Madagascar

Cost of Living in Madagascar

Sub-Saharan Africa32.0MLow incomeExpat-friendly

Image credit: David Herzog

Purchasing Power vs. United States

Your money goes 3.21x further

Based on GDP per capita (PPP). Madagascar: $1,657/capita.

Cities in Madagascar

Income Category

Low
World Bank GNI

Happiness

4.2 / 10

#120 globally

GDP per Capita

$1,657
PPP, International $

Population

32.0M

How Far Your Money Goes

Prices are 78% lower than the global benchmark (New York City = 100).

Overall
4.4x further
Prices are 78% lower than the global benchmark (New York City = 100).
Rent
14x further
Prices are 93% lower than the global benchmark (New York City = 100).
Groceries
4.2x further
Prices are 76% lower than the global benchmark (New York City = 100).
Restaurants
6.5x further
Prices are 85% lower than the global benchmark (New York City = 100).

Child Education

Public-schooling rules are not sourced for Madagascar yet. Country-level enrollment, instruction-language, and homeschool notes will appear here once verified.

Childcare & Domestic Help

Nanny, housekeeper, and driver pricing is not yet sourced for Madagascar. We publish this section only when we can tie it to verified local samples or a clearly marked country fallback.

Healthcare

System strength, outcome signals, facility coverage, and self-pay visibility in Madagascar.

Method: country metrics come from public system indicators, facility coverage reflects mapped providers we can inventory, direct pricing only reflects observed self-pay pages, and relative care cost can fall back to broad cost-of-living healthcare indices. Sparse pricing does not imply sparse healthcare availability.

654 facilities tracked across 26 cities
Facilities updated 2 months ago

Healthcare system

Limited

Coverage looks thinner, doctor staffing is lighter, and hospital capacity looks tighter weigh on this rating.

Public care

Limited

A visible public hospital footprint help, but public coverage looks thinner and public funding looks lighter.

Private care

Mixed

A large tracked hospital and clinic network help, but the private footprint is not very visible yet and self-pay pricing transparency is still sparse.

UHC coverage

33/100

2023

Physicians

0.17/1k

2022

Hospital beds

0.32/1k

2014

Out of pocket

27%

2023

Outcome signals

Life expectancy

63.8 yrs

2024

Maternal mortality

445/100k

2023

Neonatal mortality

23.1/1k

2024

International patient readiness

Limited

There is visible specialty depth help, but the private footprint is still thin and price transparency is still sparse.

Pricing transparency

Limited

Published self-pay prices are scarce and few facilities expose web pages we can verify weigh on this rating.

Facility coverage

Pharmacy: 246Hospital: 182Doctor: 125Clinic: 55Dentist: 35Laboratory: 11

Self-pay pricing visibility

No verified self-pay prices are published for the tracked facilities in Madagascar yet.

This usually reflects low online price transparency rather than a lack of healthcare providers.

Notable facilities

Centre Hospitalier Régional de Référence Maintirano
Hospital · Emergency
Centre Hospitalier de Référence Régional de Maevatanàna
Hospital · Emergency
Centre Hospitalier de Référence Régional de Farafangana
Hospital · Emergency
CHRD II Andilamena
Hospital · Emergency
CHRD Ambatofinandrahana
Hospital · Emergency
CHRD Ampanihy
Hospital · Emergency

System metrics: World Bank WDI · Updated 2026-06-01

Safety & Governance

Street Safety

Safety Index34/100
Crime Index66/100

Source: Numbeo where a city row is matched; otherwise World Bank WGI and country-level safety context.

Political Stability

Political Stability-0.58
Rule of Law-0.84
Gov. Effectiveness-1.21
Control of Corruption-1.02

World Bank WGI scale: -2.5 to +2.5.

Wages by Sector

SectorMedian
Administrative & Support Services
Agriculture & Farming
Construction
Education
Finance & Insurance
Healthcare & Social Work
Hospitality & Food Service
Information & Technology
Manufacturing
Mining & Quarrying
Other Services
Public Administration & Defence
Retail & Wholesale Trade
Transport & Logistics

2015 annual wages in Madagascar · Source: ILO ILOSTAT

Visa Information (US passport)

Short-stay entry

visa on arrival

US passport holders can obtain a visa on arrival.

About Madagascar

Madagascar is a low-income Sub-Saharan African country where relocators are mainly trading very low day-to-day costs for weaker infrastructure and a narrower safety net. Antananarivo is the practical base for most foreigners because basic healthcare and improving internet are concentrated in the capital, while specialized care can be limited or unavailable and services thin out quickly elsewhere. An expat lifestyle is documented around $800-1,200 per month, so the country sits at the extremely low-cost end of the region, especially outside Antananarivo. French and Malagasy are the official languages, and limited English makes daily administration harder without some French. The 90-day tourist visa on arrival is useful for scouting, but petty theft, political instability risk, slow 5-10 Mbps internet, and the November-March cyclone season should be planned around.

French & Malagasy official languages, limited EnglishVisa-friendly: 90-day tourist visa on arrival, extendableExtremely low cost: ~$800-1,200/month for expat lifestyleSafety concerns: petty theft in cities, political instability riskHealthcare: basic care in capital, specialized care limited or unavailableSlow internet: 5-10 Mbps typical (improving in cities)Tropical climate: warm year-round, cyclone season Nov-Mar

Common questions about Madagascar

Sourced from SortaRich's public-data ranking engine — every figure links to its institutional source.

Is Madagascar a good country to live in?

Madagascar is a lower-rated country to live in per the World Happiness Report (4.2 of 10, ranking #120 globally). Whether it's right for you depends on your priorities — use SortaRich's free quiz to see how Madagascar ranks for your specific income, family, and visa profile.

Sources: World Happiness Report, SortaRich Methodology

How much does it cost to live in Madagascar?

The cost of living in Madagascar is about 77% cheaper than the global benchmark (New York City), with an overall cost-of-living index of 23. SortaRich personalizes these numbers to your home city's purchasing power so the comparison is real, not nominal.

Sources: SortaRich Cost of Living, World Bank ICP 2021

How far does $1 go in Madagascar?

$1 goes about 3.2x further in Madagascar than in the baseline market — your home-country income stretches that much more (current PPP ratio: 3.21). The figure adjusts every year as exchange rates and local prices shift. SortaRich uses World Bank ICP 2021 as the anchor and Penn World Tables 11.0 for cross-validation.

Sources: World Bank ICP 2021, Penn World Tables 11.0

What visa do I need to move to Madagascar?

To move to Madagascar you have these visa options: Tourist entry: visa_on_arrival. Visa rules change frequently — confirm the current terms with the official immigration authority before booking flights.

Source: SortaRich Visa Database

What are the best cities to live in Madagascar?

The best cities to live in Madagascar are Antananarivo — those are the most-searched options among the 1 cities profiled in the SortaRich database. Each city page includes a personalized PPP comparison versus your home city plus subnational price data where available.

Source: SortaRich City Index