Cost of Living in Madagascar
for Expats 2026

Antananarivo (Tana), the capital, offers furnished apartments in expat-friendly neighborhoods like Analakely for $200–$350/month; unfurnished rentals are cheaper at $150–$250/month. Secondary cities like Toamasina and Antsirabe run 20–30% lower. Expats typically favor colonial-era buildings in central Tana with reliable electricity and water; gated compounds are uncommon but security guards are standard. Utilities add $20–$40/month for electricity (frequent power cuts require backup planning).

Local markets (in Malagasy, "marketa") offer rice, beans, tropical fruits, and fish at negligible cost—a week of groceries for a local family costs $15–$25. Imported goods (cheese, wine, processed foods) carry a 150–250% premium due to limited supply chains. Eating at local restaurants (hotely) costs $2–$4 per meal; expat-oriented cafes in Tana charge $6–$10. Monthly food budget for expats: $80–$150 including mix of local and imported items.

Public transport is minimal; taxis are the backbone at $1–$3 for in-city rides. Motorcycle taxis (pousse-pousse) cost $0.50–$1. Fuel is readily available at $1.10–$1.30/liter; car rental from international agencies runs $30–$50/day. Many expats rely on informal taxi networks or hire personal drivers for $200–$400/month, which proves cost-effective compared to owning a vehicle (high maintenance costs and fuel prices relative to salaries).

Public healthcare is extremely limited; expats use private clinics in Tana charging $40–$80 for consultations and $8–$15 for basic medications. International SOS and other expat-oriented clinics cost $100–$150/visit but offer English-speaking staff and modern equipment. Private health insurance for expats runs $80–$200/month; serious medical issues often require evacuation to Mauritius or South Africa, adding significant cost.