (updated 13.10.2026 · read 01.10.2026)Foreign Office ↗updated 09.09.2026 · read 15.10.2026 (updated 09.09.2026 · read 01.10.2026)

Safety in figures
Road traffic deaths per 100,000 people
Madagascar29.2 2019
Switzerland2.2 2019
France5.1 2019

Reading: On the road, 13 times more deaths than in Switzerland: road crashes are the leading cause of death of healthy travellers (CDC) — seat belt, no night driving, a driver or a taxi from a rank.

World Bank (UNODC for homicides, WHO for roads) — latest published valuedata.worldbank.org ↗read 10.10.2026

—:—Local time · Indian/Antananarivo ·
117Local emergency numbers · Police 117 · Ambulance 124 · Fire 118
+261 · French, MalagasyDialling code · languages
Europlug, Type K, SN 441011, prise électrique de type E127 V
Drivingon the right

Time zone: IANA and timezone-boundary-builder (ODbL) · RESTCountries · EmergencyNumberAPI · Wikidata · European Central Bank

Places: © OpenStreetMap contributors (ODbL), Photon search by komoot.

FDFA (Switzerland) — transport and specific advice, in French

Transport and infrastructure

Les routes sont en très mauvais état et seuls quelques grands axes routiers sont asphaltés. Lors de contrôles policiers, il arrive que des paiements en espèces soient exigés de façon injustifiée. La conduite dangereuse (en particulier des bus et des taxis-brousse), les véhicules insuffisamment éclairés et le bétail augmentent les risques d'accident. Il est recommandé de louer une voiture avec un chauffeur local expérimenté et de voyager exclusivement en groupe. Si possible, évitez d’utiliser les moyens de transport publics pour les déplacements interurbains. Les déplacements à travers le pays sont déconseillés la nuit. Les frontières peuvent être fermées à court terme, par exemple afin d’endiguer la propagation de maladies. Informez-vous auprès des autorités locales. L'ensemble du pays connaît des difficultés d'approvisionnement en eau et en électricité. Il faut également s'attendre à des difficultés d'approvisionnement en carburant.

Specific remarks

Vous êtes obligé de pouvoir vous identifier avec votre passeport à tout moment.

FDFA travel advice, in Frencheda.admin.ch ↗updated 24.10.2025 · read 15.10.2026

Public holidaysNager.Date ↗read 25.09.2026

  • Sun 1 Nov — All Saints' Day
  • Fri 25 Dec — Christmas Day
ESSENTIAL

Maximum policyholder: before paying anything, call the 24/7 number. If you are admitted for more than 24 h, Maximum sends its direct payment guarantee to the hospital (art. 2.12).

+41 22 ••• •• •• — Full number in your client area

The three hospitals to know — Antananarivo

None of these facilities is a Maximum Insurance “partner”, and none is presented as waiving upfront payment: this list is a reading of public map data, nothing more. A direct payment guarantee is arranged CASE BY CASE by our assistance desk, facility by facility and when the need arises — one number, +41 22 ••• •• ••.

List read from OpenStreetMap on 03.10.2026, not read again since: these facilities may have changed.

80hospitals and clinics40pharmacies20doctorsFull map and list ↗

Before you go

  • Routine vaccinesup to date
  • Yellow feverrequired if arriving from a risk area
  • Hepatitis Arecommended
  • Hepatitis Brecommended
  • Typhoidrecommended
  • Malariadepending on the area
  • Mpoxdepending on the trip

CDC Travelers' Health recommendations, most important first. They depend on your age, vaccines and itinerary: confirm them with a doctor or a travel clinic 4 to 6 weeks before departure. Details, disease by disease ↗cdc.gov ↗read 10.10.2026

On site

DengueMosquitoes bite by day: repellent, long sleeves.
MalariaPresent in some areas: talk to a doctor before leaving.
ChikungunyaMosquito-borne: same protection as for dengue.
SunUV very high (9): hat, sunscreen, water.
MedicationIn their box, with the prescription — in English if possible.

The health system — With 0.2 physicians per 1,000 people (96% fewer than Switzerland), the nearest hospital does not always have the capacity for a serious case: evacuation to an adequate centre is the rule, not the exception — that is what unlimited evacuation and repatriation cover. Health spending of 17 USD per person (Switzerland: 11,784) goes with private hospitals that bill foreigners in hard currency and ask for a guarantee before admission: the direct payment guarantee is what avoids the deposit.

Back home — a fever in the following weeks should be told to a doctor, naming the country.

The next 7 days Indian/AntananarivoMET Norway ↗read 16.10.2026

Fri 16 Oct15–23°partly cloudy
Sat 17 Oct13–22°overcast · 0.1 mm
Sun 18 Oct14–25°overcast · 0.4 mm
Mon 19 Oct15–29°overcast
Tue 20 Oct14–31°showers · 1.7 mm
Wed 21 Oct16–31°showers · 2.0 mm
Thu 22 Oct16–30°showers · 0.5 mm

Forecast: MET Norway (Norwegian Meteorological Institute, CC BY 4.0), grouped by day and formatted by Maximum.

I travel on a passportYour embassy, and the service to register with, depend on your passport.

Your country, 24/7, from abroad

FR
Crisis and Support Centre — French Ministry for Europe and Foreign Affairs+33 1 53 59 11 0024/7 emergency line, standard rate. First contact abroad: the French embassy or consulate.www.diplomatie.gouv.fr ↗updated 15.09.2026 · read 15.10.2026
CH
FDFA Helpline+41 58 465 33 33+41 800 24 7 36524/7, 365 days a year — helpline@eda.admin.ch. Beware of scam calls spoofing these numbers.www.eda.admin.ch ↗updated 24.10.2025 · read 15.10.2026
GB
Foreign, Commonwealth & Development Office+44 20 7008 500024 hours, for British nationals.www.gov.uk ↗updated 09.09.2026 · read 15.10.2026
US
Overseas Citizens Services — U.S. Department of State+1 202 501 4444+1 888 407 4747From abroad; the second number from the U.S. and Canada.travel.state.gov ↗updated 04.12.2025 · read 16.10.2026

French passport — French embassy and consulates

FR
Consulat de France377.9 km

phone not published

FR
Consulat Honoraire de France761.3 km

Rue Beniowsky, 201, Antsiranana

00(261)345431444

Useful contacts listed by France Diplomatie (in French)diplomatie.gouv.fr ↗updated 15.09.2026 · read 15.10.2026

Updated: 15 September 2026

OpenStreetMap

Swiss passport — Swiss embassy and consulates

Useful addresses — FDFA, in French

Numéro d’urgence du service d'ambulance: 117 (depuis un téléphone portable) ou 17 (depuis un téléphone fixe) Disposition douanière de Madagascar: Douane Malagasy: Voyageurs Représentations suisses à l’étranger: En cas de situation d’urgence à l’étranger, vous pouvez vous adresser à la représentation suisse la plus proche ou à la Helpline DFAE. Ambassade de Suisse à Madagascar Helpline DFAE Représentations étrangères en Suisse: Pour obtenir des informations sur les prescriptions d’entrée (documents d’identité admis, visa, etc.), veuillez vous adresser aux ambassades et consulats étrangers compétents. Ceux-ci peuvent également vous renseigner sur les dispositions douanières pour l’importation et l’exportation d’animaux et de marchandises: appareils électroniques, souvenirs, médicaments, etc. Représentations étrangères en Suisse

OpenStreetMap · DFAE

British passport — British embassy and consulates

OpenStreetMap

American passport — U.S. embassy and consulates

OpenStreetMap

Police

  • Commissariat de Police du IIe Arrondissement · 0.5 km
    Làlana Dokotera Raharinosy
  • Commissariat de police du IIIe arrondissement · 1.4 km
  • Camp Gendarme · 1.4 km
  • Préfecture de Police · 1.7 km

Town hall

  • Firaisana faha-2 · 0.7 km
  • Mairie IIIe arrondissement · 1.4 km
  • Firaisana Voalohany · 1.7 km

OpenStreetMap

Getting help — Foreign OfficeForeign Office ↗updated 09.09.2026 · read 15.10.2026

Getting help — Foreign Office

The Foreign, Commonwealth & Development Office ( FCDO ) cannot provide tailored advice for individual trips. Read this travel advice and carry out your own research before deciding whether to travel.

Ambulance or police emergency

Telephone: 17

Mobile: 117

To contact the police station directly, call 19, or 119 from a mobile phone.

Fire

Telephone: 18

Mobile: 118

Contact your travel provider and insurer

Contact your travel provider and your insurer if you are involved in a serious incident or emergency abroad. They will tell you if they can help and what you need to do.

Help abroad

See how to get help from the UK government abroad including in an emergency.

Help in the UK

You can call   FCDO  in London if you need urgent help because something has happened to a friend or relative abroad.

Telephone: 020 7008 5000 (24 hours)

Find out about call charges

Ten phrases in French

For emergencies. If pronunciation fails, show the screen — or the printed page.

English is also an official language in Madagascar; these phrases are in French, an official language more widely spoken there than English.

Help!Au secours !
Call an ambulance!Appelez une ambulance !
I need a doctor.J'ai besoin d'un médecin.
Where is the nearest hospital?Où est l'hôpital le plus proche ?
Call the police!Appelez la police !
I am allergic to penicillin.Je suis allergique à la pénicilline.
I have international medical insurance.J'ai une assurance médicale internationale.
I want to contact my embassy.Je voudrais contacter mon ambassade.
Please take me to this address.Emmenez-moi à cette adresse, s'il vous plaît.
Do you speak English?Parlez-vous anglais ?

Translations by Maximum Insurance, original script and transliteration.

  • Keep the entry stamp, hospital invoices and the medical report. Without them a claim cannot be rebuilt.
  • File it from the claim form, once back, with those papers.
  • The France Diplomatie health page mentions dengue and malaria and chikungunya. A fever in the weeks after return should be told to a doctor, naming the country.

Actions to take before each professional trip abroad.

1Once — the framework
2For each departure
3During the mission, and after

What is happening in Madagascar right now

Live alerts and level changes, each with its official source. Continuously updated.

What governments have just written

LatestSituation sécuritaire

Le retour au calme, en termes d’ordre public, est constaté depuis plusieurs mois à Tananarive et en province. Il convient néanmoins de continuer à se tenir régulièrement informé de l’évolution de la situation, en particulier à l’approche de la date anniversaire des manifestations ayant entraîné le changement de régime politique (25 septembre). Des consignes de sécurité sont diffusées sur le site et le compte Facebook de l’Ambassade de France ainsi que sur le fil d’Ariane sur…

France Diplomatie (in French) · posted 3 March 2026 · updated 27 August 2026diplomatie.gouv.fr ↗updated 15.09.2026 · read 15.10.2026
UpdateGlobal Affairs Canada

Health – editorial change

October 13, 2026 10:58 EDTtravel.gc.ca ↗updated 13.10.2026 · read 16.10.2026

No level change recorded for this country since the log opened. The live alerts above are updated continuously.

⚡ The world feed — every country →

Frequently asked questions — travel insurance Madagascar

24/7 support number — +41 22 ••• •• ••An adviser goes through each question with you until you have an actionable answer: cover, hospital, entry rules, claims. Full number in your client area. You can also ask Maximum directly, just below these questions.
What is the official risk level in Madagascar today?

Level 2/4 — Exercise Increased Caution, U.S. Department of State, retrieved on 16 October 2026.

  • Is the whole country advised against? United States: no · France: no · United Kingdom: no · Switzerland: no (reading of 27 September 2026).
  • Contractually, only an FDFA, FOPH or WHO advisory against the trip opens Module A (art. 18.1) — that is not the case today.
  • International medical cover, 24/7 number saved, and a read of the areas named under Safety & risks before booking the itinerary.
  • We check these sources every morning and e-mail you the day one changes (Alerts button).

Sourcestravel.state.gov · updated 04.12 · read 16.10France Diplomatie · updated 15.09 · read 15.10DFAE · updated 24.10 · read 15.10207-country comparison

Is the whole of Madagascar advised against, or only some areas?

An area advised against does not rule out the country.

  • Official answers: United States: no · France: no · United Kingdom: no · Switzerland: no.
  • Foreign Office, regional risks: “This section has safety advice for regions of Madagascar. It only covers regions where FCDO has specific advice. You should also read FCDO ’s overall travel advice and safety and security advice . Central Madagascar In 2022, over 30 people were killed when…”
  • Keep your country of residence's advisory on booking day and on departure day: that is what your policy's clauses cite.

SourcesFrance Diplomatie · updated 15.09 · read 15.10Foreign Office · updated 09.09 · read 15.10State Department · updated 04.12 · read 16.10

What are the entry requirements for Madagascar with my passport?

The rules depend on the passport, not on the destination alone.

  • French passport (France Diplomatie): A visa is free for stays under 15 days, but a 10 euro administrative fee applies for border controls. Visas for 15 to 60 days cost between 35 and 40 euros and must be placed in a passport valid for at least six months. A 90-day tourist stay requires an extension application at the Anosy migration service for 80,000 Ar.
  • British passport (Foreign Office): British citizens must have a passport valid for at least six months beyond arrival, with two blank pages, to enter Madagascar. Visas are not required for stays up to 15 days, but a 10-euro fee and onward/return tickets are mandatory. Tourist visas for 30 or 60 days can be purchased on arrival, and all visas can be extended to a maximum of 90 days.
  • American passport: the requirements are on the State Department country page (travel.state.gov).
  • Swiss passport: the FDFA refers you to the destination's embassy in Switzerland.
  • Pick your passport at the top of Before you go › Entry: the official text that concerns you comes first, with its “In brief” summary.

SourcesFrance Diplomatie · updated 15.09 · read 15.10Foreign Office · updated 09.09 · read 15.10State Department · updated 04.12 · read 16.10

Do I need an insurance certificate for a Madagascar visa?

For a Schengen visa, yes: at least €30,000 of travel medical insurance (Regulation (EC) No 810/2009, art. 15).

  • Many other countries ask for it on entry or for a visa, case by case: check Before you go › Entry, with your passport.
  • Subscribe: the named certificate arrives by e-mail on payment, with your name, dates and limits (EUR 1.5M medical expenses, unlimited evacuation and repatriation) — the ones consulates check.
  • Attach it to the visa file; if in doubt about the format, write to us.

SourcesRegulation (EC) 810/2009, art. 15General conditions, policy 20 00 479

What does Maximum Insurance do in Madagascar, concretely?

VIP Pack — €990 for twelve months, unlimited trips.

  • EUR 1.5M emergency medical expenses, unlimited medical evacuation and repatriation, search and rescue EUR 50,000, cancellation or change EUR 5,000.
  • One 24/7 number, +41 22 ••• •• ••: Maximum sends its direct payment guarantee to the hospital (art. 2.12).
  • Network of 45,000 providers (art. 6.9); evacuation is decided, organised and paid by Maximum's medical team if the local facility is not enough (art. 6.2.2).
  • Around Antananarivo, the nearest hospital read from OpenStreetMap: Cabinet medical Aina · 2.5 km · +261349013900 · 24/7 emergency room.
  • Named certificate by e-mail on payment, no medical questionnaire.

SourcesGeneral conditions, policy 20 00 479OpenStreetMap · read 11.10

What should I do if hospitalised in Madagascar?

Six steps, in this order.

  • 1. Call +41 22 ••• •• •• before paying anything, or have the front desk call: it is the condition for full cover (otherwise: reduced or refused benefits).
  • 2. Ask for a hospital in the Maximum network (art. 6.9) — the nearest: Cabinet medical Aina · 2.5 km · +261349013900 · 24/7 emergency room.
  • 3. See a doctor the same day and leave with the certificate: without an on-the-spot finding, nothing is covered (art. 33).
  • 4. Admitted for more than 24 h? The front desk calls Maximum: direct payment guarantee, no deposit (art. 2.12).
  • 5. Book no ambulance or flight yourself (art. 6.2.2).
  • 6. Once home, file within 30 days (art. 35.7).
  • Local emergency services: police 117 · ambulance 124 · fire 118.

SourcesSpecial conditions 01.26General conditions, policy 20 00 479

Which emergency numbers in Madagascar?

Local emergency services: police 117 · ambulance 124 · fire 118

  • Maximum, 24/7, before any payment: +41 22 ••• •• ••.
  • France — Ambassade de France (1.5 km) · +261202239898
  • Switzerland — Embassy of Switzerland (1.6 km) · +261 20 226 29 97
  • United Kingdom — Ambassade du Royaume-Uni (0.5 km) · +261 (0) 2022 33053
  • United States — Embassy of the United States of America (9.2 km) · +261 20 23 480 00
  • Save these numbers before leaving; in immediate danger, call local emergency services first, then Maximum.

SourcesEmergencyNumberAPI · Wikidata · read 08.10OpenStreetMap · read 11.10

Is an Amex, Visa or Mastercard enough in Madagascar?

At today's level 2/4, card by card:

  • Amex Platinum — No area exclusion at this level — but three written limits: deductible and prior approval, 90-day cap, advance under conditions.
  • Visa — No express area exclusion — but a €156,000 cap, 90 days, and the war/instability exclusion in the background.
  • Mastercard — No exclusion in play at this level — but a €155,000 cap and 90 covered days.
  • Three lines to read in your notice: the duration (often 90 days per trip), the settlement (reimbursement afterwards or direct payment of the hospital) and the area exclusion at level 4/4.

SourcesAmex Platinum France T&Cs, 01.2025 — general exclusion n° 11BNP Paribas Visa Infinite notice (policy PT7), 04.2025 — comFortuneo World Elite Mastercard notice, 01.2026 — art. 5.5 '

Are a health plan or a travel policy enough in Madagascar?

A health plan reimburses at home; here, the hospital asks for a payment guarantee before admission.

  • Health plan — A health plan treats you at home. Here the hospital asks for a guarantee before admission — not a later reimbursement.
  • Travel policy — No area exclusion at this level — compare cap, deductible and covered duration.
  • A travel policy often has a territorial clause at level 4/4 and a 90-day limit per trip.
  • Have your IPID number or the PDF of the terms and ask an expert to call you back: the answer is in the document, not in the brochure.

SourcesGeneral conditions, policy 20 00 479

How do I use the medical network on this page?

Around Antananarivo: 80 hospitals and clinics, 79 with a 24/7 emergency room, 40 pharmacies, 20 doctors' practices (OpenStreetMap, hospital list read on 03.10.2026).

  • Type your city, hotel or beach: the map re-centres, 24/7 emergency rooms come first.
  • Each row gives the phone when the source publishes it, the nearest street, directions and the Google Maps listing.
  • The PDF briefing repeats the same places, numbered on a printable map.
  • No customer reviews: OpenStreetMap has none, and we invent none.

SourcesOpenStreetMap (ODbL) · read 11.10

Which vaccines and health precautions for Madagascar?

The sourced detail is under Medical network › Health: vaccines, diseases present, altitude, outbreaks.

  • CDC (Travelers' Health), depending on the trip: Routine vaccines, COVID-19, Chikungunya, Hepatitis A, Hepatitis B, Malaria, Measles.
  • France Diplomatie reports in the country: dengue, malaria, chikungunya — mosquito protection day and night.
  • See a doctor or a travel clinic 8 weeks before departure (Foreign Office).
  • Carry your medicines in their packaging, with a prescription using international non-proprietary names (France Diplomatie).

SourcesCDC Travelers' Health · read 10.10France Diplomatie · updated 15.09 · read 15.10OMS · read 15.10Foreign Office · updated 09.09 · read 15.10

Can I be treated in Madagascar, or will I be evacuated?

0.2 physicians per 1,000 people (2022) versus 4.5 in Switzerland.

  • With 0.2 physicians per 1,000 people (96% fewer than Switzerland), the nearest hospital does not always have the capacity for a serious case: evacuation to an adequate centre is the rule, not the exception — that is what unlimited evacuation and repatriation cover. Health spending of 17 USD per person (Switzerland: 11,784) goes with private hospitals that bill foreigners in hard currency and ask for a guarantee before admission: the direct payment guarantee is what avoids the deposit.
  • When the local facility is not enough, Maximum's medical team decides the evacuation to a suitable centre, and pays for it (art. 6.2.2).

SourcesWorld Bank · read 10.10General conditions, policy 20 00 479

Madagascar: safety, in figures?

Comparable figures (homicides, roads, incidents) are under Safety & risks › Incidents.

  • 29.2 road deaths per 100,000 people versus 2.2 in Switzerland (World Bank, WHO).
  • On the road, 13 times more deaths than in Switzerland: road crashes are the leading cause of death of healthy travellers (CDC) — seat belt, no night driving, a driver or a taxi from a rank.

SourcesWorld Bank (UNODC, WHO) · read 10.10UCDP

Where is my embassy in Madagascar, and why register?

The nearest representations, by passport (OpenStreetMap):

  • France — Ambassade de France (1.5 km) · +261202239898
  • Switzerland — Embassy of Switzerland (1.6 km) · +261 20 226 29 97
  • United Kingdom — Ambassade du Royaume-Uni (0.5 km) · +261 (0) 2022 33053
  • United States — Embassy of the United States of America (9.2 km) · +261 20 23 480 00
  • Register before leaving: France: Ariane · Switzerland: Travel Admin · United Kingdom: Foreign Office alerts · United States: STEP.
  • Two minutes, and in a crisis your country's authorities can reach you and count you in an evacuation.
  • Pick your passport at the top of Contacts: your embassy comes first.

SourcesOpenStreetMap · read 11.10DFAE · updated 24.10 · read 15.10

Which regions of Madagascar should I avoid, precisely?

No region is advised against by the official readings checked (Global Affairs Canada, Foreign Office and France Diplomatie): the national advice applies everywhere.

  • Your point (Antananarivo): country-wide vigilance.
  • Maximum does not exclude these areas: the VIP Pack covers care and repatriation there (sanctions, embargoes and a country already at war at departure remain enforceable).

SourcesGlobal Affairs Canada · updated 13.10 · read 16.10Foreign Office · updated 09.09 · read 15.10France Diplomatie · updated 15.09 · read 15.10

Which laws and customs should I know in Madagascar?

Local laws apply to every traveller; here is what the official texts say.

  • You must carry your passport with you at all times, as police will not accept certified copies during random checks.
  • Civilians are prohibited from wearing camouflage or military-style clothing, which can lead to detention and fines.
  • Penalties for drug possession, use, or trafficking are severe, with potential for lengthy jail sentences and heavy fines.
  • An export permit is required for items such as precious stones, gold, wooden sculptures, vanilla, and protected plants or animals.
  • Photography of military and government installations is prohibited, and security personnel may react firmly to perceived provocations.

SourcesGlobal Affairs Canada · updated 13.10 · read 16.10Foreign Office · updated 09.09 · read 15.10

Who can I call at any hour from Madagascar?

Every foreign ministry runs a 24/7 emergency line for its nationals.

  • France — Crisis and Support Centre — French Ministry for Europe and Foreign Affairs: +33 1 53 59 11 00. 24/7 emergency line, standard rate. First contact abroad: the French embassy or consulate.
  • Switzerland — FDFA Helpline: +41 58 465 33 33 · +41 800 24 7 365. 24/7, 365 days a year — helpline@eda.admin.ch. Beware of scam calls spoofing these numbers.
  • United Kingdom — Foreign, Commonwealth & Development Office: +44 20 7008 5000. 24 hours, for British nationals.
  • United States — Overseas Citizens Services — U.S. Department of State: +1 202 501 4444 · +1 888 407 4747. From abroad; the second number from the U.S. and Canada.
  • On site, Ambassade de France: +261202239898.

Sourcesdiplomatie.gouv.fr · updated 15.09 · read 15.10eda.admin.ch · updated 24.10 · read 15.10

A few useful phrases in French for Madagascar?

Emergency phrases, to show if pronunciation fails:

  • Help! → Au secours !
  • Call an ambulance! → Appelez une ambulance !
  • I need a doctor. → J'ai besoin d'un médecin.
  • Where is the nearest hospital? → Où est l'hôpital le plus proche ?
  • Call the police! → Appelez la police !

SourcesMaximum Insurance

What should I keep after leaving Madagascar, and how do I file a claim?

Keep the entry stamp, the invoices, the prescriptions and the medical report.

  • File within 30 days (art. 35.7) from your client area, with the documents; the official forms are pre-filled.
  • Costs advanced on site are reimbursed against receipts.
  • Fever, persistent diarrhoea or a rash in the following weeks? See a doctor and say where you have been — dengue, malaria, chikungunya circulate in the country (France Diplomatie).

SourcesGeneral conditions, policy 20 00 479

What does the Pack VIP Extreme add?

Cancellation or change up to EUR 20,000, special risk EUR 5,000 per person, crisis management and security, optional Kidnap & Ransom.

  • Special risk (Module A): political event, attack, epidemic, natural disaster — opens when the FDFA, the FOPH or WHO advise against the trip (art. 18.1).
  • Epidemic: assistance must be requested within 7 days of the WHO or FDFA qualification (art. 36.2).
  • Crisis management and security: trip registration, monitoring, extraction, evacuation in case of riot, war, terrorism or disaster; Kidnap & Ransom subject to eligibility (art. 18.4).
  • €2,290 a year, unlimited trips.

SourcesGeneral conditions, policy 20 00 479

A question not answered here? Ask Maximum below, or call the support number: every question gets a clear, actionable answer.

A question? Maximum answers.Answers built from the Madagascar file and your policy.

In a life-threatening emergency, call local emergency services first, then Maximum: +41 22 ••• •• •• — 24/7 support number, an adviser stays with you to the end.

What Maximum knows

The 207 country pages — hospitals, pharmacies, police, embassies, emergency numbers, official advice from four governments, health, safety in figures, events in progress — read around the city you name. Your policy — benefits, the six steps, claims, articles. The site — prices, certificate, subscription. Nothing else: what it does not know, it says so and hands you to an adviser.

Same advisory level: Eritrea · Mauritius · Solomon Islands · Turks and Caicos Islands · South Africa · Albania

Cross-check with official sources
U.S. State Department → UK FCDO → France Diplomatie → DFAE (Suisse) →

The displayed level comes from the State Department, checked every morning. Before departure, always cross-check your country of residence's advisory: that is what your policy cites.

The level shown is the official U.S. Department of State level, checked daily. Maximum Insurance is an insurance distributor — general information, not personal advice.

Travel covered to Madagascar
Get the Pack VIP — €990/yr Cover a team
Check my current cover in Madagascar

The destination is already Antananarivo. A few choices, then the reading of your cover, here.

Go further
Insured in an advised-against country →What a repatriation really costs →Who pays the hospital abroad →Where the United States, France and the United Kingdom disagree →Insuring a team that travels: you cover a headcount, not names →What is duty of care? →

All 13 files, together → · All 207 countries →