Since 2019 rainy seasons in Madagascar bring much less reinfall than in previous years. This is causing a sharp rise in the level of malnutrition in a country where 80 percent of the population lives from small-scale farming and backyard farming.

The most natural situation is in the southern regions, where the rainfall has decreased remarkably. The only water comes with destructive cyclones, when heavy rains and severe hurricanes for about 6 days a year do more harm than good for crops on dry land. The people of Androy, one of the southern regions, have learned to eat the fruit of the cacti that save people from starvation, but in recent years it has been too dry and the cacti have not been bearing fruit. Water is insufficient for humans and livestock. Thus, the inhabitants of the southern regions, cut off from the rest of the island by the lack of roads, have been suffering from severe malnutrition for the past 3 years

According to the CARE report, the humanitarian crisis in Madagascar is one of the most forgotten in the world.