Go to main content


Madagascar is one of the poorest countries in the world. People with disabilities often live in tragic circumstances.

A young girl in a wheelchair, HI Madagascar

© Nicolas Früh / HI

Our actions

HI has been working in Madagascar for over 25 years. Having set up numerous orthopaedic centres and rehabilitation projects, the organisation has since devoted itself to facilitating access to care for people with disabilities, to improving their levels of social participation, and to encouraging the inclusion of children with disabilities in schools.

Today, the organisation is fighting against disabling diseases, such as lymphatic filariasis, running awareness-raising campaigns, providing care to affected populations, and improving the skills of health professionals.

It is also operating in prison settings to improve living conditions for prisoners by encouraging access to care, promoting hygiene, and providing them with psychosocial support.

HI is also running a mother and child health programme aimed at reducing mortality amongst mothers and newborns and improving access to services. Its main areas of intervention in this field include training health care professionals, making services accessible, and providing technical support.

The organisation also works to promote the rights and inclusion of people with disabilities by building the capacities of disabled people’s organisations. It organises national training courses and communication campaigns on the rights of people with disabilities.

Areas of intervention

Latest stories

African States against the use of explosive weapons in populated areas
© HI
Explosive weapons

African States against the use of explosive weapons in populated areas

From 27th to 28th November, Handicap International (HI) is organising a regional conference on the bombing of civilians. The Conference will take place in Maputo, Mozambique and aims to bring together some 20 States, 10 African civil society organisations and international NGOs. The goal is to raise awareness of this vital challenge among African countries and to encourage them to take action on the world stage to protect civilians from the devastating impact of the use of explosive weapons in populated areas.

Print a limb: encouraging results using 3D printed prosthetics
© J.Canicave / Handicap International

Print a limb: encouraging results using 3D printed prosthetics

Handicap International has been testing whether computer assisted design and 3D printing can improve access to high-quality artificial limbs. As the first clinical trials in Togo, Madagascar and Syria conclude, we are pleased to announce positive results and the launch of the next phase of this cutting edge research. 

Madagascar: Handicap International to rebuild 22 schools
©Handicap International

Madagascar: Handicap International to rebuild 22 schools

Cyclone Enawo hit Madagascar in March 2017, affecting more than 400,000 people. The storm severely damaged houses and infrastructure in the north-east of the country. Handicap International is now rebuilding 22 damaged schools in the regions of Analanjirofo and Diana to enable 8,500 students to return to their lessons.


Madagascar has found new hope after five years of continuous backsliding in its global social and economic development indicators.

In 2014, the country saw a return to institutional normality. A new president was elected: Hery Rajaonarimampianina, the former Finance Minister in the previous transitional government. A new National Assembly was created and for the first time in history was headed by a woman. A return to constitutional order is therefore ongoing. It is not without difficulties, but the determination of the interested parties to turn the page and move on from the past is clear.

The level of unemployment remains high and people with disabilities are not considered a priority. In addition, they suffer from high levels of discrimination in their communities. They are marginalised and their economic and social inclusion remains problematic. Less than 10% of children with disabilities attend school. Their lack of education also hinders their social inclusion when they grow up. Furthermore, intellectual disability is a particular taboo on the island.

The uncertain political and economic context prevents the launch of initiatives in the field of disability. As a result, Handicap International's actions mainly target the recognition of people with disabilities’ rights and their inclusion. However, the International Convention for the Rights of Persons with Disabilities was ratified by Madagascar in 2015, offering a framework for progress.

Where your support helps