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Madagascar Demographics Profile

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Population27,534,354 (July 2021 est.)
Nationalitynoun: Malagasy (singular and plural)

adjective: Malagasy
Ethnic groupsMalayo-Indonesian (Merina and related Betsileo), Cotiers (mixed African, Malayo-Indonesian, and Arab ancestry - Betsimisaraka, Tsimihety, Antaisaka, Sakalava), French, Indian, Creole, Comoran
LanguagesMalagasy (official) 99.9%, French (official) 23.6%, English 8.2%, other 0.6% (2018 est.)

note: shares sum to more than 100% because some respondents gave more than one answer on the census
ReligionsChristian, indigenous, Muslim
Age structure0-14 years: 38.86% (male 5,278,838/female 5,196,036)

15-24 years: 20.06% (male 2,717,399/female 2,689,874)

25-54 years: 33.02% (male 4,443,147/female 4,456,691)

55-64 years: 4.6% (male 611,364/female 627,315)

65 years and over: 3.47% (male 425,122/female 509,951) (2020 est.)
Dependency ratiostotal dependency ratio: 75.9

youth dependency ratio: 70.5

elderly dependency ratio: 5.5

potential support ratio: 18.3 (2020 est.)
Median agetotal: 20.3 years

male: 20.1 years

female: 20.5 years (2020 est.)
Population growth rate2.31% (2021 est.)
Birth rate29.22 births/1,000 population (2021 est.)
Death rate6.09 deaths/1,000 population (2021 est.)
Net migration rate0 migrant(s)/1,000 population (2021 est.)
Population distributionmost of population lives on the eastern half of the island; significant clustering is found in the central highlands and eastern coastline as shown in this population distribution map
Urbanizationurban population: 39.2% of total population (2021)

rate of urbanization: 4.26% annual rate of change (2020-25 est.)
Major cities - population3.532 million ANTANANARIVO (capital) (2021)
Sex ratioat birth: 1.03 male(s)/female

0-14 years: 1.02 male(s)/female

15-24 years: 1.01 male(s)/female

25-54 years: 1 male(s)/female

55-64 years: 0.97 male(s)/female

65 years and over: 0.83 male(s)/female

total population: 1 male(s)/female (2020 est.)
Mother's mean age at first birth19.5 years (2008/09 est.)

note: median age at first birth among women 25-29
Maternal mortality rate335 deaths/100,000 live births (2017 est.)
Infant mortality ratetotal: 39.82 deaths/1,000 live births

male: 43.06 deaths/1,000 live births

female: 36.49 deaths/1,000 live births (2021 est.)
Life expectancy at birthtotal population: 67.86 years

male: 66.54 years

female: 69.22 years (2021 est.)
Total fertility rate3.7 children born/woman (2021 est.)
Contraceptive prevalence rate44.4% (2018)
Drinking water sourceimproved: urban: 87.9% of population

rural: 36.3% of population

total: 55.5% of population

unimproved: urban: 12.1% of population

rural: 63.7% of population

total: 44.5% of population (2017 est.)
Health expenditures4.8% (2018)
Physicians density0.18 physicians/1,000 population (2014)
Hospital bed density0.2 beds/1,000 population (2010)
Sanitation facility accessimproved: urban: 42.5% of population

rural: 16.6% of population

total: 26.1% of population

unimproved: urban: 57.5% of population

rural: 83.4% of population

total: 73.9% of population (2017 est.)
HIV/AIDS - adult prevalence rate0.3% (2020 est.)
HIV/AIDS - people living with HIV/AIDS42,000 (2020 est.)
HIV/AIDS - deaths1,800 (2020 est.)
Major infectious diseasesdegree of risk: very high (2020)

food or waterborne diseases: bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases: malaria and dengue fever

water contact diseases: schistosomiasis

animal contact diseases: rabies
Obesity - adult prevalence rate5.3% (2016)
Food insecuritysevere localized food insecurity: due to drought in southern areas and limited income-earning opportunities - an estimated 1.14 million people are food insecure in southern and southeastern regions and require urgent humanitarian assistance; the effects of a severe drought on agricultural production in 2021 and the impact of the COVID-19 pandemic, particularly the loss of incomes due to the economic slowdown, are the key drivers of food insecurity (2021)
Children under the age of 5 years underweight26.4% (2018)
Education expenditures2.8% of GDP (2018)
Demographic profile

Madagascar’s youthful population – just over 60% are under the age of 25 – and high total fertility rate of more than 4 children per women ensures that the Malagasy population will continue its rapid growth trajectory for the foreseeable future. The population is predominantly rural and poor; chronic malnutrition is prevalent, and large families are the norm. Many young Malagasy girls are withdrawn from school, marry early (often pressured to do so by their parents), and soon begin having children. Early childbearing, coupled with Madagascar’s widespread poverty and lack of access to skilled health care providers during delivery, increases the risk of death and serious health problems for young mothers and their babies.

Child marriage perpetuates gender inequality and is prevalent among the poor, the uneducated, and rural households – as of 2013, of Malagasy women aged 20 to 24, more than 40% were married and more than a third had given birth by the age of 18. Although the legal age for marriage is 18, parental consent is often given for earlier marriages or the law is flouted, especially in rural areas that make up nearly 65% of the country. Forms of arranged marriage whereby young girls are married to older men in exchange for oxen or money are traditional. If a union does not work out, a girl can be placed in another marriage, but the dowry paid to her family diminishes with each unsuccessful marriage.

Madagascar’s population consists of 18 main ethnic groups, all of whom speak the same Malagasy language. Most Malagasy are multi-ethnic, however, reflecting the island’s diversity of settlers and historical contacts (see Background). Madagascar’s legacy of hierarchical societies practicing domestic slavery (most notably the Merina Kingdom of the 16th to the 19th century) is evident today in persistent class tension, with some ethnic groups maintaining a caste system. Slave descendants are vulnerable to unequal access to education and jobs, despite Madagascar’s constitutional guarantee of free compulsory primary education and its being party to several international conventions on human rights. Historical distinctions also remain between central highlanders and coastal people.

Literacydefinition: age 15 and over can read and write

total population: 74.8%

male: 77.3%

female: 72.4% (2018)
School life expectancy (primary to tertiary education)total: 10 years

male: 10 years

female: 10 years (2018)

Source: CIA World Factbook
This page was last updated on September 18, 2021