Cost of Living inToamasina, Madagascar
Image credit: JialiangGao www.peace-on-earth.org
Purchasing Power vs. United States
Based on GDP per capita (PPP). Madagascar: $1,657/capita.
How Far Your Money Goes
Prices are 78% lower than the global benchmark (New York City = 100).
Using the country-level NYC comparison for now. We do not have a defensible city-level aggregate cost index for this city yet.
Income Category
Happiness
4.2 / 10
#120 globally
GDP per Capita
City Population
Child Education
Public-schooling rules and international-school pricing are not sourced for Madagascar yet. Quality, expat-access, instruction language, and tuition will appear here once verified.
Childcare & Domestic Help
Nanny, housekeeper, and driver pricing is not yet sourced for Toamasina. We publish this section only when we can tie it to local job-board, agency, or country fallback evidence.
Getting Around
Neighborhood mobility profiles are rolling out city by city.Toamasina is still missing a verified walkability, transit, airport, and rideshare profile.
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.
Healthcare system
LimitedCoverage looks thinner, doctor staffing is lighter, and hospital capacity looks tighter weigh on this rating.
Public care
LimitedA visible public hospital footprint help, but public coverage looks thinner and public funding looks lighter.
Private care
LimitedA clearly private facility base help, but the tracked private-style network still looks thin 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
LimitedA visible private hospital base help, but price transparency is still sparse and headline outcomes are less reassuring.
Pricing transparency
LimitedPublished self-pay prices are scarce and few facilities expose web pages we can verify weigh on this rating.
Facility coverage
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
System metrics: World Bank WDI · Updated 2026-06-01
Safety & Governance
Street Safety
Source: Numbeo where a city row is matched; otherwise World Bank WGI and country-level safety context.
Political Stability
World Bank WGI scale: -2.5 to +2.5.
Wages by Sector
| Sector | Median |
|---|---|
| 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 Toamasina, Madagascar · Source: ILO ILOSTAT (national)
Price Comparison vs. US
Visa Information (US passport)
Short-stay entry
US passport holders can obtain a visa on arrival.
Quick comparison FAQ
Structured from the deltas already shown on this page — no invented facts, no extra data sources.
How far does your money go in Toamasina compared with the US?
Your money goes about 3.2x further in Toamasina than in the US, based on the current PPP estimate. We are using the country-level cost index for Madagascar here because a defensible city-level aggregate index is not available yet.
Is Toamasina cheaper or more expensive overall than New York City?
Toamasina is cheaper overall than New York City — overall living costs are about 78% cheaper than the global benchmark (New York City) for Toamasina. We are using the country-level cost index for Madagascar here because a defensible city-level aggregate index is not available yet.
How does rent in Toamasina compare with New York City?
Rent in Toamasina is about 93% cheaper than the global benchmark (New York City). We are using the country-level cost index for Madagascar here because a defensible city-level aggregate index is not available yet.
How expensive are groceries and restaurants in Toamasina?
Groceries in Toamasina are about 76% cheaper than the global benchmark (New York City), and restaurant prices are about 85% cheaper than the same benchmark. We are using the country-level cost index for Madagascar here because a defensible city-level aggregate index is not available yet.
About Toamasina
Toamasina, also known as Tamatave, is the principal port city of Madagascar, on the Indian Ocean coast on the country's east side. It is a regional rather than national capital and serves as Madagascar's largest port, handling the bulk of the country's container and bulk-cargo trade, supplemented by oil refining at the Galana refinery, fishing, and agricultural exports including cloves, vanilla, and lychees. Malagasy is the national language with French widely used in business and government. The climate is tropical rainforest, hot and humid year-round with very high rainfall and exposure to Indian Ocean cyclones during the southern summer. Relocation drivers are concentrated in port logistics, energy, and humanitarian or development work; the Antananarivo–Toamasina railway and the RN2 highway are the principal links to the capital.
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