people in Madagascar don't have access to safe water.

88% of people in Madagascar don't have access to improved sanitation

Almost 4,000 children under five die every year from diarrhoeal diseases caused by unsafe water and poor sanitation.

In rural areas, just 7.5% of people have access to a toilet. Where there is nowhere safe and clean to go to the toilet, people are exposed to disease, lack of privacy and indignity.
In total it’s estimated that more than 10.5 million people in Madagascar defecate in the open, with only bushes for shelter.

Without decent toilets, faeces get spread across land and into water sources. Diarrhoea caused by dirty water and poor sanitation is the second biggest child killer in Madagascar.

We work with communities to make change happen, especially in schools and health centres. People are given choices about the sanitation solutions which are most appropriate, affordable and accessible for their community.  

Find out more about how we tackle these issues in Our approach >

How it affects people

A woman giving her children water to drink

Gertrude Chiimbwe, Zambia

Gertrude Chiimbwe giving her son, Hakalima, 3, a drink of water. Namavwa ward, Zambia.

“We don’t have a toilet here, it subsided, so we go to the bush. I feel bad when I have to go there. I always worry that someone will pass and see you going to the toilet. I’m also worried that you might step on the faeces and bring diseases home.”

A woman holding her child in her arms

Patuma Mbande, Malawi

Patuma Mbande, with her daughter Acklatu, outside her latrine. Mwenyekondo, Lilongwe, Malawi.

"Sometimes in my toilet people have deposited faeces on the floor and not in the hole. This happens especially at night. I feel if I had a better toilet it would make life better, we would be healthier. I would be able to sweep and mop it properly. If it had a roof then the flies wouldn't be able to go in and out and land on our food."

A woman outsite a public latrine

Raju Begum, Bangladesh

Raju Begum, standing by an unhygienic makeshift latrine. Motijharna slum, Chittagong City, Bangladesh.

"Using this latrine is terrible – it’s a bad experience every time. There’s a really bad smell and everyone has caught diseases from it. It’s affected my family. When the new latrines come the old one will be destroyed. It will reduce diseases and hygiene will be good. Security will also be better. I will feel safer because there won’t be men walking past, like there are now. We want the new latrines everywhere.”